• Asian Pacific Journal of Cancer Prevention
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• v.15 no.24
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• pp.10971-10975
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• 2015

Objective: To investigate bladder and intestinal function recovery and quality of sexual life after laparoscopic nerve-sparing radical hysterectomy (LNRH) for treatment of early invasive cervical carcinoma. Methods: Subjects included patients who underwent radical hysterectomy by laparotomy who were randomly assigned to 2 groups: 30 patients who underwent LNRH and 35 classical laparoscopic radical hysterectomy (LRH). We assessed the patients general clinical information, surgical characteristics, pathological findings, and adjuvant therapies. A urodynamic study was used to assess bladder function. Intestinal function recovery and quality of sexual life were evaluated by questionnaire. Results: No significant differences were found in age, surgery characteristics, pathological findings, adjuvant therapies, and main adverse effects between the 2 groups. The mean duration of the postoperative catheterization (DPC) in group LNRH was shorter than that in group LRH (P < 0.001). The maximum flow rate, maximum cystometric capacity, maximum detrusor pressure and urinary complications in group LNRH were better than those in group LRH. The quality of sexual life evaluated according to the female sexual function index (FSFI) was better in group LNRH than in those who underwent LRH. The intestinal function of patients in group LNRH also recovered better compared with patients in group LRH.

• Journal of Home Health Care Nursing
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• v.22 no.1
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• pp.109-116
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• 2015

Purpose: This study aimed to understand the elderly's sexuality by analyzing the relationship between subjective quality of life and perception, attitude, and coping behaviors regarding sexuality in the elderly. Methods: The participants were 120 indivisuals, aged 65 or over, located in Y city. Data were collected from April to June, 2012 by a questionnaire survey. Data analysis was done by using SPSS WIN 18.0 program including one-way ANOVA, independent t-test, Pearson correlation coefficients, and stepwise multiple regression. Results: The predicting variable affecting subjective quality of life was sexuality perception (B=0.45, p<.001), and sexual coping behavior (B=0.25, p=.014) and they have a 25.0%(Adj $R^2=25.0$) explanatory power for the subjective quality of life in the elderly. Conclusion: To increase the subjective quality of life for the elderly, it is necessary for the individuals to have a positive perception of their sexuality and the expression of positive sexual coping behavior.

• Asian-Australasian Journal of Animal Sciences
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• v.14 no.2
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• pp.184-188
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• 2001

In a summer study during May to July, involving 12 young Murrah buffalo bulls at forty months of average age, the effects of multiple shower vs single shower body cooling and vitamin A, D and E supplementation on the sexual behaviour, semen quality and freezability were investigated. The animals were divided into two groups (6 animals in each group) and housed in a half-walled shed with proper spacing, the feeding management being identical. The bulls in the control group were given a single shower at 1000 h, whereas the experimental bulls were given four showers at 10,12,14 and 16 h. In addition, the experimental bulls were given vitamin A, D and E injections at fifteen day intervals. The sexual behaviour of bulls was observed in terms of reaction time, sexual aggressiveness and ejaculatory thrust. Semen quality of all the bulls was assessed in terms of volume, mass activity, live-dead sperm and sperm concentration, sperm motility and morphology, and acrosomal abnormality. The sexual behaviour did not vary significantly between the groups, whereas semen quality differed significantly for volume, per cent live sperms, total sperms per ejaculate and total live sperm per ejaculate between groups. It can be concluded that sexual behaviour was not influenced by the thermal comfort treatment coupled with periodic vitamin A, D and E injections. But the treatments improved most of the seminal traits in the experimental group of bulls. However, benefit of treatment was not reflected in the freezability traits of the semen.

• Asian Oncology Nursing
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• v.8 no.2
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• pp.77-85
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• 2008

Purpose: This study was to compare quality of life, sexual function, and depression between a group with sexually active women and the other with sexually inactive women who undertaken mastectomy. Methods: Participants were 106 breast cancer patients who had spouse and participated in self-help group in Gwangju, Korea. The questionnaires were consisted of Quality of Life Index-Cancer Version (Q.L.I.-C), self-rating depression scale, and Female Sexual Function Index (FSFI). Data were analyzed using the SPSS Win 14.0 K+ for descriptive statistics, t-test, ANCOVA, and MANOVA. Results: There were no homogeneity at age, job, educational years between sexually active vs. inactive groups. In sexually active group, mean age was 46.1, having job 34.5%, bachelor's degree 38.2%, and pre-menopause 79.2%; for the inactive group 49.6, 10.4%, 12.5%, and 52.7% seperately. There were significant differences in quality of life, sexual function, and depression between two groups when four covariates were controlled. The quality of life and sexual function in sexually active group were significantly higher than inactive group(p<0.001). The depression in sexually active group was significantly lower than inactive group(p<0.001). Conclusion: This study indicates that nurses are needed to counsel and intervene psychosexual approach especially sexually inactive women with breast cancer during the recovery period.

