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Exploring Sexual Life Experiences and Perceptions of Women with Diabetes: A Qualitative Study | ||
International Journal of Community Based Nursing & Midwifery | ||
مقاله 6، دوره 10، شماره 3 - شماره پیاپی 39، مهر 2022، صفحه 223-233 اصل مقاله (379.72 K) | ||
نوع مقاله: Original Article | ||
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2021.91530.1793 | ||
نویسندگان | ||
Roza Hoorsan1؛ Minoor Lamyian* 1؛ Fazlollah Ahmadi2؛ Seyed Ali Azin3؛ Abbas Rahimiforoushani4 | ||
1Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran; | ||
2Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran; | ||
3Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran; | ||
4Department of Epidemiology and Biostatistics, School of Public Health,Tehran University of Medical Sciences, Tehran, Iran | ||
چکیده | ||
Background: Sexual life can be affected through different aspects of living with diabetes. This study aimed to explore the perception and experiences of Iranian women with diabetes at reproductive age regarding the impact of diabetes on their sexual life. Methods: This qualitative study was conducted from August 2018 to February 2019 in five diabetes centers in Tehran. Purposeful sampling method was used to select the participants, and data were collected by in-depth semi-structured interviews. Data were analyzed manually using the conventional content analysis method. Data saturation occurred after interviewing 24 women with diabetes. Results: Three themes were identified. The first theme was “diabetes-related threatened sexual life” with three categories: change in sexual functioning, negative sexual self-evaluation, and concern in sexual relationships. The second theme was “diabetes treatment challenges in sexual life,” which included two categories: adverse effects of diabetes treatment in sexual life and the psychosocial distress related to diabetes treatment. “Couples’ relationship adjustment to diabetes,” was identified as the third theme, including four categories: the need for spouse’s understanding of living with diabetes problems, perceived need for spouse’s support, perceived need for intimacy, and the need to cope with diabetes-related childbearing challenges. Conclusion: According to the participants’ perception and experiences, in addition to sexual problems, diabetes had affected their sexual life through diabetes treatment challenges in sexual life and the way the couples’ relationships adjust to diabetes. Therefore, sexual problems screening and providing counseling services in community-based diabetes care planning are recommended. | ||
کلیدواژهها | ||
Diabetes complications؛ Diabetes mellitus؛ Qualitative study؛ Sexual dysfunction؛ Sexual life | ||
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مراجع | ||
1. Standl E, Khunti K, Hansen TB, et al. The global epidemics of diabetes in the 21st century: Current situation and perspectives. European Journal of Preventive Cardiology. 2019;26:7-14. 2. Akbarzadeh A, Salehi A, Molavi Vardanjani H, et al. Epidemiology of Adult Diabetes Mellitus and its Correlates in Pars Cohort Study in Southern Iran. Archives of Iranian Medicine. 2019;22:633-9. 3. Sansone A, Mollaioli D, Ciocca G, et al. Sexual dysfunction in men and women with diabetes: a mirror of their complications? Current Diabetes Reviews. 2021. [online]. doi: 10.2174/1573399817666210309104740 4. Rahmanian E, Salari N, Mohammadi M, Jalali R. Evaluation of sexual dysfunction and female sexual dysfunction indicators in women with type 2 diabetes: a systematic review and meta-analysis. Diabetology & Metabolic Syndrome. 2019;11:73. 5. Barbagallo F, Mongioì LM, Cannarella R, et al. Sexual Dysfunction in Diabetic Women: An Update on Current Knowledge. Diabetology. 2020;1:11-21. 6. Rochester-Eyeguokan C, Meade L. A practical approach to managing hypoactive sexual desire disorder in women with diabetes. Diabetes Therapy. 2017;8:991-8. 7. Habtewold TD, Islam MA, Radie YT, Sileshi Tegegne B. Comorbidity of depression and diabetes: an application of biopsychosocial model. International Journal of Mental Health Systems. 2016;10:74. 8. Celik S, Golbası Z, Kelleci M, Satman I. Sexual dysfunction and sexual quality of life in women with diabetes: The study based on a diabetic center. Sexuality and Disability. 2015;33:233-41. 9. Greenberg JM, Smith KP, Kim TY, et al. Sex and Quality of Life. In: IsHak WW, ed. The Textbook of Clinical Sexual Medicine. Geneva: Springer International Publishing; 2017. p. 539-72. 10. Stevenson A. Oxford dictionary of English. 3rd ed. UK: Oxford University Press; 2010. 