{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T22:54:30Z","timestamp":1789512870076,"version":"build-2803163510"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T00:00:00Z","timestamp":1685318400000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sexual counseling can improve or may have benefit to patients\u2019 sexual function after open heart surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The study aims to determine the effect of sexual counseling on sexual function and quality of sexual life with the PLISSIT model (ie, permission, limited information, specific suggestions, intensive therapy) for women undergoing open heart surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was a pilot randomized controlled trial. Seventy women who planned open heart surgery were randomly divided into the control group or the sexual counseling group between November 2020 and November 2021. In addition to routine care, sexual counseling with the PLISSIT model was given to women in the sexual counseling group for 12\u00a0weeks after the operation. During the research, 6 PLISSIT sessions were conducted. Women in the control group received routine postoperative care, which included hospital-provided postoperative home care practices (medication, nutrition, physical activity).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Data were obtained with an information form, the Beck Depression Inventory, the Female Sexual Function Index, and the Sexual Quality of Life Questionnaire\u2013Female.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The women in the sexual counseling and control groups were similar in terms of sociodemographic, obstetric, gynecologic, general health, current heart disease, and sexual function data (P\u2009&amp;gt;\u2009.05). After sexual counseling with the PLISSIT model, scores on the Female Sexual Function Index and Sexual Quality of Life Questionnaire\u2013Female significantly increased in the sexual counseling group while Beck Depression Inventory scores decreased (P\u2009&amp;lt;\u2009.05). Comparisons were made within and between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Implications<\/jats:title>\n                    <jats:p>Sexual counseling with the PLISSIT model is a useful and effective model for health professionals to improve the sexual function and sexual quality of life of women\u2019s who will undergo open heart surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Strengths and Limitations<\/jats:title>\n                    <jats:p>The limitations of the study were as follows: only 1 assessment after the intervention ended, no short- or long-term follow-up, and a small sample size. Other limitations include the absence of controls for therapeutic context or positive expectations in the experimental group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sexual counseling with the PLISSIT model after open heart surgery increased the sexual function and sexual quality of life of women while reducing the symptoms of depression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdad065","type":"journal-article","created":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T00:03:04Z","timestamp":1685318584000},"page":"1010-1017","source":"Crossref","is-referenced-by-count":12,"title":["Effect of sexual counseling on sexual function and sexual quality of life for women undergoing open heart surgery: a pilot randomized controlled trial"],"prefix":"10.1093","volume":"20","author":[{"given":"Merve","family":"Tuncer","sequence":"first","affiliation":[{"name":"Department of Women\u2019s Health and Diseases Nursing, Istanbul University, School of Nursing , Istanbul , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00dcmran","family":"Ye\u015filtepe Oskay","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s Health and Diseases Nursing, Florence Nightingale Faculty of Nursing , Istanbul , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,5,27]]},"reference":[{"issue":"3","key":"2023063007133821100_ref1","first-page":"155","article-title":"Investigation of quality of life in patients with coronary by-pass surgery","volume":"1","author":"Do\u011fu","year":"2015","journal-title":"J Hum Rhythm"},{"key":"2023063007133821100_ref2","first-page":"165","article-title":"Must patients with cardiac disease avoid from sexual activity?","volume":"7","author":"\u00d6zdelikara","year":"2017","journal-title":"J Duzce Uni Health Sci Ins"},{"issue":"10","key":"2023063007133821100_ref3","doi-asserted-by":"crossref","first-page":"e56","DOI":"10.1161\/CIR.0000000000000659","article-title":"Heart disease and stroke statistics\u20142019 update: a report from the American Heart Association","volume":"139","author":"Benjamin","year":"2019","journal-title":"Circulation"},{"key":"2023063007133821100_ref4","first-page":"219","article-title":"Pender\u2019s health promotion model based nursing care in young adult individual with acute myocardial infarction","volume":"11","author":"K\u0131l\u0131n\u00e7","year":"2019","journal-title":"J Nurs Sci"},{"key":"2023063007133821100_ref5","first-page":"148","article-title":"Coronary artery bypass surgery","volume":"1","author":"K\u0131rali","year":"2015","journal-title":"Intech Open"},{"issue":"4","key":"2023063007133821100_ref6","doi-asserted-by":"crossref","first-page":"201","DOI":"10.14797\/mdcj-13-4-201","article-title":"Treatment of coronary artery disease in women","volume":"13","author":"Perdoncin","year":"2017","journal-title":"Methodist Debakey Cardiovasc J"},{"issue":"3","key":"2023063007133821100_ref7","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.apnr.2015.04.011","article-title":"Change in sexual activity