• 여성건강간호학회지
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• 제25권2호
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• pp.219-231
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• 2019

Purpose: The purpose of this study was to identify the levels of body image, sexual intimacy, and sexual satisfaction, and to explore factors affecting sexual intimacy and satisfaction among women within one year of mastectomy. Methods: The present study was a cross-sectional survey and involved 101 women who had undergone mastectomy at a University hospital of D city, Korea. Measurement included the scales of body image, sexual intimacy, and sexual satisfaction. Results: Mean age of the subjects was 51 years. Scores of the body image, sexual intimacy, and sexual satisfaction were 59.62, 90.69, and 69.04, respectively. Body image, sexual intimacy, and sexual satisfaction were significantly related to each other. Sexual intimacy was higher when women were of young age (${\beta}=-.32$), had a shorter period since surgery (${\beta}=-.24$), and with higher levels of body image (${\beta}=.37$). Sexual satisfaction was higher when women had higher levels of body image (${\beta}=.19$) and greater levels of sexual intimacy (${\beta}=.74$). Conclusion: Higher levels of body image and greater levels of sexual intimacy were identified as the significant factors influencing sexual satisfaction among these women. Future research with a mixed-method research is needed to gain a deep understanding of the sexuality between women and their husbands.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권3호
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• pp.176-182
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• 2015

Objectives : The purpose of this study was to analyze the factors related to the disclosure patterns of sexual abuse in children and adolescent victims. Methods : A sample of 153 children and adolescents who visited the Sunflower children's Center (Incheon) between January 1, 2011 and December 31, 2012 were analyzed. The medical records of the victims were reviewed retrospectively. Results : Ninety (58.8%) subjects made a disclosure of sexual abuse voluntarily. The revelation was most commonly made to a parent. The severity and duration of sexual abuse were related to the disclosure patterns. In addition, the group that displayed below average intelligence, particularly subjects in the group with borderline intellectual functioning, tended to disclose their history of abuse less voluntarily than the subjects with normal intelligence. Conclusion : The current study provides insight into the factors that affect disclosure patterns in children and adolescent sexual abuse victims. To prevent sexual abuse, we suggest that special legal assistance and social concern be required for children and adolescents with borderline intellectual functioning.

• 대한간호학회지
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• 제37권7호
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• pp.1080-1090
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• 2007

Purpose: Although concerns of female sexual dysfunction (FSD) are increasing in Korea, sexual dysfunction related factors are limited in research studies. The aim of this study was to develop an explanatory model that will further explain the continuously increasing female sexual dysfunction cases in Korea. Methods: Survey visits were conducted to four hundred and eighty five women, over 25 years of age and presently residing in either urban or rural areas. All of them were analyzed using a structured questionnaire. A total of 8 instruments were used in this model. The analysis of data was done with both SPSS WIN for descriptive statistics and AMOS 5.0 for covariance structure analysis. Results: As a result, variables that showed notably direct effects on FSD were: sexual concept (sexual attitude), sexual distress, and psychosocial health (depression, crisis, traumatic life events). On the other hand, variables such as age, educational level, economic status, and marital status showed indirect influences on health-promoting behaviors. Conclusion: By comprehensively addressing the factors related to sexual dysfunction, and comparing each influence, this study can contribute to designing an appropriate sexual dysfunction prevention strategy in tune with the particular characteristics and problems of a client.

• 여성건강간호학회지
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• 제11권1호
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• pp.67-76
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• 2005

Purpose: This study was to identify the influence of sexual behavior, body image, social support, and other characteristics on sexual satisfaction in patients with breast cancer according to their participation in a support group. Method: Data was collected by self-report questionnaires. Participants included 63 patients attending a support group and 76 patients who did not participate in the support group. The questionnaire sections consisted of sexual satisfaction, sexual behavior, body image, social support and information on general characteristics, disease-related characteristics, and sexual life-related characteristics. Result: There was no statistically significant difference in sexual behavior, body image and sexual satisfaction between the two groups. Social support scores were significantly higher in the support group. Sexual satisfaction was positively related with sexual behavior, post-op change of sexual intercourse frequency, body image, and patient's education level, and negatively related to age in the support group. Sexual satisfaction was positively related with sexual behavior, social support and body image in the non support group. Sexual behavior is predictable 37.0% of sexual satisfaction in the support group. Sexual behavior, body image, and social support is predictable for 38.0% of the sexual satisfaction in non support group participants. Conclusion: Implications point to the need for the development and implementation of programs that focus specifically on sexual life issues for breast cancer patients, as well as further research measuring the effects of such intervention programs. Continuous education and counseling through participation in support groups can contribute to promote and affirm a healthy sexual life for patients with breast cancer.

• 보건교육건강증진학회지
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• 제30권2호
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• pp.55-69
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• 2013

Objectives: The purpose of this study was to evaluate the female sexual dysfunction of North Korean defector women and to identify related factors. Methods: A total of 110 North Korean defector women who married and lived in South Korean community more than 1 year participated in this study. A self-report questionnaire was used to obtain data. The dependent variable is the Female Sexual Function Index (FSFI). Independent variables were demographic factors (age, education, residential environment, sexual experience(rape), sex knowledge and sex attitude). Data were analyzed using the SPSS for descriptive statistics, t-test, two-way ANOVA, and Multiple Hierarchical Regression. Results: The mean score of sexual function for North Korean defectors was 18.94(SD:5.88). Sexual functioning for North Korean defector women was relatively low, 18.94 in comparison to Rosen's cutoff scores of 26.6. In multiple regression analysis, the sexual function level was significantly higher in elderly, high educational level, stable residential situation, non rape, and conservative sexual attitudes. Conclusions: The results show the status and description of sexual dysfunction in North Korean Women defectors in South Korean community and can be a basic reference for study about sexual dysfunction. However, more study about North Korea Defector Women with sexual dysfunction should be interviewed and evaluated.

