Abstract：
This systematic review and meta-analysis study aimed to investigate the effect of sexual counseling based on PLISSIT (Permission, Limited Information, Specific Suggestions, and Intensive Therapy) and EX-PLISSIT models on sexual function, satisfaction, and quality of sexual life. We searched seven electronic databases (MEDLINE, CINAHL, Web of Science, Cochrane Library, ProQuest, Scopus, and PubMed). Studies published between January 1, 2010, and August 16, 2022, were included in the search. Eighteen articles were eligible for inclusion in the analysis. There was a significant difference in the sexual function scores of the PLISSIT and EX-PLISSIT groups and the comparison groups (standardized mean difference (SMD): 1.677; 95% CI 0.668, 2.686; p < 0.05) and \"sexual and communication satisfaction\" sub-dimension of sexual life quality (SMD: 0.748; 95% CI 0.022, 1.475; p < 0.05). There was no difference in the sexual satisfaction (SMD: 0.425; 95% CI - 0.335, 1.184; p > 0.05) and quality of sexual life scores of the PLISSIT and EX-PLISSIT groups and the comparison groups (SMD: - 0.09; 95% CI - 0.211, 0.032; p > 0.05). PLISSIT and EX-PLISSIT models-based sexual counseling on sexual function was affected by the moderator variables of the time of evaluation of the results after the intervention, type of comparison group, the study population, and by whom the intervention was applied. Sexual counseling based on the PLISSIT and EX-PLISSIT models improved sexual function scores and \"sexual and communication satisfaction\" sub-dimension of sexual life quality.
摘要：
这项系统评价和荟萃分析研究旨在调查基于PLISSIT的性咨询的效果(许可，有限的信息，具体建议,和强化治疗）和EX-PLISSIT性功能模型，满意,和性生活质量。我们搜索了七个电子数据库(MEDLINE，CINAHL,WebofScience,科克伦图书馆,ProQuest,Scopus,和PubMed）。2010年1月1日至2022年8月16日之间发表的研究包括在搜索中。18篇文章有资格纳入分析。PLISSIT组和EX-PLISSIT组和对照组的性功能评分存在显着差异（标准化平均差异（SMD）：1.677；95％CI0.668，2.686；p<0.05）和性生活质量的“性和沟通满意度”子维度（SMD：0.748；95％CI0.022，1.475；p<0.05）。PLISSIT组和EX-PLISSIT组和对照组的性满意度（SMD：0.425；95％CI-0.335，1.184；p>0.05）和性生活质量评分无差异（SMD：-0.09；95％CI-0.211，0.032；p>0.05）。基于PLISSIT和EX-PLISSIT模型的性功能性咨询受到干预后评估结果时间的调节变量的影响，比较组的类型，研究人群,以及干预是由谁实施的。基于PLISSIT和EX-PLISSIT模型的性咨询改善了性功能评分和性生活质量的“性和沟通满意度”子维度。
