• Korean Journal of Adult Nursing
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• v.29 no.3
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• pp.225-234
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• 2017

Purpose: The aim of this study was to evaluate the effect of sexual health program for men with rectal cancer resection based on sexual function, self-esteem, depression, and marital intimacy. Methods: Using a quasi-experiment design, the intervention group (n=32) participated in the sexual health program based on PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Therapy) model. They received the program three times between August 2014 and March 2015. The comparison group (n=30) received a general educational program for rectal cancer. Four survey questionnaires such as International Index of Erectile Function (IIEF), Self-Esteem Scale, Center for Epidemiologic Studies Depressing Scale (CES-D), Marital Intimacy were used to measure the four key variables. Results: After the sexual health program, the intervention group showed statistically positive effect for the sexual function (F=4.14, p=.046), self-esteem (F=16.71, p<.001), depression (F=12.56, p=.001), and marital intimacy (F=12.45, p=.001) than the comparison group. Conclusion: Sexual health program should be consistently provided for men with rectal cancer resection since the intervention group reported better self-esteem, less depression, more intimacy and better sexual functioning.

• Women's Health Nursing
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• v.8 no.4
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• pp.595-607
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• 2002

Sexuality education in the period of adolescents need much care and attention. The programs of sexual education through the Internet are excellent resources for adolescents to gain the information related to their sexual health. And systematic program which is necessary for adolescents to manage their sexual health has been rarely found in Korea. The purpose of this study was to offer valuable database for program design and evaluation on sexual education of middle school students through the Internet. Needs assessment for the information of sexual education on the internet among middle school students were carried out. A questionnaire survey was conducted with respondents of 602 middle school students from January to March in 2002. In the sexual counseling center for middle school students, counseling cases through internet were analyzed and evaluated from October, 2001 to September, 2002, We have selected 16 Sexual educational websites in Seoul confirmed Korean Educational Human Resource. Contents which was illustrated in 16 sexual educational websites were analyzed and evaluated by 12 sexual counselors. Design and evaluation of the program on the internet for sexuality education of adolescences was conducted on the basis of this study results by middle school expert teachers, sexual counselors, sexuality education professionals. Data was statistically analyzed using dBSTAT 4.0 for Windows. The extent and phase of the teaching-learning program of the sexuality education on the internet was seen as follows : 1. We evaluated to need for sexuality education on the internet by middle school student. 2. We assessed the properness of sexuality education curriculum on the internet frequently used by middle school students. 3. We designed teaching strategy and learning program for sexuality education of the middle school students. 4. We developed the assessment method for the teaching-learning program of the sexuality education in adolescences on the internet. Middle school students responded that sexual education through Internet is needed in the order of programs related to acquaintances with opposite sex, Sexual culture and ethics, Sexual health, Reproductive health structure and development, Marriage and family, Psychology of Sexuality, Pregnancy and birth. In the internet counseling, cases on the 'reproductive health structure and development' was ranked as the top. In short we have found the most needs as follows; Meaning of the marriage life and having family, Sexes and Love, Human relation, Sexual Culture.We recommend as follows on the basis of this study results: 1. It is necessary for sexuality education program on the internet to specify according to age and target the specific individual needs. 2. Sexual educators have to employ various educational materials such as flash, cartoon, multimedia in order to provide effective sexuality education. 3. Internet based sex education need to be evaluated regularly through reassessment of the effectiveness of sexuality education for content quality and richness.

• Journal of Korean Academy of Nursing
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• v.43 no.5
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• pp.681-689
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• 2013

Purpose: The purpose of this study was to examine effects of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual health enhancement program on, and development in, sexual function, sexual distress, marital intimacy, and subjective happiness of women with gynecologic cancer and their husbands. Methods: The comprehensive program (4 session, 90 minutes per session) was developed based on the PLISSIT model. Participants were 43 couples, 21 assigned to the experimental group who attended the 4-week program, and 22 to the control group. Sexual function, sexual distress, marital intimacy, subjective happiness of the women, marital intimacy, subjective happiness of husbands were determined by a questionnaire that was completed by the participants before and after the program. The control group received the intervention post experiment. Chi-square test, t-test, Fisher's exact test were used to test the effectiveness of the program. Results: Post intervention results showed significant differences between the groups for sexual function, sexual distress, and marital intimacy in the women and for subjective happiness in the husbands. Conclusion: Results indicate that the sexual health enhancement program is effective in improving sexual function, lowering sexual distress, increasing marital intimacy, and subjective happiness in women with gynecologic cancer and their husbands.

• Journal of Korean Public Health Nursing
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• v.26 no.1
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• pp.51-59
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• 2012

Purpose: The purpose of this study was to identify correlation between sexual autonomy and self-efficacy and provide preliminary information for use in development of a sex education program for university students. Method: This study employed a descriptive research design. Data were collected from 357 university students. Subjects completed questionnaires on the following: demographics, sexual autonomy, and self-efficacy. Results: A total of 112 subjects (31.3.%) had experienced sexual intercourse and 126 subjects (35.3%) regarded it as an acceptable level of sexual behavior. The mean of sexual autonomy was 3.49 and significant differences were observed in gender, grade, department, and acceptable level of sexual behavior. The mean of self-efficacy was 4.08 and significant differences were observed in gender, department, and acceptable level of sexual behavior. In addition, significant correlation was observed between sexual autonomy and self-efficacy. Conclusion: Development of a sex education program for university students, which includes information on reinforcement of sexual autonomy and self-efficacy, is needed.

