• 치위생과학회지
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• 제14권2호
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• pp.132-139
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• 2014

본 연구는 경상남도 통합 창원시와 진주시에 거주하는 20세 이상 70세 미만의 기혼 성인 남성들을 대상으로 주관적 치주건강상태가 성기능에 미치는 영향을 파악하고자 하였다. 설문대상자를 편의표본추출법으로 선정한 후 연구의 취지와 목적을 설명하고 최종 330부를 최종 분석에 이용하였다. 수집된 자료를 바탕으로 대상자의 인구사회학적 특성분포와 인구사회학적 특성에 따른 주관적 치주건강상태와 스트레스 및 성기능의 차이를 파악하고 주관적 치주건강상태와 스트레스 및 성기능간의 상관관계, 그리고 인구사회학적 특성 및 스트레스 요인을 보정한 후 주관적 치주건강상태가 성기능에 미치는 영향력을 평가한 결과는 다음과 같다. 대상자의 주관적 치주건강상태는 평균 2.17점이었다. 연령이 증가할수록, 학력수준이 낮을수록, 월수입이 낮을수록 그리고 전신질환이 없는 군의 주관적 치주건강상태 점수가 높아 통계적으로 유의한 차이가 있었다(p<0.05). 대상자의 스트레스 점수는 평균 15.68점이었고, 고려된 인구사회학적 특성에 따른 스트레스의 차이는 모두 통계적으로 유의하지 않았다(p>0.05). 또한 대상자의 성기능 점수는 평균 51.56점이었고, 연령이 '60세 이상'인 군, 학력수준이 '고졸이하'인 군, 월수입이 '300만원 미만'인 군, 현재 흡연군 그리고 전신질환이 있는 군의 성기능이 다른 군에 비해 낮아 통계적으로 유의한 차이가 있었다(p<0.05). 주관적 치주건강상태(r=-0.228)와 스트레스(r=-0.257)는 성기능과 유의한 음의 상관이 있어, 주관적 치주건강상태가 나쁠수록 그리고 스트레스가 많을수록 성기능이 낮은 경향이 있었다. 대상자의 인구사회학적 특성과 스트레스를 보정한 후 주관적 치주건강상태가 성기능에 미치는 영향력은 통계적으로 유의하여 주관적 치주건강상태가 1단위 나빠질수록 성기능도 0.889점 감소하였다(b=-0.889, p=0.030). 이상의 결과를 종합해 보면 주관적 치주건강상태와 성기능은 통계적으로 유의한 관련성이 있으므로, 치주상태를 효과적으로 관리할 수 있는 구강건강관리프로그램이 건강한 성생활을 유지하는 데 도움이 될 수 있겠다.

• 대한간호학회지
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• 제40권2호
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• pp.287-297
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• 2010

Purpose: This study was done to examine the relationship of low urinary tract symptoms (LUTS), depression, sexual function, and health-related quality of life (HRQoL), and to identify factors influencing HRQoL in patients with benign prostatic hyperplasia (BPH) living in the community. Methods: A total of 218 patients with BPH were recruited into the study. The data were collected by personal interviews using questionnaires and were analyzed with SPSS (version 17.0) computer program, and included descriptive statistics, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: The relationship between HRQoL and LUTS with depression had a significant negative correlation, whereas the relationship between HRQoL and sexual function had a significant positive correlation. Depression, age, LUTS, number of chronic disease, and excercise were found to be significant predictors (35.6%) of the Physical Component Summary of HRQoL. Depression, stress, smoking, LUTS, and sexual function were found to be significant predictors (48.2%) of the Mental Component Summary of HRQoL. Conclusion: To improve HRQoL of patients with BPH, nurses should focus on the factors identified in this study when doing nursing assessments, and should develop nursing intervention programs for BPH prevention and symptoms management in primary care settings.

• 한국보건간호학회지
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• 제21권1호
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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.

