• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.4
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• pp.393-401
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• 2016

Purpose: The purpose of this study was to examine the relationships among sexual function, sexual stress, and quality of life in middle aged women patients with diabetes mellitus. Methods: Data were collected through questionnaires distributed to 154 middle aged women patient with diabetes mellitus in one hospital. Results: The mean sexual function score was $12.99{\pm}9.11$. There were statistically significant differences in sexual function according to age, level of education, employment status, time of being diagnosed with diabetes mellitus, number of complications, self-monitoring of blood glucose, menopausal status, and level of glycosylated hemoglobin. The mean sexual stress score was $26.99{\pm}16.88$. The score of quality of life was $79.12{\pm}14.30$. There were statistically significant differences in quality of life according to level of education. Sexual function was negatively correlated with sexual stress (r=-.46 p<.001) and positively correlated with quality of life (r=.32, p<.001), while sexual stress was negatively correlated with quality of life (r=-.36 p<.001). Conclusion: Higher sexual dysfunction in middle aged women patients with diabetes mellitus was correlated with lower sexual stress and improved quality of life, while lower sexual stress was correlated with improved quality of life.

• Women's Health Nursing
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• v.13 no.2
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• pp.77-87
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• 2007

Purpose: This study was examined the quality of the sexual life among married women in terms of the factor structure of Sexual Quality of Life(SQOL) and evaluated the predictive value of 11 variables for SQOL. Method: Two hundred and ninety-three married women completed the Korean version SQOL scale with information on age, education, length of marriage, family income, health, sexual knowledge, coital frequency, harmony with family members, levels of affection, and general and sexual communication. Data were analysed with principal components and regression analyses. Result: The SQOL scale had two clearly defined factors, Negative Quality of Sexual Life and Positive Quality of Sexual Life, on which all scale items were significantly loaded, accounting for 54.3% of the total variance. Independent regression analysis showed all variables except education to be significant predictors of SQOL with interpersonal variables (general and sexual communication, affection and harmony with family members) being the most powerful predictors. However when the 11 variables were combined together in stepwise analysis, only 6 variables (general communication, age, affection, coital frequency, sexual knowledge and health) were significant, accounting for 39% of the total variance. Conclusion: The Korean version SQOL scale is a good measure to tackle SQOL in married women. To enhance SQOL, strengthening interpersonal interaction focusing on general/sexual communication, affection and harmony with family members seems to be more important than sexual activities and personal characteristics.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.11
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• pp.209-218
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• 2020

This study examined the sexual function, sexual distress, and quality of life of middle-aged women with osteoarthritis, as well as the factors influencing the quality of life. The participants were 121 middle-aged women who have been suffering osteoarthritis. Data collection was conducted from September 1 to October 31, 2019. The instruments were the Female Sexual Distress Scale (FSDS), the Female Sexual Function Index (FSFI), and the World Health Organization Quality of Life Assessment Instrument (WHOQLO) -BREF scale. Data were collected with structured questionnaires and analyzed using a t-test, ANOVA, Pearson's correlation analysis, and multiple regression analysis. A positive correlation was observed between sexual function and quality of life, whereas sexual distress had a negative correlation between sexual function and the quality of life. Factors affecting the quality of life of middle-aged women with osteoarthritis were sexual function, sexual distress, which explained 16.1%. Sexual distress, sexual function, and quality of life showed a correlation. Therefore, it is important to develop a nursing intervention that can improve the sexual function and reduce the sexual distress of middle-aged women with osteoarthritis to improve their quality of life.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.11
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• pp.4845-4851
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• 2016

Background and Objectives: As one of the most common treatments for breast cancer, mastectomy has adverse effects on the quality of sexual life and sexual functioning in the impacted women. Various strategies have therefore been proposed to resolve their sexual problems. The present study was conducted to determine the effect of sexual rehabilitation using the PLISSIT model in post-mastectomy breast cancer survivors. Materials and Methods: The present quasi-experimental study was conducted on a population of post-mastectomy breast cancer survivors and their husbands. Sample size was calculated as 50 each for intervention and non-intervention groups. The former received sexual counseling based on the PLISSIT model consisting of four levels of intervention: permission, limited information, specific suggestion and intensive therapy, presented in four 90-minute sessions. Data were collected using the Sexual Quality of Life-Female (SQOL-F) questionnaire and the Female Sexual Function Index (FSFI). Results: No significant differences were observed in the mean quality of sexual life scores between the intervention and control groups (P>0.05) before the intervention; however, a significant difference emerged between the groups after the intervention (P<0.01). Thus the mean score for sexual functioning in the intervention group was $26.3{\pm}3.76$ before and $30.0{\pm}4.38$ after the intervention (P<0.0001). In the control group, however, the difference between the pre- and post-intervention mean scores was not statistically significant (P=0.713). Conclusion: The present study showed that nurses can use the PLISSIT model in conjunction with chemotherapy and radiotherapy to teach coping and problem-solving skills to women with breast cancer and their husbands and to encourage their participation in group programs for expressing their feelings and attitudes about their current sex life and thus help enhance quality of sexual life and sexual functioning in this group.

