• 한국간호교육학회지
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• 제4권1호
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• pp.53-65
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• 1998

This study was designed and undertaken to analyse the factors associated with sexual satisfaction in diabetic patients. The data were collected from September to November, 1997. The subjects in this study were 77 diabetic patients who visited to check their blood glucose level to the outpatient department of internal medicine in one of hospitals located in Taejon city, The questionnaires developed by Derogatis L. R. were used. Data were analysed using percentages, means, 1-test, ANOVA and Peason-correlation coefficients, done with the SAS program. The results of this study were as follows ; 1. The mean score of sexual satisfaction in diabetic patients was higher than the mid level as 3.14 points in the 5 points scale and male patients' score was a little higher than female's. 2. The mean score of factors associated with sexual life was 3.54 points in spouses' support, 3.44 points in sexual attitude and 2.60 points in body image in the 5 points scale, and 2.76 points in the sexual act in the 6 points scale. The score of above all factors were higher in male patients than female patients. 3. The significant factors associated with sexual satisfaction were spouses' support, body image and sexual act. That is, the higher spouses' support, the more positive body image and the more frequent sexual act, the higher patients' sexual satisfaction. 4. In the relationships between the sexual satisfaction and the general characteristics of the diabetic patients, only religion and the period of disease were statistically significant differents, but the relationships between the sexual satisfaction and the period of disease showed a significant inverse correlation. This results showed that the degree of sexual satisfaction in diabetic patients was relatively high. The major factors associated with sexual satisfaction were spouses' support, body image and sexual act, religion and the period of disease. So, the above factors have to be considered during the nursing intervention on diabetic patients' sexual life.

• 여성건강간호학회지
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• 제4권2호
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• pp.231-244
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• 1998

The purpose of this study was to provide a basis for nursing intervention to enhance quality if life in women having hysterectomies. Data was collected using a self-report questionnaire from 205 women having hysterectomies at the outpatient clinics of four general hospitals and a mail survey in Pusan City. Reliability of eight instrument's was tested with Cronbach's alpha which ranged from .601-.901. The data were analyzed by percentage, mean, SD, Pearson's Correlation and Stepwise Multiple Regression by using the SPSS 7.5 WIN Program. The results are as follows: 1) The average score for the quality of life was 74.33(score range 23-92). 2) There was a significant correlation between the predictive variables on quality of life. The most significant correlation was sexual identity(r=.516, p=.000). 3) When quality if life score was entered into the equation as the dependent variable, 7variables explaining 54.5% of the variation in quality if life score. Sexual identity was the main predictor of quality of life and accounted for 24.6% of the variance in quality of life. 4) When physical domain score was entered into equation as the dependent variable, 5variables explaining 29.2% of the variation in physical domain score. 5) When psychological domain score was entered into the equation as the dependent variable, 5variables explaining 46.0% of the variation in psychological domain score. 6) When sexual life domain score was entered into the equation as the dependent variable, 6variables explaining 39.4% of the variation in sexual life domain score. In conclusion, sexual identity, pre-operational symptom, sense of loss, spouse's support, age, professional support, coping behavior were identified as important variables in the quality of life in women having hysterectomies.

• 여성건강간호학회지
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• 제7권1호
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• pp.18-29
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• 2001

The purpose of this study was to provide basic data from confirming factors that could help nurses tailor counseling program for married couples who were facing the prospect of a hysterectomy. A descriptive design was used to study a total of 81 married couples(total of 162 subjects) between 2 to 18 months after hysterectomy, due to a benign gynecology disease at a University Hospital in Daegu by questionnaires from March, 1999 to June, 2000. This study used Sexual Knowledge Measurement of Koo, Ja-sung(1996), Sexual Attitude Scales of Hudson, Murphy and Nurius(1994), Sexual Attitude Measurement of Jang, Soon-bok(1989), Sexual Activity Questionnaires of Thiriaway, Fallowfield and Cuzick(1996) modified and supplemented by advice of experts in order to measure sexual knowledge, sexual attitude and sexual activity, and Sexual Function Inventory of Derogatis(1979) translated by Jang, Soon-bok(1984) was used to measure sexual satisfaction of the subjects. For data analysis, the study executed $x^2$-test, t-test, ANOVA, Pearson correlation and multiple regression in accordance with the purpose of study by SPSS/PC+ WIN 10.0 program. Also this study obtained Cronbach's alpha for examination of reliability. The results are as follows : 1) The sexual knowledge of the husband was higher than that of the wife after hysterectomy by showing the mean 11.27(${\pm}2.72$) in case of the wife and the mean 11.57(${\pm}2.28$) in case of the husband, but there was no statistically significant difference(t=.681, p=.497). 2)The sexual attitude of the husband was more liberal than that of the wife after hysterectomy by showing the mean 3.25(${\pm}.48$) in case of the wife and the mean 3.42(${\pm}.48$) in case of the husband, and there was statistically significant difference(t=2.399, p=.018). 3)There was no statistically significant difference between the score of sexual activity of wife and husband by period elapsed after hysterectomy. 4)There was no statistically significant difference between the score of sexual satisfaction of wife and husband by period elapsed after hysterectomy. 5)The wife subjects showed positive correlation among sexual knowledge, sexual attitude, sexual activity and sexual satisfaction. The husband subjects showed positive correlation only between sexual knowledge and sexual activity, sexual activity and sexual satisfaction, sexual attitude and sexual satisfaction, sexual knowledge and sexual satisfaction. There was a positive correlation between the sexual knowledge, sexual attitude, sexual activity and sexual satisfaction of the wife and husband. 6)Only the variable of sexual activity among factors of sexual satisfaction of the wife subjects showed the statistical significance(F=52.452, p<0.001), while variables of sexual attitude (F=20.360, p<0.001) and sexual activity (F=14.142, p<0.05) among factors of sexual satisfaction of the husband subjects showed a statistical significance.

