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ORIGINAL ARTICLE

A Pilot Intervention Study to Improve Sexuality Outcomes in Breast Cancer Survivors


1 Department of Nursing, State University of Ceara, Fortaleza, Ceará, Brazil
2 School of Nursing, Yale University, New Haven, CT, USA
3 School of Nursing, University of São Paulo, São Paulo, Brazil
4 Department of Nursing, Federal University of Ceará, Fortaleza, Ceará

Correspondence Address:
Natalia Gondim de Almeida,
Department of Nursing, State University of Ceara, Fortaleza, Ceará, Brazil
Brazil
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/apjon.apjon_56_19

Objective: The main objective of the study is to assess the efficacy of the Permission, Limited information, Specific Suggestion, and sexual therapy (PLISSIT) model directly with breast cancer survivor (BCS) on sexual function and quality of life (QOL) domains. Methods: A pilot control trial was conducted comparing the PLISSIT model intervention to usual care. The intervention was delivered by two health professionals (nurse and professional sexual therapist) consisted of five sessions on counseling, genitalia anatomy, human sexual response, and sexual function. Data were collected before and 3 months after the intervention using the Female Sexual Function Index and the World Health Organization QOL-BREF questionnaire. Results: The sample consisted of 19 BCS (11 intervention, 8 controls) with a mean age of 54.5 8 years (standard deviation = 7.14) and the majority were married, Black or mixed Brazilian, received chemotherapy, radiation and/or hormonal therapy, and education varied from high school to college. There was significant improvement in physical health (P = 0.031), social relationships (P = 0.046), orgasm (P = 0.055), and pain (P = 0.049) over time and the intervention resulted in improved arousal (P = 0.038). Conclusions: The results suggest that the PLISSIT model may be an effective intervention for BCS in coping with and managing changes in sexuality and sexual function after treatment. It is important that nurses are aware of sexual intimacy concerns for BCS and integrate assessment into their nursing care.


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    -  de Almeida NG
    -  Knobf TM
    -  de Oliveira MR
    -  Salvetti Md
    -  Oriá MO
    -  Fialho AV
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