11. Carvalheira AA, Leal I. T09-O-04 Determinant factors of female sexual satisfaction. Sexologies. 2008;17:S117. 12. Kaplan Serin E, Duman M, Yilmaz S. Sexual Life Quality and Marital Adjustment in Women With and Without Diabetes. Sexuality and Disability. 2020;38:625-35. 13. Bak E, Marcisz C, Krzeminska S, et al. Does Type 1 Diabetes Modify Sexuality and Mood of Women and Men? International Journal of Environmental Research and Public Health. 2018;15:958. 14. Ahmed MR, Shaaban MM, Sedik WF, Mohamed TY. Prevalence and differences between type 1 and type 2 diabetes mellitus regarding female sexual dysfunction: a cross-sectional Egyptian study. Journal of Psychosomatic Obstetrics and Gynaecology. 2018;39:176-81. 15. Afshari P, Yazdizadeh S, Abedi P, Rashidi H. The Relation of Diabetes Type 2 with Sexual Function among Reproductive Age Women in Iran, a Case-Control Study. Advances in Medicine. 2017;2017:4838923. 16. Wallner LP, Sarma AV, Kim C. Sexual functioning among women with and without diabetes in the Boston Area Community Health Study. The Journal of Sexual Medicine. 2010;7:881-7. 17. Tagliabue M, Gottero C, Zuffranieri M, et al. Sexual function in women with type 1 diabetes matched with a control group: depressive and psychosocial aspects. The Journal of Sexual Medicine. 2011;8:1694-700. 18. Denny E, Weckesser A. Qualitative research: what it is and what it is not. BJOG. 2019;126:369. 19. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24:105-12. 20. Lincoln Y, Guba E. But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. Naturalistic Evaluation. 1986;1986:73-84. 21. Borrell-Carrió F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice, and scientific inquiry. Annals of Family Medicine. 2004;2:576-82. 22. Kizilay F, Gali HE, Serefoglu EC. Diabetes and sexuality. Sexual Medicine Reviews. 2016;5:45-51. 23. Asefa A, Nigussie T, Henok A, Mamo Y. Prevalence of sexual dysfunction and related factors among diabetes mellitus patients in Southwest Ethiopia. BMC Endocrine Disorders. 2019;19:141. 24. Ziaei T, Mansourian F, Khoori E, Tatari M. Comparison of sexual self-concept in married diabetic and non-diabetic women referred to Gorgan healthcare centers: An analytical cross-sectional study. Journal of Research Development in Nursing & Midwifery. 2020;17(S4). 25. Barnard KD, Naranjo D, Johnson N, et al. Diabetes and female sexual health: an ongoing challenge. Practical Diabetes. 2019;36:165-9. 26. Rizzi M, Trevisan R. Genitourinary infections in diabetic patients in the new era of diabetes therapy with sodium-glucose cotransporter-2 inhibitors. Nutrition, Metabolism and Cardiovascular Diseases. 2016;26:963-70. 27. Santos AN, Pascoal PM, Barros L. Sexuality in Emerging Adults with Type 1 Diabetes Mellitus: An Exploratory Study Using Thematic Analysis. Journal of Sex & Marital Therapy. 2020;46:234-45. 28. Pinhas‐Hamiel O, Tisch E, Levek N, et al. Sexual lifestyle among young adults with type 1 diabetes. Diabetes/Metabolism Research and Reviews. 2017;33(2). 29. Tuncel E, Durgun O, Peynirci H, Ersoy C. Sexual dysfunction in female patients with type 2 diabetes mellitus: a cross-sectional single-centre study among Turkish patients. Human Fertility. 2017;20:192-99. 30. Copeland KL, Brown JS, Creasman JM, et al. Diabetes mellitus and sexual function in middle-aged and older women. Obstetrics and Gynecology. 2012;120:331-40. 31. Corona G, Isidori AM, Aversa A, et al. Male and female sexual dysfunction in diabetic subjects: Focus on new antihyperglycemic drugs. Reviews in Endocrine & Metabolic Disorders. 2020;21:57-65. 32. Robertson C, Lin A, Smith G, et al. The Impact of Externally Worn Diabetes Technology on Sexual Behavior and Activity, Body Image, and Anxiety in Type 1 Diabetes. Journal of Diabetes Science and Technology. 2020;14:303-8. 33. Liu NF, Brown AS, Folias AE, et al. Stigma in People With Type 1 or Type 2 Diabetes. Clinical Diabetes. 2017;35:27-34. 34. Mehdipour-Rabori R, Dehsheakhi MA, Nouhi E, Nematollahi M. Comparison of the Relationship Between Sexual Function, Marital Adjustment, and Life Satisfaction in Diabetic and Non-Diabetic Women. International Journal of Community Based Nursing and Midwifery. 2020;8:324-32. 35. Lafontaine MF, Bélanger C, Jolin S, et al. Spousal Support and Relationship Happiness in Adults With Type 2 Diabetes and Their Spouses. Canadian Journal of Diabetes. 2020;44:481-6. 36. Alinejad-Naeini M, Peyrovi H, Shoghi M. Childbearing culture: a prominent context in the process of maternal role attainment in Iranian mothers with preterm neonates. Journal of Biosocial Science. 2021. [online]. doi: 10.1017/S0021932021000535 | ||
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