• 기본간호학회지
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• 제4권1호
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• pp.7-17
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• 1997

Improving quality of life can be achieved by rehabilitating one socially and restoring their sexual life. Holistic care for persons with disabilities means the rehabilitation nurse intervenes when problems of sexual function are discovered, observed, or expressed. However, most people with chronic illnesses and disabilities must confront prevalent myths about their sexual nature and abilities. These myths often have their basis in the notion, common in our society, that the only people who are sexual are those who are young and beautiful. People who are obese, old, or do not conform to current standards of sexual attractiveness are usually deemed as asexual or undesirable. These narrow sterotypes have been particularly damaging to physically or mentally disabled people. People with chronic illnesses and disabilities often have special needs regarding their sexual behavior. Most of us will confront chronic illness or disability in our own lives to some degree. In addition, illnss or disability can occur at any age. In this study, I discuss some of the special needs of people with chronic illnesses and disabilities and the methods of coping with those needs. I also discuss some of the sexual concerns that people with chronic illnesses and disabilities have in common, and the assessment of sexual function and nursing strategies through literature review.

• 대한정형도수물리치료학회지
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• 제4권1호
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• pp.59-69
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• 1998

The purpose of this research is to be grasp the relation between lumbago incidence rate and research hypothesis in the effects of sex life of the middle-aged couples in Taejon area upon lumbago. This writer had questionaired the 400 middle-aged couples in Taejon city - Jung-gu, Seo-gu, Dong-gu, Yuseong-gu, and Taedeok-gu - from June 1, to June 30, 1998. Of them, total 209 question papers were drawn back; male 102, female 107. Analysis of the data is as follows; 1. 145(69.37%) subjects of total 209 had low back pain experience after their sexual lives. 2. In the number of sexual times a week, low back pain incidence were the most rate in 1-2 times as 41.55%, each other had a statistically significant relation (P<0.01). 3. In age and lumbago incidence rate, the 30s was 37.75% and each other had a significant relation (P<0.05). 4. In weight and lumbago incidence rate, the level of 50kg~60kg was highest and each other didn't have a significant relation (P>0.05). 5. In the mean sexual time, the period of 11~20 minutes was 29.47% and each other had a significant relation (P>0.01). 6. In a day time of sexual life and lumbago incidence rate, midnight was the highest rate(36.23%) and each other didn't have a significant relation (P>0.05). 7. In the lumbago incidence rate according to bedroom structure of sexual life, a bed was 38.17% and each other had a significant relation (P>0.05). 8. In the lumbago incidence rate according to sexual posture, a normal position showed the highest rate(46.12%) and each other didn't have a significant relation (P>0.05). According to the results of our research, lumbago has relation to the number of sex life a week, age, the mean time of sexual life, and bedroom structure of sexual life. So it is thought that it is necessary that middle-aged couples periodically study the educational programs to make an prevention education for low back pain the key points.

• 성인간호학회지
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• 제24권2호
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• pp.183-190
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• 2012

Purpose: The purpose of this study was to investigate the reported patterns of sexuality and life satisfaction of the elderly. Methods: Study participants were 490 older than 60 years of age who participated in a sexuality education program over five provinces. Data were collected from August to October, 2009 by using a structured questionnaire. The data were analyzed using PASW/WIN 18.0 program. Results: 163 participants (33.3%) reported being sexually active with a frequency on an average of 3.16 times per month. The reported life satisfaction of the participants was significantly different in terms of education level ($p$ <.001), health status ($p$ <.001), economic status ($p$ <.001), sexual behaviors ($p$ <.001), and attitude on the sexuality ($p$=.023). The reported life satisfaction was significantly associated with sexual attitudes and the frequency of sexual behaviors. Conclusion: These results suggest that the elderly person has a positive sexual attitude although not all elderly people are sexually active. There are several influencing factors on life satisfaction of the elderly. Therefore, it is needed to investigate the sexuality of the elderly more closely to enhance their life satisfaction.

