• Women's Health Nursing
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• v.9 no.2
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• pp.189-200
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• 2003

The purpose of this comparative study is to find out women and their spouses' sexual life and the factors affecting on their sexual life after women's hysterectomy. The data were the 110 questionaires which were collected from the participants, the 55 women who had undergone a hysterectomy due to gynecologic disease or benign tumor of genital organs and their spouses from January 1, 1999 to January 30, 2002 in one general hospital located in Seoul, Korea. Questionnaires were mailed to couples, who agreed to participate on the study and self reported questionnaires returned in the pre-stamped envelopes. And personal visits were made for those couples who did not respond. Tools for Sexual life and characteristics of sexual activities were reconstituted by the author based on Kim(1996) and Chang(1988)'s tools and were reviewed by a nurse specialist. Data analysis was done by SPSS 10.0 program using frequency, percentage, mean, S.D. Pearson correlation coefficient, t-test, oneway ANOVA and multiple regression. The results of this study are as follows; 1. Of all female subjects, 80% had experienced hysterectomy below the age of 50. 2. 72.8% of female subjects and 67.3% of male subjects did not receive any sexual education & counseling before and after the surgery. More than 60% of both female and male subjects answered that it was necessary to have a sexual counseling. And 40% wanted to receive sexual counseling from a professional sexual counselor. 3. More than half of couples started their first coitus within 4 weeks after the surgery. And 88.9% of females and 85.2% of males answered that they were experiencing orgasms with their sexual relationship. 4. Influencing factors on the satisfaction level of sexual life were couple's intimacy and sexual discomfort in women and couple's intimacy and sexual knowledge in spouses. These factors explained the 33% and 24% of total variance respectively. In conclusion, the result suggests that it is necessary for couples to receive a professional sexual education and counseling to improve couples' quality of life. It is also necessary for institutions to use prepared nurses by receiving sexual counseling and education program as a professional sexual counselors or educators so as to provide individualized sexual education and counseling for their clients.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.17
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• pp.7321-7326
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• 2014

Background: Sexual health and function frequently are overlooked by healthcare professionals despite being identified as an essential aspect of patient care. Patients with cancer have identified sexuality issues as being of equal importance to other quality-of-life issues. Objectives: The aim of this study was to determine the views and attitudes of oncology nurses caring for cancer patients regarding sexual counseling. Participants and Methods: A descriptive cross-sectional study was conducted on the web site of the Turkish Oncology Nurses Association. With the participation of 87 nurses from oncology departments, the study determined that most nurses do not evaluate and counsel patients regarding their sexual problems and many difficulties prevent them from focussing on sexual health. The most important reasons for ignoring sexual counseling were the absence of routine regarding sexual counseling in oncology departments, the belief that the patient may become ashamed and the nurses' self-evaluation that they have insufficient skills and education to counsel in this subject. Conclusions: The most important variables in sexual evaluation and counseling are long years of service in the profession and a postgraduate degree.

• Journal of Korean Public Health Nursing
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• v.11 no.2
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• pp.152-170
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• 1997

The purpose of this study was to identify physical. psychological. sexual and socio-cultural problems that the adolescents have experienced and to assess the demands of counseling about the experienced problems. The design of this study was descriptive-survery study. The sample size was 601 middle and high school students. Data analysis was done by frequencies. Percent. t -test. ANOVA. Pearson correlation coefficiency, stepwise regression and Cronbach's $\alpha$ Score was produced for the reliability of the tool by using the item analysis method. The results was as follows : 1. The distribution of the each item that the adolescents experienced according to the physical, psychalogical. Sexual and Socio-cultural problem Categories was examined. In the physical problem category, the number of items that half and more than half of the adolescents experienced of often or frequently were 10 among all 19 items. In the psychological problem category. 13 item were among all 19 items. In the sexual problem category, 1 item among all 17 items and in the socio-cultural problem category, 10 items were among all 30 items. 2. The distribution of the each items that the adolescents wanted to the counseling according to the physical. psychological. sexual and socio-cultural problem categories was examined. In the physical problem category, the numbers of the items that half and more than half of the adolescents wanted counseling were 1 among all 19 items. In the psychological problem category, the numbers of the items that half and more than half of the adolescents wanted counseling were 2 items among all 19 items. In the sexual problem category, 0 item among all 17 items and in the socio-cultural problem category, 2 items were among all 30 items. 3. In the comparison of the female student and male student about the experienced problems and the demands of counseling according to the physical. psychological. sexual and socio-cultural problem categories. There was a significant difference statistically in all categories between groups(P<.001) 4. In the comparison of high school students and middle school students about the demands of counseling according to the physical. psychological. sexual and socio-cultural problem categories(P<.001). Particulary, grade II of high school students have experienced problems according to the physical. psychological. sexual and socio-cultural problem categories. There was a significant difference statistically in all categories(P<.001). 5. In the correlation between the experienced problem and the demands of counseling according to 4 categories. there was the positive correlation at P<.001 level. 6. The less the satisfaction for family and school life. the more experienced problems according to the physical. psychological. sexual and socio-cultural problem categories. There was a significant difference statistically in all categories(P<.001).

