The Journal of Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회지)

The Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Related to Sexual Function in Men with Rectal Cancer

직장암 남성의 성기능 관련 요인

  • 우상준 (동신대학교 간호학과) ;
  • 이은숙 (전남대학교 간호대학) ;
  • 김형록 (전남대학교 의과대학) ;
  • 김창현 (화순전남대학교병원 대장항문외과)
  • Received : 2019.08.20
  • Accepted : 2019.08.28
  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the sexual function of male patients receiving rectal cancer and to analyze the factors related to sexual function. Methods: This study included 71 male patients undergoing outpatient treatment after surgery at C University Hospital, Chonnam, Korea from April 1 to September 1, 2014. The sexual function of males with colorectal cancer was calculated using the Korean Translation of International Index of Erectile Function(IIEF). Data analysis was performed using t-test, ANOVA, and regression analysis. The study was IRB approved. Results: The sexual function index scores of the subjects were 33.28±19.47 points. Regression analysis showed that sexual function increased as the duration after operation increased(p=.001), higher location of cancer(p=.007), age decreased(p=.013). The explanatory power (adj. R2) of the analysis model was 0.186. Conclusion: Sexual function of males with rectal cancer differed according to duration after operation, and location of cancer, age. Therefore, medical staff think that it can be used as basic data for appropriate education and counseling by age, time, and type of treatment to improve sexual function of men with rectal cancer.

Keywords

References

  1. 국가암정보센터. 통계로 보는 암. (2019). Retrieved from https://www.cancer.go.kr/lay1/S1T639C641/contents.do.
  2. 국가건강정보포털. 발기부전. (2019). Retrieved from http://health.cdc.go.kr/health/HealthInfoArea/HealthInfo/View.do?idx=3210.
  3. 김수연. (2011). 암환자 성에 대한 간호사의 인식, 태도와 성 상담 장애[석사학위논문]. 서울: 한양대학교 대학원.
  4. 김소희. (2008). 남성 직장암 환자 부부의 수술후 성생활 경험[석사학위논문]. 서울: 연세대학교대학원.
  5. 김현경. (2003). 직장암 환자의 건강관련 삶의 질과 관련요인[석사학위논문]. 서울: 연세대학교 대학원.
  6. 권성원. 노년의 성기능장애(남성갱년기증후군). (2017). 한국회의법학회지, 11, 106-108.
  7. 민효숙, 김지연. 직장암 환자의 건강관련 삶의 질. (2009). 대한항문외과학회지, 25(2), 100-106.
  8. 박재갑. (2012). 대장항문학(제4판). 서울: 일조각.
  9. 박현준. (2019). 노인 남성의 성기능장애 진단과치료. 대한의사협회지, 62(6), 308-314.
  10. 보건복지부. OECD 통계로 보는 한국의 보건의료. (2019). Retrieved from http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=350243.
  11. 신재원, 김선한. (2012). 대장직장암절제술에서 로봇수술과 복강경수술의 비교. 대한의사협회지, 55(7), 620-628. https://doi.org/10.5124/jkma.2012.55.7.620
  12. 손환철 외 7명. (2003). 서울지역 중장년층 부부의 성생활에 대한 역학조사. 대한남성과학회지, 21(2), 68-75.
  13. 우상준, 이은숙, 김형록. (2009). 과체중 직장암 환자의 복강경 수술 회복성과. 임상간호연구 15(3), 17-26.
  14. 우상준, 이은숙. (2017). 직장암 남성의 성생활경험에 관한 융합적 연구. 한국융합학회논문지, 8(5), 233-241. https://doi.org/10.15207/JKCS.2017.8.5.233
  15. 안태완. (2000). 남성 직장암 환자에서 전 직장간막절제술 및 골반 자율신경 보존술 후 배뇨 및 성건강에 대한 평가[석사학위논문]. 서울: 연세대학교 대학원.
  16. 정태규 외 5명. (1999). 한국어 발기능 측정 설문지의 신뢰도와 타당도에 대한 연구. 대한비뇨기과학회지, 40, 1334-1343.
  17. 허혁. (2010). Comparative study of voiding and sexual function between open and laparoscopic total mesorectal excision in patients with rectal cancer[석사학위논문]. 서울: 연세대학교 대학원.
  18. 한덕현, 이형석, 김지혜, 이성원. (2005). 한국남성들의 건강 및 성기능에 대한 인식 및 행동양식의 조사: 정성적인 분석. 대한남성과학회지, 23(2), 61-70.
  19. Ball M., Nelson C. J., Shuk E., Starr T. D. et al. (2013). Men's Experience with Sexual Dysfunction Post-rectal Cancer Treatment: A Qualitative Study. Journal of Cancer Education, 28(3), 494-502. https://doi.org/10.1007/s13187-013-0492-y
  20. Bruheim, K., Guren, M. G., Dahl, A. A. et al. (2010). Sexual function in males after radiotherapy for rectal cancer. International Journal of Radiation Oncology, Biology, Physics, 76(4), 1012-1017. https://doi.org/10.1016/j.ijrobp.2009.03.075
  21. Canada, A. L., Neese, L. E., Sui, D. et al. (2005). Pilot intervention to enhance sexual rehabilitation for couples after treatment for localized prostate carcinoma. American cancer society, 104(12), 2689-2700.
  22. National health service(NHS). Common health questions (pelvic floor exercises). (2019). Retrieved from https://www.nhs.uk/common-health-questions/womens-health/whatare-pelvic-floor-exercises/#close.
  23. Nishizawa, Y., Ito, M., Saito, N. et al. (2011). Male sexual dysfunction after rectal cancer surgery. International Journal of Colorectal Disease, 26(12), 1541-1548. https://doi.org/10.1007/s00384-011-1247-z
  24. Rosen, R. C., Riley A., Wagner G. et al. (1997). The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 49, 822-30. https://doi.org/10.1016/S0090-4295(97)00238-0
  25. Sartori, C. A., Sartori, A., Vigna, S. et al. (2011). Urinary and sexual disorders after laparoscopic TME for rectal cancer in males. Journal of Gastrointestinal Surgery, 15(4), 637-643. https://doi.org/10.1007/s11605-011-1459-0