Back ground: Psychological results of infertility may precipitate negative impact on marital
and sexual fulfillment. Various therapeutic affiliations have emphatically prescribed mental
intervention involving counseling to assist infertile couples. Aim: To evaluate the effect of nursing
counseling based on BETTER model on sexuality and marital satisfaction among infertile women.
Design: A quasi-experimental study design. Setting: The study was carried out at outpatient clinic of
Obstetrics and Gynecology department in Benha University Hospital, Egypt. Sampling: A purposive
sample included 88 infertile women divided equally into two groups; each group included 44 infertile
women. Tools: Three tools were utilized, A structured interviewing sheet, Female Sexual Function
Index and ENRICH Marital Satisfaction Scale. Results: There was a high statistical significant
difference in mean scores of total Female sexual functions among study and control groups at follow up
phase of BETTER model application (P < 0.001), there was a statistical significant difference between
both groups in total mean score of marital satisfaction after application of BETTER model and at
follow up phase (P ≤ 0.05) and (P < 0.001)) in addition, there was a statistical significant positive
correlation between total female sexual function and total marital satisfaction score among study group
after application of BETTER model and at follow up phase (P ≤ 0.05) and (P < 0.001). Conclusion:
The application of nursing counseling utilizing BETTER model was efficient in improving infertile
women's sexual function and marital satisfaction after intervention and at follow up phases compared
with pre intervention. Recommendations: Counseling of infertile couples should be established at
every stages of diagnosis and treatment of infertility to enhance marital and sexual functions.
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