• Research in Community and Public Health Nursing
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• v.15 no.2
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• pp.246-254
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• 2004

Purpose: This study was to measure college students' understanding of elderly's sexual life. Method: For this study, questionnaires were distributed to 423 students in 'K' college of Chungcheongbuk-do during the period from November 17 to December 3 2003. Result: With regard to elderly's sexual life, 38.5% of the respondents answered' very important' or 'important'. With regard to disturbances of elderly's sexual life, 56.7% of the respondents answered 'because of aging', and 53.4% answered 'because of social and moral dignity'. Of the respondents, 95.0% agreed on elderly's acquaintance with the opposite sex, and 50.8% of respondents who agreed on it answered that the reason of elderly's acquaintance with the opposite sex was to get friends. The score of college students' understanding of elderly's sexual life was 2.64 out of 4 points. Among the areas in the questionnaire on understanding of elderly's sexual life, college students' attitude toward sexual life showed the highest score. The score of the necessity of education and counseling for elderly on sexuality and acquaintance with the opposite sex was 3.11 out of 4 points. Of the respondents, 84.4% agreed on education and counseling on sexuality for elderly, and 90.0% agreed on education and counseling on acquaintance with the opposite sex for elderly. There were statistically significant differences in the scores of college students' understanding of elderly's sexual life according to their grade(F=14.241, p=.000), major(t=4.751, p=.000) and sexual attitudes(F=5.395, 0=.005). Conclusion: The survey result suggests that college students have open-hearted understanding of elderly's sexual life. But to make ordinary people accept elderly's sexual life more open-heartedly, it is necessary to develop various education and counseling programs for elderly's sexual health.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.16
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• pp.6657-6663
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• 2014

Background: The present study aimed to determine the prevalence and types of sexual problems of Turkish patients receiving gynecologic cancer treatment. Materials and Methods: A cross-sectional convenience sample of 168 women completed the Index of Female Sexual Function (IFSF) and a Patient Identification Form in a hospital in Ankara, Turkey. Mean IFSF scores of the patients were low ($15.7{\pm}5.72$, out of a possible 45), indicating high rates of sexual problems. Results: Women frequently reported problems with dyspareunia (97.1%), vaginal dryness (97.6%), decreased sexual desire (91.1%), and difficulties of sexual arousal (92.9%) related with the cancer treatment process. They reported increased sexual problems following the period of treatment as compared to before treatment (p<0.05). Sexual dysfunction was associated with low educational and income levels, advanced age, TAH-BSO-LND surgery (total abdominal hysterectomy-bilateral salphingoopherectomylymph node dissection), experiencing side effects of chemotherapy, receiving chemotherapy in addition to surgery and radiotherapy (CT+RT+Surgery), and having a large number of chemotherapy cycles (p<0.05). Conclusions: Patients hoped for and expected counseling from healthcare professionals about their sexual functioning in relation to cancer treatments. Nurses and physicians can help to improve the overall quality of life for gynecologic cancer patients through sexual counseling.

• Journal of Digital Convergence
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• v.16 no.11
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• pp.633-638
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• 2018

The number of individuals with spinal cord injuries in the most countries is rising each year. However, it is reported that most of them have sexual problem, however lack of research on deal with the issues related to sex identity and maladjustment in rehabilitation counseling setting. The purpose of this article: (a) to possess an adequate knowledge of the sexual problems facing individuals with spinal cord injuries; (b) to review past research on sexuality counseling with people who have spinal cord injuries; and (c) to present for some strategies for people with spinal cord injuries in order to sexuality adjustment, through Cognitive Behavior Therapy. Some suggestions are presented.