• Women's Health Nursing
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• v.18 no.1
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• pp.17-27
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• 2012

Purpose: This study aimed to identify sexuality for women with gynecological cancer. Methods: A total of seven women with gynecological cancer agreed to participate in this study. The data were collected utilizing in-depth semi-structured interviews style. A descriptive study design was used in this study. The interviews were analyzed using inductive content analysis methodology. Results: Three themes identified were: 'women with gynecological cancer who give up their sexual life due to misunderstanding and fear', 'women with gynecological cancer who control their body and mind for recovery', 'women with gynecological cancer resume their sexual life with their partner's will'. Conclusion: To improve sexual health and quality of life for women with gynecological cancer, we need to develop programs related to sexual health. An adjusted sexual health program will contribute to increased sexual health and quality of life for women with gynecological cancer.

• Women's Health Nursing
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• v.4 no.2
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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.

• Women's Health Nursing
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• v.20 no.2
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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.

• Asian Oncology Nursing
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• v.1 no.2
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• pp.180-190
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• 2001

The purpose of this study is to compare the sexual behaviors of breast cancer survivors (BCS) with women without breast cancer (WWBC) and provide basic data to develop education program for patients before surgery. The study sample included 215 subjects: 140 women without breast cancer and 75 women diagnosed at least six months previously with breast cancer. Data were collected using the Wilmoth's Sexual behaviors Questionnaire-F that consisted of 50 items measuring sexually: communication, sexual techniques, sexual responses, body scare, self-touch, relationship quality, and masturbation. All items were scored on a 6-Likert scale with high scores reflecting high levels of the specific sexual behaviors. The reliability of this instrument was .91(Cronbach‘s alpha). Data were collected during the period from September 1 to September 30, 2001. The collected data were analyzed using t-test, Chi-square, ANCOVA with SPSSwin program. The scores of a sample of WWBC were compared to those of BCS and the scores of BCS were compared by type of surgery and period since surgery. The results were as follows: 1. No differences in sexual behaviors were found between BCS and WWBC, but, differences were found in communication, sexual technique, and relationship quality depending on the period since surgery. 2. Mean Score of BCS' communication in sexual behaviors was significantly lower than that of the WWBC. 3. Sexual behaviors scores of BCS with Menopause, lumpectomy, long duration since surgery showed significantly higher than that of the others. In conclusions, BCS returned to the normal sexual behaviors according to period since surgery. The program of the sexual counseling for patients before surgery should consider this result in the future.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.10
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• pp.7219-7226
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• 2015

The purpose of this study was to examine the relationship of 22 selected variables for the sexual quality of life(SQOL) of married men and women in their 40s in an effort to lay the foundation for the development of intervention programs geared toward promoting the sexual health of married middle-aged men and women. The selected variables were eight demographic ones, eight sex-related ones and sex marital relationship ones. The subjects in this study were the visitors of four different health examination centers in Seoul. Two of the health examination centers were located in the region of Gangnam, and the others were located in the area of Gangbuk. After a survey was conducted from January 19 to March 5, 2015, the answer sheets from 187 respondents who were aged between 40 and 49 were analyzed. As a result, academic credential(p<.05), health status(p<.001), duration of marriage(p<.01) and monthly mean income(p<.01) were identified significant demographic variables to affect the sexual quality of life. Among the sex-related variables, the level of sex knowledge(p<.01) and exposure to pornography exercised(p<.001) and the husband's participation in delivery(p<.001) had a significant influence the sexual quality of life. All the variables of marital relationship that were marital dilemma(p<.05), the frequency of sexual relations(p<.001), love toward the spouse(p<.001), overall family harmony(p<.001), nonsexual communication(p<.001) and sexual communication(p<.001) had a significant impact on the improvement of the sexual quality of life. In conclusion, the variables of marital relationship were found to have been more important factors to affect the improvement of the sexual quality of life than the demographic and sex-related ones.

• The Korean Journal of Health Service Management
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• v.9 no.3
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• pp.211-219
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• 2015

Objectives : The aim of this study is to suggest a direction for sexual education suitable for the aged by analyzing senior citizens' perception level and analyzing the demand for sexual education among the elderly, such as their feelings on the necessity of sexual education and the patterns of sex education. Methods : The population of this survey targeted elderly residents aged over 60 who are taking lectures at 4 university lifelong education centers that are located in Busan. The period of data collection was from May 10, 2013 to May 30, 2013. The methods of analyzing data were frequency analysis, t-test, and correlation analysis. Results : The general characteristic of the survey were that it included 60 men (41.1%) and 86 women(58.9%). As a result of the comparison of sexual perceptions and sexual-education demand according to gender, it was found that men had greater sexual perception and greater need for sexual education than did women. A correlation according to sexual-life perception and sexual-education demand showed a positive relationship and was statistically significant as well. Conclusions : This study will form a basis for formation of a direction for the development of sexual education programs.