مقایسه تأثیر مشاوره تلفیقی (گروهی و فردی) با مشاوره صرفاً گروهی بر آگاهی و نگرش جنسی زنان در آستانه ازدواج

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار گروه بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 استاد گروه آمار زیستی، مرکز تحقیقات مدیریت و عوامل مؤثر بر سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: مطالعات قبلی و نیازسنجی انجام شده، حاکی از نیاز مبرم جوانان در آستانه ازدواج برای حضور در کلاس­های مشاوره­ای است که بتوانند به راحتی سؤالات جنسی خود را مطرح کرده و پاسخ آن را دریافت نمایند. بنابراین با توجه به کمبود اطلاعات در مورد مؤثرترین روش ارائه مشاوره در این زمینه، مطالعه حاضر با هدف مقایسه تأثیر مشاوره گروهی و تلفیقی از مشاوره گروهی و فردی بر آگاهی و نگرش جنسی زنان در آستانه ازدواج انجام شد.
روش‎کار: این مطالعه مداخله­ای سه­گروهه در سال 95-1394 بر روی 162 نفر از زنان مراجعه­کننده به واحد مشاوره پیش از ازدواج مراکز بهداشت مشهد انجام شد. افراد به سه گروه دریافت­کننده تلفیقی از مشاوره گروهی و فردی، فقط مشاوره گروهی و آموزش معمول (کنترل) تخصیص یافتند. گروه مشاوره تلفیقی، دو جلسه مشاوره گروهی و یک جلسه مشاوره فردی و گروه دیگر، سه جلسه دو ساعته مشاوره گروهی با فواصل یک هفته با موضوعات روابط زوجین و سلامت جنسی و باروری دریافت نمودند. داده­ها با استفاده از پرسشنامه­­ استاندارد اسکاس جمع­آوری و با استفاده از نرم‎افزار آماری SPSS (نسخه 16) و آزمون‎های تحلیل واریانس یک­طرفه، آزمون ­توکی، آزمون آنووا یک طرفه، کروسکال­ والیس و کای دو مورد تجزیه و تحلیل آماری قرار گرفت.مقدار p کمتر از 05/0 معنی­دار در نظر گرفته شد.
یافته­ها: پس از مداخله، اختلاف نمرات آگاهی (001/0=p) و نگرش جنسی (004/0=p) در سه گروه معنی­دار بود، اما بین آگاهی (9/0=p) و نگرش (4/0=p) دو گروه مداخله اختلاف معناداری وجود نداشت.
نتیجه­گیری: به‎دنبال مشاوره گروهی و تلفیقی از مشاوره گروهی و فردی، نمره آگاهی و نگرش زنان نسبت به روابط جنسی افزایش یافت که این افزایش در مقایسه با گروه کنترل معنادار بود. با توجه به امکانات، اجرای هر یک از این دو روش مشاوره توصیه می­گردد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the effect of group counseling and integrated counseling (group and individual) on sexual knowledge and attitude in women on the verge of marriage

نویسندگان [English]

  • Seyyedeh Adeleh Rahmanian 1
  • Talat Khadivzadeh 2
  • Habibollah Esmaily 3
1 M.Sc. Student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 Assistant Professor, Department of Reproductive Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3 Professor, Department of Biostatistics, Management and Factors Affecting Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Previous studies and needs assessment indicate the need for youthon the verge of marriage to attend counseling classes in order to they can easily ask their sexual questions and receive their answers. Therefore, due to the lack of adequate information on the most effective way to provide counseling in this area, this study was performed with aim to compare the effect of group counseling and an integration of group and individual counseling on sexual knowledge and attitude in women on the verge of marriage.
Methods: This three-group interventional study was performed on 162 women referring to premarital counseling unit of Mashhad health centers in 2015-2016. The subjects were assigned into three groups of receiving integrated (individual and group) counseling, group counseling and normal education (control). Integrated group received two sessions of group counseling and one session of individual counseling, group counseling received three sessions of two hours of group counseling with one week intervals with objects of spouse relations and sexual and reproductive health. Data was collected using a standard questionnaire SKAS and were analyzed using SPSS software (version 16), and using ANOVA and Tukey, one-way ANOVA, Kruskal Wallis, and Chi-square tests. P<0.05 was considered significant.
Results: After the intervention, the difference of knowledge score (P=0.001) and sexual attitude score (P=0.004) was significant between three groups, but there was no significant difference between knowledge (P=0.9) and attitude (P=0.4) of two intervention groups.
Conclusion: Sexual knowledge and attitude of women toward sexual relations increased following the both methods of group counseling and an integration of group and individual counseling, this increase was significant compared with control group. According to the available facilities, implementation of each of two methods of counseling is recommended.

کلیدواژه‌ها [English]

  • Attitude
  • Counseling
  • Knowledge
  • Sexual
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