• 대한간호학회지
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• 제20권3호
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• pp.357-367
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• 1990

This descriptive study was done to identify factors influencing sexual satisfaction in women who had had a hysterectomy and to compare these with women who had not had a hysterectomy. The purpose was to contribute theoretical understanding on which to base nursing care planning. One group of subjects were 156 women who had had a hysterectomy, between one and 18 months post surgery, living with their spouse, having no complications, and menstruating before surgery. The other group of subjects were 282 healthy women who were living with their husbands and menstruating. The study tool consisted of 108 items including item concerning personal characteristics, characteristics related to the hysterectomy, husband's support, body image, emotions, attitude toward the sexual relationship, knowledge of sexuality, sexual behavior, and sexual satisfaction. Sexual satisfaction was measured by a tool based on Derogatis Sexual Function Inventory. The range of the internal level of the study tool was from. 5208 to .9462. Data collection was done during the period from June 20 to Aug.20, 1989. The same questionnaire was used of data collection for both groups, but a mail survey method was used for the women who had had a hysterectomy, and an interview method was used for the women who had not had a hysterectomy. Data analysis was done using frequency, ratio, mean and S.D. for the characterstics of the subjects and level of sexual satisfaction. t - test or ANOVA was used for the differences between the groups with regard to the general and hysterectomy related characteristics. The relationship between the score for sex life related factors and the level of sexual satisfaction was analyzed using the Pearson Correlation, and the influencing factors on sexual satisfaction were analyzed by stepwise multiple regression. The results of this study were as follows ; 1. Mean age and income level were the only general characteristics for the two groups that were significantly different. The mean age, and income level of the group who had had a hysterectomy were 45years, and 1,150,000 won respectively, and for those who had not had a hysterectomy, 41 years and 999,000 won. 2. There was no statistical difference of the sexual satisfaction score between the two groups. 3. There was differences in the factors influencing sexual satisfaction between the two groups. Factors influencing sexual satisfaction for the group who had had a hysterectomy were husband's support (R＝.5793, P＝.000) and the women's Knowledge of sexuality(R＝.6670, P＝.000) (total variance : 33.56). On the other hand, emotional status(R＝.4294, P＝.000), sexual behavior(R＝.4294, P＝.000), husband's support(R＝.5274, P＝.000) and attitude towards sexual relations (R＝.5412, P＝.000) (total variance : 54.12) were the factors influencing sexual satisfaction in the group who had not had a hysterectomy. Since husband's support and sexuality knowledge were identified as factors influencing sexual satisfaction of women who have had a hysterectomy, it can be concluded that, before a woman who has had a hysterectomy is discharged from hospital, nurses should include strategies in the nursing care plan that will promote husband's support and the women's knowledge of sexuality.

• 한국산학기술학회논문지
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• 제21권7호
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• pp.645-655
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• 2020

본 연구는 혈액투석 남성 환자의 성기능, 우울, 수면의 질 간의 관계를 파악하기 위한 서술적 조사연구이다. 대상자는 말기 만성 신부전을 진단받고 혈액투석을 받는 남성 환자 134명을 대상으로, 자료 수집은 2019년 6월 10일부터 2019년 10월 30일까지 진행하였다. 수집된 자료는 SPSS 21.0을 이용하여 mean, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients로 분석하였다. 분석결과 성기능은 연령, 직업 유무, 월평균 수입, 도움을 주는 사람이 누구인지에 따라, 운동, 흡연, 앞으로의 성상담 기회가 있을 시 상담 여부에 따라 유의한 차이를 보였다. 우울은 직업 유무, 월평균 수입, 암의 유무, 수면제 복용, 당뇨병약 복용, 우울증약 복용, 한 달 동안 힘들었던 증상 수에 따라 유의한 차이를 보였다. 수면의 질은 도움을 주는 사람이 누구인지에 따라, 심혈관 질환, 수면제 복용에 따라 유의한 차이를 보였다. 성기능의 하부영역인 전반적인 만족도가 낮을수록 우울정도는 높은 것으로 나타났고(r=.-19, p=.028), 우울정도가 높을수록 수면의 질이 낮게 나타났다(r=.60, p<.001). 본 연구를 통하여 혈액투석 남성 환자의 우울을 감소시키기 위해서는 증상관리를 포함한 프로그램 개발이 필요하고, 성기능과 수면의 질을 향상시키기 위한 간호 중재 개발 시, 대상자에게 도움을 주는 사람을 포함한 프로그램 개발이 필요 할 것이다.

