Abstract
Background: A breast cancer's diagnosis and treatment can bring changes related to women’s body image and sexuality, which can have a devastating impact on intimate relationships and sexuality. The study aim to examine the effectiveness of PLISSIT Counseling Model on female sexuality, body image and couple satisfaction for breast cancer women undergoing treatment. Subjects &methods a quasi-experimental design was used. The study was conducted at Out-patient Oncology Institute, Menoufia University-Egypt. A purposive sample of 66 women with breast cancer was included. Four tools were used to collect data., a structured interviewing questionnaire, body image scale, female sexual function index (FSDI), the revised dyadic adjustment scale. Results. A significant relationship was found between treatment side effects pre and post intervention regarding nausea & vomiting, diarrhea and pain. The mean score of body image, couple satisfaction and sexual dysfunction were improved after application of PLISST counseling model. Conclusion: application of PLISSIT model was effective in enhancing sexual functioning, body image and couple satisfaction for breast cancer women under treatment regimen. Recommendation: Adopting PLISSIT sexual counseling model in addressing sexual dysfunction in a cancer treatment institutions. Applying the evidence –based nursing interventions to address and manage the effects of breast cancer on sexuality.
Highlights
Breast cancer is the most common cancer in women both in the developed and less developed world
The present study showed that age of women ranged from 30-63 years the current study findings is congruent with Gauri et al, (2014) [17] who studied the impact of breast cancer diagnosis and treatment on sexual dysfunction and reported that the age of women in their study was ranged between 33-73 years
Some studies declared the health hazards of breast cancer related- treatment on women 's sexuality and body image,explaining that some determinants are responsible for the appearance of side effects related sexuality on women undergoing treatment.The present study indicated that breast cancer determinants were stage of cancer as the majority of studied women with breast cancer were in stage II and III, type of treatment as majority of women treated with chemotherapy combined with surgery and chemotherapy, type of surgery, side effect of chemotherapy as it is considered important determinants for the occurrence of these hazards
Summary
Breast cancer is the most common cancer in women both in the developed and less developed world. It is estimated that worldwide over 508, 000 women died in 2011 due to breast cancer. [1] In Egypt, the breast cancer incidence rates for women in. A breast cancer's diagnosis and treatment can bring changes related to women’s body image and sexuality, which can have a devastating impact on intimate relationships and sexuality. The study aim to examine the effectiveness of PLISSIT Counseling Model on female sexuality, body image and couple satisfaction for breast cancer women undergoing treatment. Conclusion: application of PLISSIT model was effective in enhancing sexual functioning, body image and couple satisfaction for breast cancer women under treatment regimen. Recommendation: Adopting PLISSIT sexual counseling model in addressing sexual dysfunction in a cancer treatment institutions. Applying the evidence –based nursing interventions to address and manage the effects of breast cancer on sexuality
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