• 동아시아식생활학회지
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• 제23권5호
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• pp.519-532
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• 2013

The purpose of this study was to make a comparative analysis of dietary habits, snacks, eating out and fast-food intake between students with a relatively early sexual maturity and others with a relatively late sexual maturity in a bid to grasp the impact of dietary behaviors on sexual maturity. The subjects in this study were 565 boys and girls who resided in Seoul and Gyeonggi province. They included fifth- and sixth-grade school children and seventh-grade middle school students. To classify the selected students according to the level of sexual maturity, the students of the same month age were divided into two groups in consideration of the stage of their sexual maturity and that of the other age groups. The early mature group was significantly taller and weighed more than the late mature group irrespective of gender. According to Tanner stages, the boys of the early mature group reached a 3.03 stage of sexual maturity when the sexual organs were taken into account, and those of the late mature group reached a 1.50 stage of sexual maturity. The girls of the early mature group reached a 3.43 stage of sexual maturity on the basis of breast, and those of the late mature group reached a 2.73 stage of sexual maturity. Concerning eating out, the early mature group ate out more frequently than the late mature group. In regard to snacks, the early mature group had a snack more often. The findings of the study indicated that there were differences in physical development and some dietary behaviors according to sexual maturity. The early mature group had a snack and ate out relatively more often than the late mature group, which showed that some dietary behaviors had an impact on the sexual maturity of the teens who arrived at the age of puberty.

• 여성건강간호학회지
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• 제20권2호
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• pp.148-154
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• 2014

Purpose: This study was done to evaluate postoperative patient satisfaction, vaginal bleeding, and sexual function in women after laparoscopic supracervical hysterectomy (LSH). Methods: A retrospective study was conducted using a questionnaire mailed to 131 women who underwent LSH between 2008 and 2011at the Department of Obstetrics &Gynecology, D University Hospital in Chungnam province. Indication for LSH was uterine myoma. The questionnaire contained questions on overall postoperative satisfaction, influence on quality of life of vaginal bleeding, and sexual satisfaction following surgery. Data were collected from March to July 2013 and 109 (83.2%) patients returned the questionnaire. Results: Most women reported being very satisfied (90.8%) or satisfied (7.3%), but 2 women (1.8%) were not satisfied with LSH. Four patients (3.4%) reported experiencing vaginal bleeding but with no negative influence on quality of life. Of sexually active women, 82 patients (90.1%) reported improvements in sexual function, 8 patients (8.8%) reported "no change", and one patient (1.1%) reported a deterioration Conclusion: Results of this study indicate that LSH is associated with a high degree of patient satisfaction, no negative influence on quality of life from vaginal bleeding, and improvement in sexual function to a minimum 2 years after the procedure.

• 생물정신의학
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• 제20권3호
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• pp.66-73
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• 2013

Sexual behavior is crucial in life, yet comparatively little is known about the mechanisms in the sexual response in humans. A lot of theories and models have been developed to explain about the process of the sexual response in humans. The first model of sexual function was described by Masters and Johnson, defined the four-phase model (phases of excitation, plateau, orgasm and resolution). Helen Kaplan proposed a slightly different model of human sexual response by adding the conception of the desire phase. Some years later, a new model of circular sexual response pattern was described by Whipple and Brash-McGreer, who acknowledged the cyclic nature of women's sexual response. Basson presented an alternative model of women's normative sexual function, which featured a responsive form of desire in women's sexual response. Bancroft developed a new theoretical model, the Dual Control Model, which postulates sexual response and arousal is ultimately determined by the balance between the sexual activation or excitation system and the sexual inhibition system. The Sexual Tipping Point is a model created by Perelman, suggesting that a sexual response is determined by a balance between excitatory or inhibitory factors that may be psychological, organic, psychosocial, or cultural. A comprehensive understanding of sexual response and function is of paramount importance for the psychiatrist to study sex, offer counseling to the patient on sex, and practice sex therapy. In this literature, models of sexual response would be reviewed to understand the knowledge of the sexual functioning in humans.

• 가정간호학회지
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• 제23권2호
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• pp.216-223
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• 2016

Purpose: This study aimed to evaluate the effects of sex education, focusing on the sexual activities of the elderly, on high school girls' sexual knowledge, attitudes, and perceptions. Methods: A quasi-experimental pre-post design was used, and the data of 82 participants (41 in each group) were analyzed. The educational effects were assessed through sexual knowledge, attitudes, and perceptions. The data were analyzed through SPSS 18.0, using descriptive statistics, chi-square tests, and paired t-tests. Results: The experimental and control groups had similar demographics. Sex education was effective in increasing sexual knowledge (p<.001), and changing the attitudes (p<.001) and perceptions (p<.001) of members of the experimental group for the better. Conclusions: This study has shown that sex education can improve high school girls' understanding of elderly sexual activities. This study is meaningful in that, it sought to facilitate a positive change in young people's attitudes towards elderly sexuality and quality of life.