• Journal of Korean Public Health Nursing
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• v.21 no.1
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• pp.46-56
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• 2007

Purpose: This study attempted to identify the sexual function (ALARM: Activity, Libido, Arousal and orgasm, Resolution, Medical history) of patients who have had an ostomy for the development of an ALARM sexual counseling program. Method: Subjects for this descriptive study were recruited from the outpatient clinic of a university affiliated medical center and peer group. Fifty-two subjects who have had an ostomy and lived with their spouse were selected. Instruments were developed by researchers based on the ALARM model by Anderson (1990). Results: In the subject group, 32.7% patients were not sexually active and 76.9% hesitated to have sexual activity because of the stoma. The mean score of resolution was 13.2 (range: 8-32), with a higher score for couple's intimacy indicating a higher level of libido and resolution. Conclusion: This study presents a series of clinical guidelines that nurses can use to accurately assess sexual health issues and select appropriate sexual counseling for patients with an ostomy.

• Research in Community and Public Health Nursing
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• v.17 no.4
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• pp.492-500
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• 2006

Purpose: The purpose of this study was to investigate sexual life in men after stroke Methods: The subjects were 60 post-stroke patients who visited a convalescent center for disabled people in Seoul, Korea. The subjects were discharged from the hospital and received physical therapy. Six items of sexual relationship were used to measure sexual life after stroke. Results: The most common sexual changes identified after stroke included decline in satisfaction, libido, coital frequency, satisfaction, and ability to perform sexual activities. Only 20.0% of the subjects reported that they discussed sexual life with health professionals. Conclusion: The change in sexual life was perceived as negative effects on their attitude toward sexuality. Some attitudes or improper beliefs that could negatively influence sexual readjustment after stroke nay be corrected through adequate counseling. Nurses should present not only accurate information regarding sexual concerns but also they can provide health education and sexual counseling in their practice.

• Journal of Christian Education in Korea
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• v.64
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• pp.237-287
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• 2020

This study was developing group counseling program for sexual education for Christian young adults. and its effects were proven. For this purpose, this study of unmarried Christian young adults ranging 30 from the age 20~35 years old who are attending church C and S located in city of C at Kyungnam province. The subject and control group each had 15 people who separately participated in this program once a week for 120 minutes, 12 times in total. The control group did not receive any feedback after the sessions. group counseling program for sexual education was based on Crabb's biblical counseling model and McMinn's cognitive therapy. Using 12 kinds of cognitive therapy techniques. for its effects were verified. used The sexual knowledge scale standardized model of a college student set by Jeon Gyungsook, Lee Hyoyoung, Lee Seonja, The sexual attitude scale standardized model for a college student set by Ho Seonmin, The sexual decision making scale developed by Sun Mikyung. The data analysis consisted of Cronbach's α test, χ2-test, Mann-Whitney U test, Friedman test, a χ nd Wilcoxon signed-rank test. The result of this study is improve the sexual knowledge, show the conservative tendency of sexual attitudes, and prove the increase in the ability to make responsible sexual decisions of Christian young adults. Following up, this study spreads awareness of the true meaning of sexual being as illustrated from the bible and implies a beneficial program within the church that promotes a healthy life and reconciliation between self, neighbors, and God in a life according to the purpose of creation and order.

• Korean Journal of Health Education and Promotion
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• v.27 no.3
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• pp.75-84
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• 2010

Objectives: This study investigates factors influencing the perpetrations of sexual violence while dating among college students. Methods: With a correlational survey design, a self-report survey was conducted and collected 1,132 responses from college students with dating experiences. Methods including descriptive statistics, t-test, ANOVA, pearson correlation coefficients, and multiple regression were used to analyze data. Results: Compared to college students with no perpetrations of sexual violence, college students with perpetrations of sexual violence had significantly higher scores in father's violence, mother's violence, gender role stereotype, and sexual violence permissiveness. On the other hand they had significantly lower scores in sexual assault recognition than the compared group. A multiple regression model result forecasted parents' violence, sexual assault recognition, sexual violence permissiveness, and gender as prediction indicators of perpetrations of sexual violence. Conclusion: To prevent sexual violence while dating, domestic violence should be decreased through parents education and counseling from childhood. High-risk groups should be detected by surveying socio-psychological variables including experience of domestic violence, sexual assault recognition, and sexual violence permissiveness. It need to develop and implement sexual violence prevention programs to accurately inform and aware sexual violence.