after a cardiac event: the role of medications, comorbidity, and psychosocial factors","volume":"28","author":"Steinke","year":"2015","journal-title":"Appl Nurs Res"},{"issue":"3","key":"2023063007133821100_ref8","doi-asserted-by":"crossref","first-page":"1960","DOI":"10.21037\/jtd.2018.02.43","article-title":"Fifty years of coronary artery bypass grafting","volume":"10","author":"Melly","year":"2018","journal-title":"J Thorac Dis"},{"issue":"5","key":"2023063007133821100_ref9","first-page":"425","article-title":"Sex hormone levels and sexual dysfunction in men after coronary artery bypass graft","volume":"10","author":"Forouzannia","year":"2012","journal-title":"Iran J Reprod Med"},{"issue":"7","key":"2023063007133821100_ref10","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1111\/jsm.12459","article-title":"Intercourse avoidance among women with coronary artery disease","volume":"11","author":"Assari","year":"2014","journal-title":"J Sex Med"},{"issue":"8","key":"2023063007133821100_ref11","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1161\/CIR.0b013e3182447787","article-title":"Sexual activity and cardiovascular disease: a scientific statement from the American Heart Association","volume":"125","author":"Levine","year":"2012","journal-title":"Circulation"},{"issue":"5","key":"2023063007133821100_ref12","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1097\/JCN.0000000000000472","article-title":"A survey on sexual counseling for patients with cardiac disease among nurses in Jordan","volume":"33","author":"Abu Ali","year":"2018","journal-title":"J Cardiovasc Nurs"},{"issue":"6","key":"2023063007133821100_ref13","doi-asserted-by":"crossref","first-page":"995","DOI":"10.3346\/jkms.2006.21.6.995","article-title":"Causes of sudden death related to sexual activity: results of a medicolegal postmortem study from 2001 to 2005","volume":"21","author":"Lee","year":"2006","journal-title":"J Korean Med Sci"},{"issue":"11","key":"2023063007133821100_ref14","first-page":"4845","article-title":"Effects of sexual rehabilitation using the PLISSIT model on quality of sexual life and sexual functioning in post-mastectomy breast cancer survivors","volume":"17","author":"Faghani","year":"2016","journal-title":"Asian Pac J Cancer Prev"},{"issue":"4","key":"2023063007133821100_ref15","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1093\/ejcts\/ezs043","article-title":"EuroSCORE II","volume":"41","author":"Nashef","year":"2012","journal-title":"Eur J Cardiothorac Surg"},{"issue":"6","key":"2023063007133821100_ref16","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1001\/archpsyc.1961.01710120031004","article-title":"An inventory for measuring depression","volume":"4","author":"Beck","year":"1961","journal-title":"Arch Gen Psychiatry"},{"key":"2023063007133821100_ref17","first-page":"3","article-title":"The validity and reliability of Beck Depression Inventory for university students","volume":"7","author":"Hisli","year":"1989","journal-title":"J Psychol"},{"issue":"2","key":"2023063007133821100_ref18","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/009262300278597","article-title":"The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function","volume":"26","author":"Rosen","year":"2000","journal-title":"J Sex Marital Ther"},{"key":"2023063007133821100_ref19","first-page":"393","article-title":"Adaptation of Female Sexual Function Scale to Turkish","volume":"25","author":"Aygin","year":"2005","journal-title":"Turk Kli J Med Sci"},{"issue":"5","key":"2023063007133821100_ref20","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1080\/00926230591006502","article-title":"Development of a questionnaire on sexual quality of life in women","volume":"31","author":"Symonds","year":"2005","journal-title":"J Sex Marital Ther"},{"key":"2023063007133821100_ref21","first-page":"172","article-title":"A validity and reliability study of Turkish version of the Sexual Quality of Life Questionnaire\u2013Female","volume":"32","author":"Tu\u011fut","year":"2010","journal-title":"Cumhuriyet Med J"},{"key":"2023063007133821100_ref22","volume-title":"WMA Declaration of Helsinki\u2014ethical principles for medical research involving human subjects","author":"World Medical Association"},{"issue":"14","key":"2023063007133821100_ref23","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1136\/heartjnl-2015-308993","article-title":"Sexual activity and concerns in people with coronary heart disease from a population-based study","volume":"102","author":"Steptoe","year":"2016","journal-title":"Heart"},{"key":"2023063007133821100_ref24","first-page":"134","article-title":"Sexual life in elderly patients with cardiovascular disease","volume":"45","author":"Karpuz","year":"2017","journal-title":"Turk Kardiyol Dern Ars"},{"issue":"4","key":"2023063007133821100_ref25","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1097\/JU.0000000000000093","article-title":"Re: association between comorbidities and female sexual dysfunction: findings from the Third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)","volume":"201","author":"Polland","year":"2019","journal-title":"J Urol"},{"issue":"4","key":"2023063007133821100_ref26","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1016\/j.sxmr.2018.02.009","article-title":"Cardiometabolic risk and female sexuality\u2014part I: risk factors and potential pathophysiological underpinnings for female vasculogenic sexual dysfunction syndromes","volume":"6","author":"Maseroli","year":"2018","journal-title":"Sex Med Rev"},{"key":"2023063007133821100_ref27","first-page":"159","article-title":"Assessment of sexual functions of Turkish women with different heart diseases before