Discussion
breast cancer
DISORDER, BREAST CANCER
The main goal of this study was to investigate the effectiveness of online counseling with a solution-focused approach in the sexual quality of life of women with a history of breast cancer whose treatment period had ended. The results showed that the mean score of the sexual quality of life of the intervention group was statistically significantly different before the intervention, immediately after, and 1 month after intervention, and the use of online counseling with a solution-focused approach led to improvement of sexual quality of life score. So that in the period immediately after the intervention and 1 month after that, the sexual quality of life score of none of the participants of this group was in the poor range and most of them were in the range of the favorable score.The results of the active control group revealed that the mean score of the sexual quality of life in this group was not statistically different compared to before the intervention. Moreover, 1 month after the intervention, the number of participants who were in the range of the appropriate score and the mean score of the sexual quality of life was greater than before the intervention and immediately after the intervention. Although the difference in the mean score of the sexual quality of life immediately and 1 month after the study was relative and lacked statisitcal significance, it seems that providing solution-focused content in a longer period of time may improve the sexual quality of life in women with breast cancer. According to the results of the study, the mean score of the sexual quality of life before the intervention in both groups was in the average range and there was no statistically significant difference between them. After the intervention, the mean score of the sexual quality of life increased in both groups; nonetheless, the increase in the mean score was higher in the intervention group than in the active control group, and this difference was statistically significant. Furthermore, the mean score of the sexual quality of life increased 1 month after the intervention compared to before in both groups; the increase in the intervention group was more than the active control group and the difference was significant. To confirm the sexual health disorder of women with breast cancer, Brajkovic et al. [