Nicholas M Hales, Caleb C Barton, Michael R Ransom, Ryan T Allen, C Arden Pope
A Quasi-Experimental Analysis of Elementary School Absences and Fine Particulate Air Pollution
Medicine
sexual changes breast cancer occur diagnosis treatment including mastectomy sexual assertiveness effective factor sexual satisfaction means ability convey sexual feelings beliefs thoughts given limited studies sexual assertiveness breast cancer different client participation study conducted compare effect sexual counseling based two models plissit permission limited information specific suggestion intensive therapy better bring explain tell time education record sexual assertiveness women mastectomy quasiexperimental intervention conducted 2021 mashhad iran seventyeight mastectomized women breast cancer assigned better n 39 plissit n 39 groups using permuted block randomization block size 4 allocation ratio 11 groups received four individual counseling sessions one week apart research tools included demographic information form hulbert index sexual assertiveness changes mean scores sexual assertiveness two groups evaluated four weeks intervention mean changes compared groups data analysis conducted using kolmogorovsmirnov test independent ttest paired ttest chisquare tests using statistical package social sciences spss version 25 p 005 results study showed intervention significant difference score sexual assertiveness groups p 0253 mean score sexual assertiveness changes intervention better group 807 49 significantly higher plissit group 558 47 p 0001 results indicated better sexual counseling effective increasing sexual assertiveness mastectomized women plissit counseling due simplicity clientcenteredness model used breast cancer care programs