The Effects of Sexual Education on Function and Quality of Life of Women Who Underwent Total Hip Arthroplasty: A Randomized Controlled Trial

This study aimed to determine the effect of sexual education on sexual function and quality of activity after total hip arthroplasty (THA). There were 31 patients who underwent THA who were randomly assigned to the education (n = 15) and the control (n = 16) groups in this randomized controlled tria...

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Veröffentlicht in:	The Journal of arthroplasty 2025-01, Vol.40 (1), p.184-190
Hauptverfasser:	Oner Cengiz, Hatice, Aker, Menekse Nazli, Yilmaz Sezer, Neslihan, Cengiz, Halit, Altay, Murat
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Schlagworte:	Adult Aged Arthroplasty, Replacement, Hip - psychology Female Humans Middle Aged patient education Patient Education as Topic Patient Satisfaction Quality of Life sexual activity Sexual Behavior - psychology sexual health sexuality Surveys and Questionnaires total hip arthroplasty
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description	This study aimed to determine the effect of sexual education on sexual function and quality of activity after total hip arthroplasty (THA). There were 31 patients who underwent THA who were randomly assigned to the education (n = 15) and the control (n = 16) groups in this randomized controlled trial. A sexual education session and an educational handout were provided to the study group after THA prior to discharge. Patients were evaluated 4 times throughout the study: preoperatively, at 1, 3, and 6 months after surgery. The data were collected by using the sociodemographic and medical data form, the Index of Female Sexual Function, the Sexual Quality of Life-Female (SQoL-F) Questionnaire, the visual analog scale (VAS) of the Fear of Sexual Activity, and the VAS of Satisfaction with Sexual Activity scales. The mean sexual activity satisfaction score of the education group was higher in the second (95% confidence interval [Cl] [0.67 to 3.08]) and third follow-up (95% Cl [0.19 to 3.03]) (P < 0.05). Over time, the mean satisfaction scores of both groups increased (P < 0.05). The mean VAS fear of sexual activity scores at the first (95% CI [−2.81 to −0.48]), second (95% CI [−4.71 to −2.80]), and third (95% CI [−3.80 to −1.55]) follow-ups of the education group were significantly lower. Over time, the mean fear scores of both groups decreased (P < 0.05). The education group had higher mean SQoL-F scores at the first (95% CI [4.90 to 33.11], second (95% CI [7.62 to 34.31]), and third (95% CI [5.23 to 35.79]) follow-ups (P < 0.05). For the mean SQoL-F score, the difference between groups (F = 6.64), the change over time in both groups (F = 29.16), and the change over time between groups (F = 13.74) were statistically significant (P < 0.05). For the mean Index of Female Sexual Function score, it was found that the change over time was significantly different for both groups (F = 69.64, P < 0.05). Sexual education after THA may improve satisfaction with sexual activity and quality of life.
doi_str_mv	10.1016/j.arth.2024.09.037
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There were 31 patients who underwent THA who were randomly assigned to the education (n = 15) and the control (n = 16) groups in this randomized controlled trial. A sexual education session and an educational handout were provided to the study group after THA prior to discharge. Patients were evaluated 4 times throughout the study: preoperatively, at 1, 3, and 6 months after surgery. The data were collected by using the sociodemographic and medical data form, the Index of Female Sexual Function, the Sexual Quality of Life-Female (SQoL-F) Questionnaire, the visual analog scale (VAS) of the Fear of Sexual Activity, and the VAS of Satisfaction with Sexual Activity scales. The mean sexual activity satisfaction score of the education group was higher in the second (95% confidence interval [Cl] [0.67 to 3.08]) and third follow-up (95% Cl [0.19 to 3.03]) (P < 0.05). Over time, the mean satisfaction scores of both groups increased (P < 0.05). The mean VAS fear of sexual activity scores at the first (95% CI [−2.81 to −0.48]), second (95% CI [−4.71 to −2.80]), and third (95% CI [−3.80 to −1.55]) follow-ups of the education group were significantly lower. Over time, the mean fear scores of both groups decreased (P < 0.05). The education group had higher mean SQoL-F scores at the first (95% CI [4.90 to 33.11], second (95% CI [7.62 to 34.31]), and third (95% CI [5.23 to 35.79]) follow-ups (P < 0.05). For the mean SQoL-F score, the difference between groups (F = 6.64), the change over time in both groups (F = 29.16), and the change over time between groups (F = 13.74) were statistically significant (P < 0.05). For the mean Index of Female Sexual Function score, it was found that the change over time was significantly different for both groups (F = 69.64, P < 0.05). 