مقایسه ارتباط عملکرد جنسی و کیفیت زندگی زنان باردار در سه ماه‌های مختلف بارداری

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشیار گروه بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 استادیار گروه مامایی، دانشکده پرستاری و مامایی حضرت فاطمه (س)، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

3 استادیار گروه مامایی، دانشکده پرستاری و مامایی زینب (س)، دانشگاه علوم پزشکی گیلان، رشت، ایران.

4 کارشناس ارشد مشاوره در مامایی، مرکز بهداشت شهرستان ملایر، دانشگاه علوم پزشکی همدان، همدان، ایران.

چکیده

مقدمه: اگرچه دوران بارداری برای اکثریت زنان یک دوره لذت‌بخش است، ولی اغلب یک دوره پراسترس و همراه با تغییرات فیزیولوژیکی و روانی به‌شمار می‌آید. سلامت جسمی و سلامت روان، دو بُعد کلی کیفیت زندگی هستند. به‌نظر می‌رسد کیفیت زندگی، عامل تأثیرگذار بر عملکرد جنسی زنان باردار باشد، لذا مطالعه حاضر با هدف، مقایسه ارتباط عملکرد جنسی و کیفیت زندگی زنان باردار در سه ماه­های مختلف بارداری انجام شد.
روش‌کار: این مطالعه مقطعی در سال 1398 بر روی 360 زن باردار (در هر تریمستر 120 زن باردار) مراجعه کننده به درمانگاه مراقبت‌های بارداری بیمارستان­ های دولتی شهر رشت انجام شد. ابزار مورد بررسی، پرسشنامه ­های مشخصات دموگرافیک، عملکرد جنسی FSFI و کیفیت زندگی SF-36 بود. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 23) و آزمون ­های تی، کای دو، آنووا و ضریب همبستگی پیرسون انجام شد. میزان p کمتر از 05/0 معنی­ دار در نظر گرفته شد.
یافته­ ها: میانگین نمره کل عملکرد جنسی افراد مورد مطالعه 05/10±64/18 بود. اختلال عملکرد جنسی در 4/86% نمونه‌ها مشاهده شد. نمره ­های عملکرد جنسی در سه ماهه اول تا سوم بارداری به‌ترتیب 79/7±92/23، 84/8±84/18 و 37/10±17/13 بود که بین نمره کلی و نیز نمرات حیطه­ های عملکرد جنسی با تریمسترهای بارداری اختلاف آماری معنی‌داری وجود داشت (001/0>p). کیفیت زندگی گروه­های با و بدون اختلال عملکرد جنسی در دو بُعد اصلی سلامت جسمی و سلامت روانی کیفیت زندگی با هم اختلاف آماری معنی‌داری داشت (001/0>p). میانگین نمره­ های کلی سلامت جسمی و سلامت روانی به‌ترتیب 73/18±82/54 و 59/17±18/60 بود. همچنین رضایت‌مندی (162/0=r، 002/0=p) و درد (108/0=r، 041/0=p) با سلامت جسمی همبستگی مثبت داشت. لغزندگی (126/0=r، 017/0=p)، ارگاسم (146/0=r، 006/0=p)، رضایت‌مندی (247/0=r، 0001/0=p)، درد (165/0=r، 002/0=p) و نیز نمره کل عملکرد جنسی (158/0=r، 003/0= p)، با سلامت روانی همبستگی مثبت داشتند.
نتیجه­ گیری: میزان اختلال عملکرد جنسی با افزایش سن بارداری، بیشتر می ­شود. همچنین کیفیت زندگی با بیشترین نمره میانگین سلامت روانی مربوط به تریمستر اول و بیشترین میانگین نمره سلامت جسمی در تریمستر سوم همراه بود. عملکرد جنسی با بُعد سلامت روانی کیفیت زندگی همبستگی مثبت داشت. 

کلیدواژه‌ها

عنوان مقاله [English]

The relationship between sexual function and quality of life of pregnant women in different trimesters of pregnancy

نویسندگان [English]

  • Giti Ozgoli 1
  • Mahboubeh Hajifoghaha 2
  • Shiva Alizadeh 3
  • Behnaz Nejati 4
1 Associate Professor, Department of Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Assistant Professor, Department of Midwifery, Hazrat Fatemeh School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
3 Assistant Professor, Department of Midwifery, Zeynab School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
4 M.Sc.of Counseling in Midwifery, Health Center of Malayer City, Hamedan University of Medical Sciences, Hamedan, Iran.
چکیده [English]

Introduction: Although pregnancy is a pleasant period for most women, it is often a stressful period with physiological and psychological changes. Physical health and mental health are two general dimensions of quality of life. It seems that the quality of life has an effect on the sexual function of pregnant women. Therefore, this study was conducted with aim to compare the relationship between sexual function and the quality of life of pregnant women in different trimesters of pregnancy.
Methods: This cross-sectional study was conducted in 2019 on 360 pregnant women (120 pregnant women in each trimester) referring to the pregnancy care clinic of Rasht public Hospitals. The tools were questionnaires of demographic characteristics, FSFI sexual function, and quality of life SF-36. Data analysis was done using SPSS statistical software (version 23) and t-test, Chi-square, ANOVA and Pearson's correlation coefficient. P<0.05 was considered statistically significant.
Results: The mean score of the total sexual function of the studied subjects was 18.64 ± 10.05. Sexual dysfunction was seen in 86.4% of the samples. The scores of sexual functions in the first to third trimester of pregnancy were 23.92 ± 7.79, 18.84 ± 8.84, and 13.17 ± 10.37, respectively. It showed a statistically significant difference between the total score and the scores of the dimensions of sexual function with trimesters of pregnancy (p<0.001). The quality of life of the groups with and without sexual dysfunction had statistically significant differences in the two main dimensions of physical health and mental health (p<0.001). The mean scores of physical health and mental health were 54.82 ± 18.73 and 60.18 ± 17.59, respectively. Also, satisfaction (r=0.162, p=0.002) and pain (r=0.108, p=0.041) had a positive correlation with physical health. The total score of sexual function (r=0.158 and p=0.003) had a positive correlation with mental health. Lubrication (r=0.126, p=0.017), orgasm (r=0.146, p=0.006), satisfaction (r=0.247, p=0.0001), pain (r=0.165, p=0.002) and the total score of sexual function (r=0.158, p=0.003) were positively correlated with mental health.
Conclusion: The rate of sexual dysfunction increases with increasing gestational age. Also, quality of life with the highest mean score of mental health was related to the first trimester and the highest mean score of physical health was in the third trimester of pregnancy. Sexual function had a positive correlation with the mental health dimension of quality of life.

کلیدواژه‌ها [English]

  • Pregnancy
  • Quality of life
  • Sexual dysfunction

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مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 5
مرداد 1402
صفحه 1-13

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