the effect of sexual counseling based on better and plissit model on quality of sexual life in women with breast cancer after mastectomy

Background & aim: mastectomy as the most common treatment of breast cancerhas many effects on the quality of sexual life. since there are limited studies onquality of sexual life in breast cancer, this study was conducted to compare theeffect of counseling based on two models of plissit and better on quality ofsexual life in women with breast cancer after mastectomy.methods: this quasi-experimental study was conducted at mashhad, iran in 2021.a total of 78 women who underwent mastectomy were randomly allocated intotwo equal groups and received 4 weekly sessions of individual counseling of 60-90minutes based on two models of better and plissit. the research tools includeddemographic and sexual quality of life questionnaire (sqol-f). the changes in themean scores of quality of sexual life between the two groups before and 4 weeksafter the intervention were measured. data were analyzed using spss software(version 25) with kolmogorov-smirnov, independent t-test, paired t-test, mann-whitney and chi-square test.results: the mean change score of quality of sexual life before and after theintervention in the group who received counselling based on better model(8.6±5.1) was significantly higher than the group were counselled by plissitmodel (6.2±5.05) (p<0.001).conclusion: in cultures such as iran, where the sexual problems of women withcancer are neglected and patients have a conservative approach to sexual issues,sexual counseling based on the better model is more effective than the plissitmodel in order to increase the quality of sexual life.