• 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.

• 한국산학기술학회논문지
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• 제15권1호
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• pp.386-395
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• 2014

본 연구는 중년 여성의 성기능, 성 의사소통 및 성만족 정도를 파악하고 성만족에 영향을 미치는 요인을 파악함으로써 중년 여성의 성건강 증진을 위한 중재프로그램의 기초자료를 제공하고자 시도되었으며, 2012년 10월부터 2013년 1월에 걸쳐 국내 4개 도시에 거주하는 40세~60세의 중년여성 126명의 설문지를 분석하였다. 본 연구 결과, 성기능, 성 의사소통 및 교육 수준이 중년 여성의 성만족에 영향을 미치는 요인으로 나타나 성기능 정도와 성 의사소통 정도가 높은 경우와 높은 교육 수준을 가진 경우에 성만족 정도가 높아지는 경향이 있음을 알 수 있었다. 또한 본 연구 대상자의 73%가 성기능 장애를 가지고 있는 것으로 나타나 중년 여성이 발달적, 상황적 변화에 더불어 사회경제적 변화로 인해 성건강을 위협받고 있음을 알 수 있었다. 중년 여성의 성문제를 해결하기 위한 개인의 인식이 부족함과 더불어 사회적 차원의 자원이 충분하지 않은 상황에서 의료인은 여성 성기능 장애에 대한 문제의 심각성과 적극적인 해결방안의 중요성을 인식하고, 성 관련 문제 해결 역량을 높이기 위한 적극적인 노력이 필요할 것이다.

• 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.

• 대한가정학회지
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• 제41권7호
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• pp.39-58
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• 2003

The Purpose of this study explored how sexual and marital satisfaction were influenced by various sexual variables such as sexual communication, sexual function of wives and husbands, sexual compatibility, attitude toward sex, knowledge of sex, times of sexual relation, duration of a sexual intercourse and frequency of orgasm. Subject of this study was 221 married women aged between 20 and 49 years old. And, SPSSWIN and LISREL(Linear Structural Relationship) Ⅷ program was applied to analyze data. The proposed theoretical model was supported by the data and fitted adequately. As the result, there was a statistically effect of sexual communication, sexual compatibility and times of sexual relations, intermediated by sexual satisfaction, on marital satisfaction.

• 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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• 제22권1호
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• pp.30-38
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• 2016

Purpose: This study was conducted to examine effects of a sexual function improvement program on sexual distress, sexual satisfaction and marital intimacy among breast cancer survivors. Methods: With quasi-experimental design, a total of 54 women after breast surgery were assigned into experimental group (n=28) and control group (n=26) after recruited via convenience sampling. They were endocrine surgery outpatients in university hospital at Chonnam province. Experimental group received a sexual function improvement program 5 sessions over 5 weeks. Sexual distress, sexual satisfaction, and marital intimacy were examined with self-report structured questionaries. Data were analyzed using $x^2$ test, Fisher's exact, independent t-test, and analysis of covariance with SPSS 17.0/window program. Results: Women who participated in the sexual function improvement program had lower sexual distress (F=27.29, p<.001), higher sexual satisfaction (t=3.09, p=.003) higher marital intimacy (F=17.51, p<.001) than the women who did not participate. Conclusion: Results suggest that a sexual function improvement program can be effective strategy to improve sexual distress, sexual satisfaction and marital intimacy. Therefore, this program can be regarded as useful nursing intervention program for breast cancer survivors.

• 한국보건간호학회지
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• 제18권2호
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• pp.225-233
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• 2004

The purpose of this study was to measure the sexual life and life satisfaction of elderly in the rural community. For this study, questionnaires were given to 421 elderly enrolled to 16 community health post in Chungcheongbuk-do during a period from November 10, 2003 to January 20, 2004. The results of these analysis are as follows 1. In related to elderly's sexual life, $34.5\%$ of the respondents answered 'very important' or 'important'. $60.2\%$ of the respondents answered they had sexual intercourse. In related to frequency of sexual intercourse, $27.0\%$ of respondents answered they had sexual intercourse over once a month. In related to satisfaction of sexual life, $29\%$ of respondents answered they were satisfied with their sexual life. In related to the sexual life of early age, $66\%$ of respondents answered they had harmonious sexual lives. 2. The mean score of life satisfaction was 2.09 points out of a possible 3 points. Of the field of questionnaire on life satisfaction, the self actualization field showed the highest score. 3. Of the scores related to life satisfaction according to general characteristics, there were statistically significant differences in presence of spouse(p=.001), family pattern(p=.031). personal expenses a month(p=.001), family supporter(p=.013), and health status(p=.000). 4. Of the scores related to life satisfaction according to sexual life, there were statistically significant differences in importance on sexual life(p=.000), performance of sexual life(p=.0011), frequency of sexual life(p=.000), satisfaction of sexual life(p=.000), sexual life of early age(p=.000).

• 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.

• 여성건강간호학회지
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• 제23권3호
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• pp.201-209
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• 2017

Purpose: The purpose of this study was to investigate actor and partner effects of sexual attitude and marital intimacy on sexual satisfaction in pregnant couples. Methods: Data were collected from 176 pairs of the pregnant couples visiting for prenatal care at hospitals from June 18 to September 24, 2016. The collected data were analyzed by paired t-test and Pearson's correlation coefficients using SPSS 18.0 and interdependent effect (Actor-Partner Interdependence Model analysis) through AMOS 18.0. Results: The sexual attitude and marital intimacy of the pregnant woman did not have a partner effect on the sexual satisfaction of her husband, respectively (${\beta}=.12$, p=.141), (${\beta}=.01$, p=.938). The sexual attitude of the husband had a partner effect on the sexual satisfaction of the pregnant woman (${\beta}=.13$, p=.021), but the marital intimacy of the husband did not show a partner effect (${\beta}=.07$, p=.202). Conclusion: Study suggests that the sexual attitude and marital intimacy of pregnant couples should be considered as factors when developing an intervention to improve sexual satisfaction in couples. Moreover, pregnant couples should participate in intervention together because the sexual satisfaction has conceptual view of interdependence in two-person relationships.

• 대한간호학회지
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• 제28권1호
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• pp.201-209
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• 1998

This study was conducted to explore the level of sexual satisfaction in married women. This is a descriptive study. The data was collected from July 19 to Aug 10, 1997 utilizing a questionnaire developed by researchers. Sexual satisfaction(a=,926) was measured by the Sexual satisfaction scale(Kim at el, 1997) which is consisted of 17-items. And data was analysed using SPSS /PC+7.5. The following is a summary of the study. 1. The study surveyed a total of 400 married women from Seoul, Kyungki do. and Pusan. The mean age of the subjects was 38.61 years with the range from 22 to 69 years. A large proportion of the subjects(69.3%) had received a high school education or further education. In terms of the marital satisfaction, 68.6% of subjects were moderately or highly satisfied : 6.8% were dissatisfied. 2. The mean score and standard deviation of the sexual satisfaction was 42.74$\pm$10.42 with the range from 17 to 68 score. 3. The variables influencing on sexual satisfaction were age, education level, income. job, stress. and perceived marital satisfaction.