• Clinical and Experimental Reproductive Medicine
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• 제47권1호
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• pp.77-82
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• 2020

Objective: Irregular patterns of marital cohabitation are a common problem in upper Egypt due to employment conditions. The objective of this study was to investigate the effect of irregular marital cohabitation on the quality of life and sexual function of infertile men. Methods: In total, 208 infertile men were included and divided into two groups. The first group included 134 infertile men with an irregular pattern of marital cohabitation and the second group included 74 infertile men with a regular pattern of marital cohabitation. All subjects were assessed through a clinical evaluation, conventional semen analysis, the fertility quality of life (FertiQoL) questionnaire, the International Index of Erectile Function (IIEF-5) score, and the premature ejaculation diagnostic tool (PMEDT). Results: The two groups were compared in terms of conventional semen parameters, FertiQoL, IIEF-5 score, and PMEDT. Infertile men with an irregular pattern of marital cohabitation had significantly lower subscale and total FertiQoL and IIEF-5 scores. Additionally, they had significantly higher PMEDT scores. Erectile dysfunction and premature ejaculation were more common in them than in infertile men with a regular pattern of marital cohabitation. Conclusion: Irregular patterns of marital cohabitation had an adverse effect on quality of life and sexual function in infertile men.

• 한국사회복지학
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• 제69권4호
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• pp.75-97
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• 2017

본 연구의 목적은 여자 청소년의 성폭력 피해 경험이 자살생각에 미치는 영향을 알아보고, 부모-자녀 간의 TSL 의사소통의 조절 효과를 검증하는데 있다. 본 연구는 전국의 중고등학교 13곳의 중1부터 고2까지 여자 청소년 1,032명을 대상으로 조사하였으며, 다중회귀분석을 활용하여 분석하였다. 연구 결과는 첫째, 조사대상자의 16.2%가성폭력 피해 경험이 있었다. 둘째, 여자 청소년의 성폭력 피해 경험은 자살생각의 위험요인으로 검증되었다. 셋째, 부모-자녀 간 TSL 의사소통은 성폭력 피해경험에 따른 자살생각에 주요한 보호요인으로 검증되었다. 이와 같은 연구 결과를 통해 청소년의 성폭력 피해 예방을 위한 개입 방안과 성폭력 피해 청소년의 자살생각을 감소시키기 위한 가족 기능 강화 방안에 대하여 논의하였다.

• 대한간호학회지
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• 제19권2호
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• pp.160-172
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• 1989

