Ignite Creation Date:
2024-05-06 @ 7:27 PM
Last Modification Date:
2024-10-26 @ 3:07 PM
Study NCT ID:
NCT06017128
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2023-11-28
First Post:
2023-08-22
Brief Title:
Sexual Counselings Impact on Hip Replacement Patients Sexual Function and Quality of Life a PLISSIT Model Study
Sponsor:
Istanbul Medeniyet University
Organization:
Istanbul Medeniyet University
Study Overview
Official Title:
The Effect of Sexual Counseling Based on the PLISSIT Model on Sexual Function Quality of Life and Comfort in Patients Undergoing Hip Replacement
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2023-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study investigates the influence of sexual counseling using the PLISSIT model on various aspects of patients undergoing hip replacement The PLISSIT model is employed to guide the counseling process The research aims to assess how this counseling intervention affects sexual function quality of life and overall comfort for these patients By addressing these factors the study seeks to shed light on potential improvements in the well-being and experiences of individuals who have undergone hip replacement surgery
Detailed Description:
To ensure the proper functioning of the bodys systems and the fulfillment of an individuals needs sufficient movement function is necessary Decreased movement function which is crucial for numerous physiological processes negatively affects overall health status and vital functions The hip joint is subjected to stress from activities such as walking running climbing stairs lifting weights and squatting throughout the day Additionally conditions like osteoarthritis and rheumatoid arthritis which emerge with aging lead to structural and functional abnormalities in the hip joint
The severe pain and limited movement resulting from issues in the hip joint adversely impact daily life activities diminishing quality of life To alleviate pain improve movement restrictions and enhance quality of life Total Hip Arthroplasty THA is one of the treatment options Presently due to advancements in surgical techniques and materials THA has become a widely employed method Literature also indicates increased comfort levels and improved quality of life for individuals after surgery
One significant component of overall quality of life and general health is a healthy sexual function Pain and movement limitations in the hip joint also negatively influence individuals sexual lives Stiffness restricted movement and severe pain in the hip joint lead individuals to be concerned about initiating sexual activity Studies have shown that after Total Hip Arthroplasty most patients experience an increase in sexual activity With the elimination of pain and movement restrictions individuals engage more comfortably in sexual activities
However despite the positive effects of total hip replacement patients tend to avoid sexual activity due to factors like delayed wound healing dislocation joint noises and uncertainty about resuming sexual relations Individuals who cannot perform their sexual functions in a healthy manner are negatively affected both physically and psychologically Moreover the inability to experience a healthy sexual life an integral part of marriage and intimate relationships disrupts the connection between partners Engaging in sexual activity at the wrong time or in inappropriate positions after surgery can increase the risk of dislocation and reoperation
Due to all these reasons the post-operative recovery process and patient comfort are adversely affected Therefore in the nursing care provided during the rehabilitation process after total hip replacement individuals sexual functions should not be overlooked Collecting data on patients sexual functions post-surgery and offering sexual counseling based on their needs are necessary Detecting and resolving sexual issues are crucial for an effective and expedited post-operative rehabilitation and recovery process This approach will contribute to the improvement of individuals physical social and psychological health leading to increased quality of life and comfort levels
The use of models is highly important in evaluating and resolving individuals sexual health The utilization of the PLISSIT model is recommended in providing sexual counseling to healthcare professionals due to its ease of use and systematic approach The PLISSIT model developed by Annon in 1976 to guide the resolution of sexual issues was revised by Taylor and Davis in 2006 The model consists of four stages P-Permission LI-Limited Information SS-Specific Suggestions and IT-Intensive Therapy
P Permission - Permission Boundaries for what individuals can and cannot discuss regarding sexuality should be established In cases where these boundaries are not defined individuals may not know what they should discuss In this stage nurses should allow patients to express their concerns about sexuality and sexual health and encourage them to do so
LI Limited Information - Limited Information The interventions in this stage aim to inform individuals about sexual matters This stage involves reviewing the individuals knowledge about sexuality discussing the effects of the disease and treatments on sexual function providing information about these effects and addressing concerns Providing accurate information helps individuals cope more easily with their concerns about sexuality
SS Specific Suggestions - Specific Suggestions This stage includes providing individualsspouses with specific information and recommendations for a more fulfilling sexual life It is particularly effective for arousal and orgasm disorders and dyspareunia The recommendations to be made depend on the sexual problem information obtained from the individual Detailed recommendations such as different positions interventions and lubricants can be suggested to individuals with sexual problems
