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.

这项系统回顾和荟萃分析研究旨在探讨基于 PLISSIT（许可、有限信息、具体建议和强化治疗）和 EX-PLISSIT 模型的性咨询对性功能、满意度和性生活质量的影响。我们检索了七个电子数据库（MEDLINE、CINAHL、Web of Science、Cochrane Library、ProQuest、Scopus 和 PubMed）。 2010 年 1 月 1 日至 2022 年 8 月 16 日期间发表的研究均包含在搜索中。十八篇文章有资格纳入分析。 PLISSIT和EX-PLISSIT组与对照组的性功能评分（标准化均数差（SMD）：1.677；95% CI 0.668，2.686；p < 0.05）和“性和沟通满意度”有显着差异性生活质量的子维度（SMD：0.748；95% CI 0.022，1.475；p < 0.05）。 PLISSIT 和 EX-PLISSIT 组与对照组的性满意度（SMD：0.425；95% CI − 0.335，1.184；p > 0.05）和性生活质量评分没有差异（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的时间、对照组类型、研究人群以及干预对象等调节变量的影响。基于PLISSIT和EX-PLISSIT模型的性咨询提高了性功能评分和性生活质量的“性和沟通满意度”子维度。