• 여성건강간호학회지
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• 제25권1호
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• pp.73-85
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• 2019

Purpose: To determine whether maternal attitude toward sex during pregnancy and health-related quality of life could influence sexual function of pregnant women. Methods: In this study, 138 second and third trimester pregnant women completed self-report questionnaires during their visits to women's hospitals or community health centers to assess their general characteristics, attitude toward sex during pregnancy (PIES-M), health-related quality of life (EQ-5D), and sexual function (FSFI-6K). Multiple regression analysis was performed to test the research model with SPSS version 23. Results: Pregnant women who had discontinued their sexual life after recognizing their pregnancy accounted for 27.5% of women questioned. The average sexual function score of pregnant women was higher in the second trimester than the third trimester. Attitude toward sex during pregnancy (${\beta}=-.38$, p<.001), maintaining sexual life (${\beta}=.20$, p=.028), health-related quality of life (${\beta}=.18$, p=.030), and adverse symptoms during sex (${\beta}=.18$, p=.042) were determinants of sexual function during pregnancy. Conclusion: Nurses in antenatal care units need to help pregnant women maintain a positive attitude toward sexual activity during pregnancy and manage their health-related quality of life to maintain their sexual life during pregnancy.

• 성인간호학회지
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• 제22권2호
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• pp.113-120
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• 2010

Purpose: The purpose of this study is to examine the factors influencing the barriers faced by Korean nurses in addressing the patients' sexual health. Methods: The subjects in this study were nurses working at hospitals in Seoul and Jeonju. The data for this study were collected between November 2008 and December 2008. The subjects were assured of anonymity and confidentiality. Results: The barriers to addressing the patients' sexual health were moderate in the subjects. The nurses had moderate sexual knowledge and communication skills. In a stepwise regression analysis, the areas of work, communication skills, participation in sexual health training, and experience in Obstetrics and Gynecology accounted for 18.3% of the variance of the barrier for addressing the patients' sexual health. Conclusion: These findings emphasize the need for the development of a patient-centered sexual health-related curriculum for nurses, which has been briefly discussed in Korea. An educational program that improves the nurses' communication skills will be effective in reducing the barriers to addressing the patients' sexual health and will help the nurses become sexual health specialists.

• 성인간호학회지
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• 제18권2호
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• pp.251-260
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• 2006

Purpose: This study was undertaken in order to examine the factors related to sexual satisfaction in climacteric women. Method: This was a descripitive correlation study. The subjects were 544 women in climacteric stage. Data were analyzed a using of descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression with a SPSS WIN11.0. Results: The predictors of sexual satisfaction were age, education, marital status, family income, number of delivery, hormone therapy, body image, state anxiety, trait anxiety, spouse support. These factors explained 57.6% of the total variance. Conclusion: These finding suggest the need to develope nursing strategy to improve the sexual satisfaction in climacteric women. To improve the climacteric women's sexual satisfaction, the above major influencing factors should be considered.

• 기본간호학회지
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• 제12권3호
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• pp.362-373
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• 2005

Purpose: this study was carried out to identify family environmental factors related to changes in sexual attitudes through a sexuality education based on correct sexual attitude for middle school students. Methods: The subjects were 141 students (67 boys and 74 girls) in 4 classes of the first grade of a coeducational middle school, in Seoul. The school nurse provided the sexuality education for 18 hours over 16 weeks. Results: After the sexuality education, there was a significant increase in sexual attitude(t=59.06, p<.001). For family environmental factors related to changes in sexual attitude,'relationship with parents' was a significant factor for both boys and girls. For the girls, there were many other related factors such as 'parents' openness', 'family structure', and 'economic status'. Significant factors were 'Family structure' for attitude to abortion and 'parents' openness' for attitude to intercourse before marriage. Conclusions: Based on these results, systematic sexuality education is needed to enhance correct sexual attitudes in youth. To increase the effect of sexuality education, it should include contents to improve relationships with patents. Also, for parents, programs to improve relationships with their children and to change the values such as openness may also be required.

• 기본간호학회지
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• 제11권3호
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• pp.353-360
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• 2004

Purpose: This study was to identify the relationship between sexual attitude, sexual identity, sexual permissiveness in girls in junior high school, Method: The participants were 587 female students in Chungnam Province. Data were collected by questionnaire surveys using convenience sampling. The instruments were the Sexual Attitude Scale by Kim (1997), the Sexual Identity Scale by Jung (1990), and the Sexual Permissiveness Scale developed by Reiss (1964). Data were analyzed by the SPSS 11.0 program. using descriptive statistics, Pearson correlation coefficients, t-test, ANOVA and Tukey's multiple comparison. Results: The relationship between sexual attitude and sexual permissiveness had a positive correlation (r=.440, p-0.000). Sexual identity was positively correlated (r=.180, p=.036; r=.222, p=.014) with both sexual attitude and sexual permissiveness, but maleness was the only positive correlation (r=.258, p=.014) with sexual permissiveness, no sexual specialization was the only characteristic that had a positive correlation (r=.188, p=.046) with sexual attitude. Conclusion: These results suggest assessment of these factors and treatment fitted to individual needs are important for correct sexual culture. There should be repeated research on various population groups. Moreover, it is considered necessary to carry out factor-related theoretical researches on several variables related to sex through multilateral literature reviews.