Effect of Nursing Counseling Guided by BETTER Model on Sexuality, Marital Satisfaction and Psychological Status among Breast Cancer Women

Abstract

Background: Breast cancer is one of the main problems related to women's health, and the various forms of treatment can lead to bodily changes and significantly alter women's sexuality and psychological status. Aim: The aim of this study was to evaluate the effect of nursing counseling guided by BETTER model on sexuality, marital Satisfaction and psychological status among breast cancer women. Design: A quasi-experimental research design. Setting: The study was conducted at an Outpatient clinic, Oncology Institute, Menoufia University-Egypt. Sampling: A purposive sample, composed of 87 women was recruited in the study. Tools: Six tools were used for data collection a) A Structured interviewing questionnaire b) Female sexual function index (FSFI) c) Body image scale d) ENRICH marital satisfaction scale E) Tylor anxiety scale (Arabic version) f) Perceived stress scale (PSS). The results: This study showed that there was a highly significant difference at study participants sexuality, marital satisfaction and psychological status pre and post application of nursing counseling guided by BETTER model. Conclusion: Application of nursing counseling guided by BETTER model had high significant impact on improving sexuality, marital satisfaction and psychological status of breast cancer women undergoing treatment. Recommendation: Adopt a BETTER sexual model of counseling for management of sexual dysfunction and psychological problems in breast cancer institutions. Ongoing education for maternity nurses on the impact of breast cancer treatment on women's sexuality and psychological status, as well as strategies to address women's sexual and psychological problems.

Effect of Psychological Counseling on Depressive Symptoms and Marital Satisfaction among Women with Hysterectomy

“…This may be due to the economic and living conditions experienced in recent years that require working longer hours to provide the needs of the family. This was consistent with Shahin, et al, (2021), who reflected that nursing counseling had substantial influence on enhancing breast cancer women's sexuality, marital satisfaction and psychological condition. Also, this finding was supported by study done by EidFarrag, et al, (2018), they reflected that martial relations (marital intimacy and adjustment), sexuality and spousal support were improved at three and six months following intervention with statistically significant differences.…”

Comparing the effect of sexual counseling based on BETTER and PLISSIT models on sexual assertiveness in women with breast cancer after mastectomy

“…In this regard, Shahin et al . [ 32 ] found that nursing counseling with the BETTER model had a considerable effect on improving the sexual desire, sexual satisfaction, and psychological status of women with breast cancer. They indicated that although the BETTER model was designed for a specific group of patients and specialists, it had also been considered in other chronic diseases owing to its simplicity and focus on sexual discourse.…”

Comparison of the Effect of Sexual Counseling Based on BETTER and PLISSIT Models on Sexual Assertiveness of Women with Breast Cancer after Mastectomy

“…In this regard, Shahin et al found that nursing counseling with the BETTER model had a considerable effect on improving sexual desire, sexual satisfaction, and psychological status of women with breast cancer. They indicated that although the BETTER model was designed for a speci c group of patients and specialists, it had also been considered in other chronic diseases owing to its simplicity and focus on sexual discourse (23). Zamani et al (2020) found that the BETTER model-based couple training and counseling were effective in improving sexual satisfaction of women with type 1 diabetes, and the effect remained until 3 months after the intervention (24).…”