IT Intensive Therapy - Intensive Therapy This stage is the final stage of the PLISSIT model If the first three stages of the model are unsuccessful the intensive therapy stage is employed The counselor needs to be an expert who has received additional training or should refer the individual to an appropriate unit to provide intensive therapy
In the literature it is generally observed that sexual counseling based on the PLISSIT model is provided to women experiencing sexual dysfunction due to reasons such as pregnancy postpartum hysterectomy and mastectomy Although studies have been conducted worldwide and in our country regarding sexual function after total hip replacement surgery no study has been found that specifically provides sexual counseling based on the PLISSIT model
The severe pain and limited movement resulting from issues in the hip joint adversely impact daily life activities diminishing quality of life To alleviate pain improve movement restrictions and enhance quality of life Total Hip Arthroplasty THA is one of the treatment options Presently due to advancements in surgical techniques and materials THA has become a widely employed method Literature also indicates increased comfort levels and improved quality of life for individuals after surgery
One significant component of overall quality of life and general health is a healthy sexual function Pain and movement limitations in the hip joint also negatively influence individuals sexual lives Stiffness restricted movement and severe pain in the hip joint lead individuals to be concerned about initiating sexual activity Studies have shown that after Total Hip Arthroplasty most patients experience an increase in sexual activity With the elimination of pain and movement restrictions individuals engage more comfortably in sexual activities
However despite the positive effects of total hip replacement patients tend to avoid sexual activity due to factors like delayed wound healing dislocation joint noises and uncertainty about resuming sexual relations Individuals who cannot perform their sexual functions in a healthy manner are negatively affected both physically and psychologically Moreover the inability to experience a healthy sexual life an integral part of marriage and intimate relationships disrupts the connection between partners Engaging in sexual activity at the wrong time or in inappropriate positions after surgery can increase the risk of dislocation and reoperation
Due to all these reasons the post-operative recovery process and patient comfort are adversely affected Therefore in the nursing care provided during the rehabilitation process after total hip replacement individuals sexual functions should not be overlooked Collecting data on patients sexual functions post-surgery and offering sexual counseling based on their needs are necessary Detecting and resolving sexual issues are crucial for an effective and expedited post-operative rehabilitation and recovery process This approach will contribute to the improvement of individuals physical social and psychological health leading to increased quality of life and comfort levels
The use of models is highly important in evaluating and resolving individuals sexual health The utilization of the PLISSIT model is recommended in providing sexual counseling to healthcare professionals due to its ease of use and systematic approach The PLISSIT model developed by Annon in 1976 to guide the resolution of sexual issues was revised by Taylor and Davis in 2006 The model consists of four stages P-Permission LI-Limited Information SS-Specific Suggestions and IT-Intensive Therapy
P Permission - Permission Boundaries for what individuals can and cannot discuss regarding sexuality should be established In cases where these boundaries are not defined individuals may not know what they should discuss In this stage nurses should allow patients to express their concerns about sexuality and sexual health and encourage them to do so
LI Limited Information - Limited Information The interventions in this stage aim to inform individuals about sexual matters This stage involves reviewing the individuals knowledge about sexuality discussing the effects of the disease and treatments on sexual function providing information about these effects and addressing concerns Providing accurate information helps individuals cope more easily with their concerns about sexuality
SS Specific Suggestions - Specific Suggestions This stage includes providing individualsspouses with specific information and recommendations for a more fulfilling sexual life It is particularly effective for arousal and orgasm disorders and dyspareunia The recommendations to be made depend on the sexual problem information obtained from the individual Detailed recommendations such as different positions interventions and lubricants can be suggested to individuals with sexual problems
IT Intensive Therapy - Intensive Therapy This stage is the final stage of the PLISSIT model If the first three stages of the model are unsuccessful the intensive therapy stage is employed The counselor needs to be an expert who has received additional training or should refer the individual to an appropriate unit to provide intensive therapy
In the literature it is generally observed that sexual counseling based on the PLISSIT model is provided to women experiencing sexual dysfunction due to reasons such as pregnancy postpartum hysterectomy and mastectomy Although studies have been conducted worldwide and in our country regarding sexual function after total hip replacement surgery no study has been found that specifically provides sexual counseling based on the PLISSIT model
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None