and after disease with their spouses: a study with a control group","volume":"22","author":"\u015ealvarc\u0131","year":"2020","journal-title":"Andr Bull"},{"issue":"10","key":"2023063007133821100_ref28","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/s11886-018-1029-0","article-title":"It is not taboo: addressing sexual function in adults with congenital heart disease","volume":"20","author":"Huang","year":"2018","journal-title":"Curr Cardiol Rep"},{"key":"2023063007133821100_ref29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fpsyg.2020.02139","article-title":"The role of oxytocin in cardiovascular protection","volume":"11","author":"Jankowski","year":"2020","journal-title":"Front Psychol"},{"issue":"4","key":"2023063007133821100_ref30","doi-asserted-by":"crossref","first-page":"e000199","DOI":"10.1161\/JAHA.113.000199","article-title":"\u201cI\u2019m not just a heart, I\u2019m a whole person here\u201d: a qualitative study to improve sexual outcomes in women with myocardial infarction","volume":"2","author":"Abramsohn","year":"2013","journal-title":"J Am Heart Assoc"},{"issue":"12","key":"2023063007133821100_ref31","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.1016\/j.cjca.2018.08.020","article-title":"The effect of cardiac rehabilitation attendance on sexual activity outcomes in cardiovascular disease patients: a systematic review","volume":"34","author":"Boothby","year":"2018","journal-title":"Can J Cardiol"},{"issue":"6","key":"2023063007133821100_ref32","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1016\/j.jsxm.2017.04.673","article-title":"Perceived sexual difficulties and sexual counseling in men and women across heart diagnoses: a nationwide cross-sectional study","volume":"14","author":"Rundblad","year":"2017","journal-title":"J Sex Med"},{"issue":"3","key":"2023063007133821100_ref33","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1080\/0092623X.2021.1998270","article-title":"Sexual counseling with the PLISSIT model: a systematic review","volume":"48","author":"Tuncer","year":"2022","journal-title":"J Sex Marital Ther"},{"key":"2023063007133821100_ref34","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.pnpbp.2018.09.004","article-title":"Link between depression and cardiovascular diseases due to epigenomics and proteomics: focus on energy metabolism","volume":"89","author":"Kahl","year":"2019","journal-title":"Prog Neuropsychopharmacol Biol Psychiatry"},{"issue":"2","key":"2023063007133821100_ref35","doi-asserted-by":"crossref","first-page":"136","DOI":"10.5455\/msm.2018.30.136-140","article-title":"Addressing the sexual function of women during first six month after delivery: a quasi-experimental study","volume":"30","author":"Banaei","year":"2018","journal-title":"Mater Sociomed"},{"issue":"4","key":"2023063007133821100_ref36","first-page":"1912","article-title":"The effectiveness of counseling using PLISSIT model on depression, anxiety and stress, among postpartum women with sexual dysfunction: a randomized trial","volume":"7","author":"Karimi","year":"2019","journal-title":"J Mid Repro Health"},{"issue":"6","key":"2023063007133821100_ref37","doi-asserted-by":"crossref","first-page":"E26","DOI":"10.1097\/HCR.0000000000000434","article-title":"Effect of cardiac rehabilitation on sexual satisfaction among patients after coronary artery bypass graft surgery","volume":"39","author":"Rakhshan","year":"2019","journal-title":"J Cardiopulm Rehabil Prev"},{"issue":"3","key":"2023063007133821100_ref38","doi-asserted-by":"crossref","first-page":"169","DOI":"10.5114\/hivar.2018.78487","article-title":"Effect of counseling based on PLISSIT model on sexual function of HIV-positive married women","volume":"17","author":"Asadi","year":"2018","journal-title":"HIV AIDS Rev"},{"key":"2023063007133821100_ref39","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.msard.2016.05.007","article-title":"The effectiveness of the permission, limited information, specific suggestions, intensive therapy (PLISSIT) model based sexual counseling on the sexual function of women with multiple sclerosis who are sexually active","volume":"8","author":"Khakbazan","year":"2016","journal-title":"Mult Scler Relat Disord"},{"issue":"1","key":"2023063007133821100_ref40","doi-asserted-by":"crossref","first-page":"141","DOI":"10.20471\/acc.2018.57.01.18","article-title":"Sexual activity in patients with cardiac diseases","volume":"57","author":"Jelavic","year":"2018","journal-title":"Acta Clin Croat"},{"issue":"3","key":"2023063007133821100_ref41","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1007\/s00737-020-01080-6","article-title":"The effect of counseling based on the PLISSIT model on sexual quality of life of married women with multiple sclerosis referring to MS center in 2019: a randomized, controlled trial","volume":"24","author":"Kazemi","year":"2021","journal-title":"Arch Womens Ment Health"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/20\/7\/1010\/50731595\/qdad065.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/20\/7\/1010\/50731595\/qdad065.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T03:14:19Z","timestamp":1688094859000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/20\/7\/1010\/7181238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,27]]},"references-count":41,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,5,27]]},"published-print":{"date-parts":[[2023,6,28]]}},"URL":"https:\/\/doi.org\/10.1093\/jsxmed\/qdad065","relation":{},"ISSN":["1743-6095","1743-6109"],"issn-type":[{"value":"1743-6095","type":"print"},{"value":"1743-6109","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7]]},"published":{"date-parts":[[2023,5,27]]}}}