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1523-36770fec520705ba4f27484fb9ad9077996fb6d086fd783e5fb397134de8988c3</cites><orcidid>0000-0002-1121-9599 ; 0000-0002-1898-3733 ; 0000-0002-7087-9220 ; 0000-0001-8667-2411 ; 0000-0003-4612-7034</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540324009975$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39362413$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oner Cengiz, Hatice</creatorcontrib><creatorcontrib>Aker, Menekse Nazli</creatorcontrib><creatorcontrib>Yilmaz Sezer, Neslihan</creatorcontrib><creatorcontrib>Cengiz, Halit</creatorcontrib><creatorcontrib>Altay, Murat</creatorcontrib><title>The Effects of Sexual Education on Function and Quality of Life of Women Who Underwent Total Hip Arthroplasty: A Randomized Controlled Trial</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description><![CDATA[This study aimed to determine the effect of sexual education on sexual function and quality of activity after total hip arthroplasty (THA). There were 31 patients who underwent THA who were randomly assigned to the education (n = 15) and the control (n = 16) groups in this randomized controlled trial. A sexual education session and an educational handout were provided to the study group after THA prior to discharge. Patients were evaluated 4 times throughout the study: preoperatively, at 1, 3, and 6 months after surgery. The data were collected by using the sociodemographic and medical data form, the Index of Female Sexual Function, the Sexual Quality of Life-Female (SQoL-F) Questionnaire, the visual analog scale (VAS) of the Fear of Sexual Activity, and the VAS of Satisfaction with Sexual Activity scales. The mean sexual activity satisfaction score of the education group was higher in the second (95% confidence interval [Cl] [0.67 to 3.08]) and third follow-up (95% Cl [0.19 to 3.03]) (P < 0.05). Over time, the mean satisfaction scores of both groups increased (P < 0.05). The mean VAS fear of sexual activity scores at the first (95% CI [−2.81 to −0.48]), second (95% CI [−4.71 to −2.80]), and third (95% CI [−3.80 to −1.55]) follow-ups of the education group were significantly lower. Over time, the mean fear scores of both groups decreased (P < 0.05). The education group had higher mean SQoL-F scores at the first (95% CI [4.90 to 33.11], second (95% CI [7.62 to 34.31]), and third (95% CI [5.23 to 35.79]) follow-ups (P < 0.05). For the mean SQoL-F score, the difference between groups (F = 6.64), the change over time in both groups (F = 29.16), and the change over time between groups (F = 13.74) were statistically significant (P < 0.05). For the mean Index of Female Sexual Function score, it was found that the change over time was significantly different for both groups (F = 69.64, P < 0.05). Sexual education after THA may improve satisfaction with sexual activity and quality of life.]]></description><subject>Adult</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>patient education</subject><subject>Patient Education as Topic</subject><subject>Patient Satisfaction</subject><subject>Quality of Life</subject><subject>sexual activity</subject><subject>Sexual Behavior - psychology</subject><subject>sexual health</subject><subject>sexuality</subject><subject>Surveys and Questionnaires</subject><subject>total hip arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdGK1DAUhoMo7rj6Al5ILr1pTZqmScSbYZh1hQFRZ9nLkDYnTIa2GZNWHZ_BhzZ1Vi-FwDmQ_3yc5EPoJSUlJbR5cyxNnA5lRaq6JKokTDxCK8pZVciaNI_RikjJCl4TdoWepXQkhFLO66foiinWVDVlK_RrfwC8dQ66KeHg8Bf4MZseb-3cmcmHEedzM4_dn96MFn_K1346L9mdd7DU-zDAiO8PAd-NFuJ3GCe8D1PG3PoTXucdYzj1Jk3nt3iNP2dKGPxPsHgTximGvs_tPnrTP0dPnOkTvHio1-juZrvf3Ba7j-8_bNa7oqO8YgVrhCB5Y14RQXhraleJWtauVcYqIoRSjWsbS2TjrJAMuGuZEpTVFqSSsmPX6PWFe4rh6wxp0oNPHfS9GSHMSTNKK8kFb1SOVpdoF0NKEZw-RT-YeNaU6MWCPurFgl4saKJ0tpCHXj3w53YA-2_k77fnwLtLAPIrv3mIOnUexg6sj9mEtsH_j_8boviY9g</recordid><startdate>202501</startdate><enddate>202501</enddate><creator>Oner Cengiz, Hatice</creator><creator>Aker, Menekse Nazli</creator><creator>Yilmaz Sezer, Neslihan</creator><creator>Cengiz, Halit</creator><creator>Altay, Murat</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1121-9599</orcidid><orcidid>https://orcid.org/0000-0002-1898-3733</orcidid><orcidid>https://orcid.org/0000-0002-7087-9220</orcidid><orcidid>https://orcid.org/0000-0001-8667-2411</orcidid><orcidid>https://orcid.org/0000-0003-4612-7034</orcidid></search><sort><creationdate>202501</creationdate><title>The