• Asian Oncology Nursing
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• v.9 no.1
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• pp.7-14
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• 2009

Purpose: This study was to analyze the level of quality of life and sexual function of Hematopoietic Stem Cell Transplantation (HSCT) recipients. Method: Participants included 38 recipients of HSCT, attending hospital outpatient department. Data were collected using the quality of life scale and the sexual function scale. Data were analyzed using Descriptive statistics, t-test, ANOVA, Sheff$\acute{e}$ test, and Kruskal-Wallis test. Results: The high score of quality of life was found in the participants with the 30s age (p=0.030), being employed (p=0.001), not having admission history after HSCT (p=0.012), and not having medication (p=0.017). The sexual function was significantly influenced by employment status (p=0.001) and irradiation therapy (p=0.043). There was a significant correlation between the quality of life and the sexual function (r=0.45, p=0.004). Conclusion: The sexual function have influence on the quality of life so that it is required to develop nursing interventions for sexual function to improve the quality of life of HSCT recipients.

• Korean Journal of Health Education and Promotion
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• v.30 no.5
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• pp.163-175
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• 2013

Objectives: This study was performed to identify the relationship among sexual desire, other domains of sexual function and quality of life (QOL) and to describe the effect of sexual desire on sexual function and QOL in married women with hypoactive sexual desire disorder (HSDD). Methods: A total of 397 women with HSDD participated in this study. Data were collected through self-reported questionnaire which were constructed to include general characteristics items, Female Sexual Function Index (FSFI), and QOL tool. Data were analyzed using SPSS/WIN20 for descriptive statistics, t-test, one-way ANOVA, Duncan, partial correlation coefficients, and Hierarchial multiple regression. Results: There were significant correlations with sexual desire and other domains of sexual function. And also, sexual desire had a positive correlations with the psychological status and total QOL. The sexual desire was statistically significant predictors for sexual function and QOL. Conclusions: Health professionals should direct efforts toward developing sexual health-related counseling or education programs for women suffering from sexual dysfunction with the goal of helping them to achieve satisfying sex lives and improved quality of life.

• Women's Health Nursing
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• v.25 no.1
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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.

• 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.

• The Korean Journal of Rehabilitation Nursing
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• v.3 no.1
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• pp.27-42
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• 2000

The purpose of this study was to identify the degree of sexual adjustment and quality of life in married men with spinal cord injuries and to furnish primary data to sexuality rehabilitation nursing practice which can lead to ideal sexual life and quality of life those men with SCI. Seventy married men with SCI were conveniently sampled in Kwangju, Suncheon, Mokpo and Seoul for responding the questionnaire, which was based on this research. With the research scale, SIS (Sexual interest and satisfaction) by Siosteen et al.(1990) and SB(Sexual behaviour) by Kreuter et al.(1996) were used for the measurement of sexual adjustment. And, for measuring quality of life was used SCI QL-23(Spinal cord injury of life-23) scale by Lundqvist et al.(1997). Data were collected from January 20 to March 20, 1999, using a structured questionnaire. A hundred volumes of questionnaire were used. and 85 volumes were collected, 70 volumes were used as research data after excluding 15 volumes unsuitable to data analysis. The obtain data were analysed using percentage, t-test, ANOVA, Duncan test, and Pearson's correlation by SAS PC+ program. The results were as follows: 1. The mean score of sexual interest and satisfaction of the subjects was 8.42. out of 18. The ways of their sexual behavior after spinal cord injuries were embracing and caressing (62.9%), kissing(58.6%), caressing breast with hands (55.7%), caressing breast with hands (52.9%), caressing genitals with hands (37.2%), caressing genitals with mouth(30.0%) and sexual intercourse (18.6%). The mean score of quality of life was 52.53 out of 100. 2. Age(F=3.24, p=.045) and caregiver (F=4.02, p=.022)were major variables which reveals significant differences in terms for sexual interest and satisfaction. The later results on Duncan's test showed that subjects who were in their 30s or 40s were significant higher than subjects whose age were in their 50s in their sexual interest and satisfaction. Also subjects with their spouse's care or mother's care were higher than those with other's care. 3. Subjects with incomplete paraplegia were higher than those with the complete paraplegia in sexual interest and satisfaction (F=3.01, p=.036). 4. Variables that showed the significant differences in the quality of life were education(t=2.860, p=.007) and period of marriage(t=2.125, p=.037). and occupational status(t=-2.161, p=.034). High school graduates, those who married before spinal cord injuries and those who didn't have occupation were higher than the other subjects. 5. Variables that revealed significant differences in the quality of life were time passage after spinal cord injuries(F=8.72, p=.001) and injured level of spinal cord(F=3.32, p=.042). Duncan's test showed that subjects who had lived for less than 4 years were higher those with time passage of 5-9 years and 10 years. Also subjects with lumbar injuries were higher than those with thoracic injuries in terms of quality of life. 6. There was negatively correlated between sexual interest and satisfaction and quality of life(r=-.256, p<.05). As a result of these findings sexuality rehabilitation for individuals with SCI was very important issue for their quality of life. Thus, registered nurses who care clients with SCI should activily participate in the client's sexual needs. Also, various sexual behaviors as well as sexual intercourse should be encouraged for the sexual adjustment of client's with SCI.

• 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.