This research was done to clarify the factors related to sexual satifaction in women who have had a hysterectomy, and to idenify which factors had statistically significant influence of sexual satisfaction of the subjacts. The objective of this study was to identify the variables related to sexual adaptation which might be changed by nursing intervention. This was a cross-sectional descriptive correlation study. There were 230 subjects in the study, and they were selected by a convenient sampling method. The tool. for this study was developed by the researcher through modification of the Dergatis Sexual Function Inventory(DSFI). A pilot study was done to determine the necessary modifications. Data collection was done between Sept. 1987 and Du. 1987 using a mailed questionnaire. The characteristics of the subjects were as follows : The mean age of the subjects was 42.3 years and 204(87.4%) of the subjects had nine or more years of education. The mean income of the subjects was 85.8870 won / month, and 179(77%) of them were housewives. The mean number of pregnancies and children were 4.9 and 2.5 respectively. Oophorectomies were included in the surgery for 66(28.7%) of the subjects. Only 12(5.2%) were planning to have more children. Only 88(38.3%) of the subjects had received information prior to the surgery regarding health problems related to the operation and less than half, 111 (48.3%), had received this kind of information before discharge. Lay persons were the source of information about the post-operation status for 196 (85.2%) of the subjects, but the content of the information did not significantly influence the sexual satisfaction score. Only 16(7.0%) of the subjects said they regretted having a hysterctomy while 102(44.3%) said they were pleased to have had a hysterectomy. Ninety (39.1 %) of the subjects reported that their husbands had “stress” and 164(71.3%) of the subjects reported “stress”. The results of this study are summarized as follows : 1. The mean score for sexual satisfaction of the subjects was 34.24 with a possible maximum score of 50.00. Eighty two(35.8%) were responded that they were satisfied with their sexual life but 61 (26.5%) were responded that they were dissatisfied with their sexual life 2. The following 15 factors extracted from the results of the data analysis were significantly related to sexual satisfaction(p＜.05) ; support of husband, body image, emotion, knowledge of sex, menopausal symptoms, sexual behavior, the feelings the subjects had about the hysterectomy, stress for both subject and husband, the number of children, health information given before operation, job, age, level of education and income. The five most important factors influencing sexual satisfaction were identified by using stepwise multiple regression analysis. The most important factor was support of husband, which explained 17.83% of the total variance. The remaining factors in order of significance were : Knowledge of sex, income, job, and emotional status. Those five factors explained 35.16% of the sexual satisfaction. In conclusion, for the care of women who are going to be discharged from hospital after having had a hysterctomy, nurses have to work with the husbands to help them to understand the importance of their support. Nurses also need to make sure that the subjects have an adequeate knowledge of sexual life after a hysterectomy. Also nursing interventions should focus on subjects who do not have a job, who are of low economic status, and the subjects who are under the unpleasant mood.

• 여성건강간호학회지
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• 제16권4호
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• pp.360-369
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• 2010

Purpose: The purpose of this study was to develop and validate the Sexual Health Care Scale-Practice (SHCS-P) for oncology nurses to use in nursing care. Methods: Apreliminary version of the SHCS-P of 32 items was developed based on the literature and opinion of experts. A panel of eight experts reviewed the preliminary questionnaire for content validity and consolidated the instrument, which was, then, tested with data from 342 oncology nurses in Korea. Results: Exploratory factor analysis showed that the SHCS-P explained 70.49% of the total variance. The instrument revealed four factors that were named: (1) Practice for sexual function (8 items), (2) Practice for psychological factors (6 items), (3) Practice for social problems and records (4 items), and (4) Practice for reproductive care (3 items). Internal consistency was good, asassessed by the KR 20 value of 0.91. The coefficients for the sub-factors were between 0.81 and 0.93. Conclusion: This scale shows validity and reliability in evaluating the practice of oncology nurses in providing sexual health care and can be used to evaluate the level of practice well as test effects of educational interventions to improve sexual health care competency.

• The Plant Pathology Journal
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• 제27권1호
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• pp.20-25
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• 2011

Gibberella zeae (anamorph: Fusarium graminearum), a homothallic (self-ferile) ascomycete with ubiquitous geographic distribution, causes serious diseases in several cereal crops. Ascospores (sexual spores) produced by this fungal pathogen have been suggested as the main source of primary inoculum in disease development. Here, we report the function of a gene designated GzRUM1, which is essential for ascospore formation in G. zeae. The deduced product of GzRUM1 showed significant similarities to the human retinoblastoma (tumor suppressor) binding protein 2 and a transcriptional repressor, Rum1 in the corn smut fungus (Ustilago maydis). The transcript of GzRUM1 was detected during the both vegetative and sexual stages, but was more highly accumulated during the latter stage. In addition, no GzRUM1 transcript was detected in a G. zeae strain lacking a mating-type gene (MAT1-2), a master regulator for sexual development in G. zeae. Targeted deletion of GzRUM1 caused no dramatic changes in several traits except ascospore formation. The ${\Delta}$GzRUM1 strain produced perithecia (sexual fruit bodies) but not asci nor ascospores within them. This specific defect leading to an arrest in ascospore development suggests that GzRUM1, as Rum1 in U. maydis, functions as a transcriptional regulator during sexual reproduction in G. zeae.