اختلال عملکرد جنسی پس از زایمان در زنان ایرانی و عوامل مرتبط با آن: مرور سیستماتیک و متاآنالیز

نوع مقاله : مقاله مروری

نویسندگان

1 دانشجوی دکتری تخصصی بهداشت باروری، کمیته‌ی پژوهشی دانشجویان، گروه مامایی و بهداشت باروری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 گروه مامایی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

3 متخصص زنان و زایمان، دانشگاه علوم پزشکی البرز، کرج، ایران

4 دانشیار، گروه مامایی و بهداشت باروری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

مقدمه: اختلال عملکرد جنسی زنان در دوران پس از زایمان، یکی از مشکلات مهم سلامتی زنان در دوران پس از زایمان می‌باشد. این مطالعه، با هدف تعیین اختلال عملکرد جنسی در دوره‌ی پس از زایمان و عوامل مرتبط با آن در زنان ایرانی انجام شد.روش‌ها: در این مطالعه‌ی مرور سیستماتیک و متاآنالیز، مقالات ایرانی منتشر شده در پایگاه‌های PubMed،Scopus، Web of science، ProQuest، Magiran، Scientific Information Database (SID)، IranMedex و IranDoc با استفاده از کلید واژه‌های مرتبط با «عملکرد جنسی پس از زایمان» مورد جستجو قرار گرفتند. معیار ورود شامل مطالعات مشاهده‌ای (بین سال‌های 2019-1990) بود که ابزارهای استاندارد جهت سنجش عملکرد جنسی استفاده کرده بودند. جهت بررسی احتمال سوگیری در انتشار نتایج، از آزمون آماری Egger's استفاده شد. واکاوی داده‌ها، با استفاده از نرم‌افزار STATA 14 انجام شد.یافته‌ها: در این مطالعه، تعداد 12 مقاله بعد از انجام کیفیت‌سنجی با ابزار Newcastle–Ottawa، مورد واکاوی قرار گرفتند. میانگین کلی نمره‌ی عملکرد جنسی پس از انجام واکاوی حساسیت،30/22 (80/22-80/21) و در بعد میل جنسی 52/3 (84/3-20/3)، کمترین نمره و در بعد رضایت جنسی 28/4 (40/4-03/4) بود. عوامل مرتبط با عملکرد جنسی شامل عوامل فردی و دموگرافیک، عوامل پزشکی و عوامل عاطفی و روانی بودند.نتیجه‌گیری: عملکرد جنسی پس از زایمان در زنان ایرانی تحت تأثیر عوامل متعددی می‌باشد. از این رو، توصیه می‌شود در مشاوره‌های پس از زایمان، به بعد جنسی زندگی زنان توجه شود و جهت اقدامات مداخله‌ای در این زمینه برنامه‌ریزی شود.

کلیدواژه‌ها

عنوان مقاله [English]

Postpartum Female Sexual Dysfunction and Related Factors in Iranian Women: A Systematic Review and Meta-analysis

نویسندگان [English]

  • Marzieh Saei-Gharenaz 1
  • Mojdeh Banaei 1
  • Vida Ghasemi 1
  • Farzaneh Rashidi-Fakari 1
  • Azam Khiabani 2
  • Masumeh Abed 3
  • Giti Ozgoli 4
1 PhD Candidate of Reproductive Health, Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Obstetrician and Gynecologist, Alborz University of Medical Sciences, Karaj, Iran
4 Associate Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده [English]

Background: Female sexual dysfunction in the postpartum period is one of the major health problems of women. The aim of this study was to determine the postpartum sexual dysfunction and its related factors in Iranian women.Methods: In this systematic review and meta-analysis study, Iranian articles published at PubMed, Scopus, Web of Science, ProQuest, Magiran, Scientific Information Database (SID), IranMedex, IranDoc were searched by keywords related to "postpartum sexual function". The inclusion criteria were as the studies, which used standard tools to measure sexual function, and included observational studies (from 1990 to 2019). Egger statistical test was used to investigate the probability of bias in the publication bias. Data were analyzed using STATA 14 software.Findings: Finally, after quality assessment by Newcastle Ottawa instrument, 12 articles were analyzed. The overall mean score of sexual function after sensitivity analysis was 22.30 [95% confidence interval (CI): 21.8-22.8], the lowest score was in the sexual desire dimension as 3.52 (95% CI, 3.2-20-3.84), and in the sexual satisfaction dimension, it was 4.28 (5 95% CI: 4.4-4.03). Factors related to sexual function included individual and demographic factors, medical factors, and emotional and psychological factors.Conclusion: The postpartum sexual function in Iranian women is influenced by several factors; so it is recommended to pay attention to the sexual dimension of women's postpartum counseling, and to plan interventional measures in this regard.

کلیدواژه‌ها [English]

  • Sexual dysfunctions, Physiological
  • Women
  • Obstetric delivery
  • Meta-Analysis

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مجله دانشکده پزشکی اصفهان
دوره 37، شماره 546 - شماره پیاپی 546
آذر و دی 1398
صفحه 1149-1161

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  • تاریخ دریافت: 22 مهر 1398
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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