Effects of Sexual Education on Function and Quality of Life of Women Who Underwent Total Hip Arthroplasty: A Randomized Controlled Trial</title><author>Oner Cengiz, Hatice ; Aker, Menekse Nazli ; Yilmaz Sezer, Neslihan ; Cengiz, Halit ; Altay, Murat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1523-36770fec520705ba4f27484fb9ad9077996fb6d086fd783e5fb397134de8988c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>patient education</topic><topic>Patient Education as Topic</topic><topic>Patient Satisfaction</topic><topic>Quality of Life</topic><topic>sexual activity</topic><topic>Sexual Behavior - psychology</topic><topic>sexual health</topic><topic>sexuality</topic><topic>Surveys and Questionnaires</topic><topic>total hip arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oner Cengiz, Hatice</creatorcontrib><creatorcontrib>Aker, Menekse Nazli</creatorcontrib><creatorcontrib>Yilmaz Sezer, Neslihan</creatorcontrib><creatorcontrib>Cengiz, Halit</creatorcontrib><creatorcontrib>Altay, Murat</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oner Cengiz, Hatice</au><au>Aker, Menekse Nazli</au><au>Yilmaz Sezer, Neslihan</au><au>Cengiz, Halit</au><au>Altay, Murat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effects of Sexual Education on Function and Quality of Life of Women Who Underwent Total Hip Arthroplasty: A Randomized Controlled Trial</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2025-01</date><risdate>2025</risdate><volume>40</volume><issue>1</issue><spage>184</spage><epage>190</epage><pages>184-190</pages><issn>0883-5403</issn><issn>1532-8406</issn><eissn>1532-8406</eissn><abstract><![CDATA[This study aimed to determine the effect of sexual education on sexual function and quality of activity after total hip arthroplasty (THA). There were 31 patients who underwent THA who were randomly assigned to the education (n = 15) and the control (n = 16) groups in this randomized controlled trial. A sexual education session and an educational handout were provided to the study group after THA prior to discharge. Patients were evaluated 4 times throughout the study: preoperatively, at 1, 3, and 6 months after surgery. The data were collected by using the sociodemographic and medical data form, the Index of Female Sexual Function, the Sexual Quality of Life-Female (SQoL-F) Questionnaire, the visual analog scale (VAS) of the Fear of Sexual Activity, and the VAS of Satisfaction with Sexual Activity scales. The mean sexual activity satisfaction score of the education group was higher in the second (95% confidence interval [Cl] [0.67 to 3.08]) and third follow-up (95% Cl [0.19 to 3.03]) (P < 0.05). Over time, the mean satisfaction scores of both groups increased (P < 0.05). The mean VAS fear of sexual activity scores at the first (95% CI [−2.81 to −0.48]), second (95% CI [−4.71 to −2.80]), and third (95% CI [−3.80 to −1.55]) follow-ups of the education group were significantly lower. Over time, the mean fear scores of both groups decreased (P < 0.05). The education group had higher mean SQoL-F scores at the first (95% CI [4.90 to 33.11], second (95% CI [7.62 to 34.31]), and third (95% CI [5.23 to 35.79]) follow-ups (P < 0.05). For the mean SQoL-F score, the difference between groups (F = 6.64), the change over time in both groups (F = 29.16), and the change over time between groups (F = 13.74) were statistically significant (P < 0.05). For the mean Index of Female Sexual Function score, it was found that the change over time was significantly different for both groups (F = 69.64, P < 0.05). Sexual education after THA may improve satisfaction with sexual activity and quality of life.]]></abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39362413</pmid><doi>10.1016/j.arth.2024.09.037</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1121-9599</orcidid><orcidid>https://orcid.org/0000-0002-1898-3733</orcidid><orcidid>https://orcid.org/0000-0002-7087-9220</orcidid><orcidid>https://orcid.org/0000-0001-8667-2411</orcidid><orcidid>https://orcid.org/0000-0003-4612-7034</orcidid></addata></record>
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subjects	Adult Aged Arthroplasty, Replacement, Hip - psychology Female Humans Middle Aged patient education Patient Education as Topic Patient Satisfaction Quality of Life sexual activity Sexual Behavior - psychology sexual health sexuality Surveys and Questionnaires total hip arthroplasty
title	The Effects of Sexual Education on Function and Quality of Life of Women Who Underwent Total Hip Arthroplasty: A Randomized Controlled Trial
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