• Korean Journal of Health Education and Promotion
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• v.16 no.1
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• pp.167-185
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• 1999

The purpose of this study was to analyze the content of the sexual knowledge and sexual attitude of the results of 39 previous studies for the adolescence in Korea, 1976-1997. The basis for analysis was the Guidelines for Comprehensive Sexuality Education developed by the Sex Information and Education Council of the U. S.(SIECUS). SIECUS is consisted of six key concepts; Human development, Relationships, Personal skills, Sexual behaviour, Sexual health, Society and Health. The research consisted of 39 articles that met definitional criteria of content analysis. The results of the study were summarized as follows: 1. Knowledge: It was conducted 96.7% of human development, 90.0% of sexual health, 70.0% of sexual behaviour, 23.3% of society and culture. 2. Attitude: It was conducted 94.1% of sexual behaviour, 73.5% of relationships, 55.9% of sexual health, 41.1% of human development, 26.5% of society and culture, 11.8% of personal skills. 3. General characteristics: With regard to sexual knowledge, 50.0% of research were published 1980s, 43.3% were 1990s, and 6.7%were 1970s. As regard to sexual attitude, 50% of research were published 1980s, 45.5% were 1990s, and 2.9% were 1970s. In sample size, 23.1% of 600 over, 401-500 were 20.5%. In the research tool, it was developed by researcher mainly 66.7%, modified tool by researcher was 5.1%. The tested reliability of the research tool was only 27.9%. And 78.9% of the research was not tested in validity of tool.

• Women's Health Nursing
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• v.10 no.4
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• pp.318-330
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• 2004

Purpose: The purpose of this study was to measure knowledge, attitude, experience of sex, sexual autonomy and the need of sex education of college students in order to provide sex information. Method: The subjects of this study were 356 college students. The data were collected from October 26 to December 5, 2003 by using a structured questionnaire. Result: The respondents' score of sexual knowledge was relatively low as 53.7 mean score on the basis of 100. However, the scores of sexual knowledge related to masturbation, induced abortion, and contraception were relatively high. The respondents' score of sexual attitude was 3.09. The respondents' score of sexual autonomy was 3.89. The percentage of subjects that experienced sexual intercourse was 41.6% and there was a difference between the gender. There was a positive correlation between sexual knowledge and sexual autonomy and between sexual knowledge and sexual attitude. There were significant differences in the sexual knowledge, sexual attitude and sexual autonomy depending upon the experience of coitus. The respondents expressed the need of sex education in college. Conclusion: An integrated sex education program should be developed and contents must have a concrete and honest education which is appropriate to college students.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.6
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• pp.3561-3564
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• 2013

Background: The negative effects of gynecologic cancer on women's health is multidimensional. Sexual problems arising after chemotherapy are decreased interest and vaginal lubrication, lack of orgasm and dyspareunia and sense of reduction in sexual attractiveness in general. The purpose of this study was to evaluate changes that patients who receive chemotherapy for a gynecologic oncology disorder experience in their sexual functions. Materials and Methods: A descriptive/cross-sectional and qualitative study was performed. The Female Sexual Function Index (FSFI) was used in order to collect data on sexual capacity. The quantitative data obtained were evaluated with frequency and percentage calculations while content analysis was performed for the qualitative data. Results: All of the information related to sexuality was provided by the physician. Chemotherapy treatment affected sexuality negatively in 55.9%. Since receiving the diagnosis, 52.9% of women had experienced no sexual intercourse at all. Those who had an FSFI score of 30 and below made up 75% of the women. After the content analysis of data obtained during in in-depth interviewing, we focused on three main themes: desire for sexual intercourse, problems experienced during sexual intercourse, and coping with problems. Conclusions: An integrated system where sexual problems can be handled professionally should be present during gynecological cancer treatment.

• Child Health Nursing Research
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• v.9 no.4
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• pp.408-419
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• 2003

Purpose: This study was done to develop a reliable and appropriate evaluation tool for sexual educational materials and to apply it to video materials for recommendation of excellent materials. Method: The items of the content for evaluation were based on the previous studies on the sexual education and evaluation tools. After testing validity and reliability of tool, final evaluation tool for sexual educational materials was developed. The evaluation tool was applied to 84 video materials and the excellent materials were recommended. Result: The final evaluation tool for sexual educational materials which consisted of two parts was developed. One is the evaluation of basic information which includes 8 items: target population, type of materials, producer, year of production, subject, theme, running time, and guide book. The other is the evaluation of content which includes 36 items related to characteristics of material, purpose, efficiency and scope of content. After applying the tool to 84 video materials, 39 excellent sexual education materials were suggested. Conclusion: The systematic development of materials for sexual education appropriate to the specific subjects should be done. Producers should describe the basic information on the outside of materials. For recommending the excellent materials, the periodical standardized evaluation of sexual educational materials should be done, and the database of the excellent materials should be provided for further utilization.

• Korean Journal of Health Education and Promotion
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• v.14 no.2
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• pp.95-112
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• 1997

This study examines knowledge, attitudes and behaviors toward sexual activity among 412 college students in Seoul. An 127-item questionnaire is used in order to understand and consider alcircumstances involved in decisions about sexual activity, and to reflect to the course on healthy sexuality. The major findings are as follows: 1. ‘Books/media’ and ‘friends’ are the primary source of sexual knowledge. 2. Despite the increased number of sxeducation programs, peers apparently remain the major source of information and the counsellor of the sexual problems(71.6%). 3. About ninety percent of males and 14.2 percent of females masurbate. Although mastubation is anormal response to pleasurable bodily feelings, students feel ‘unnatural’, ‘bad’ or ‘guilty’. 4. For some students, sexual intercourse is perceived as the natural outgrowth of love. More than thirty oercent of males and 8. 1 percent of females are engaged in inter -course. 5. Asking parents or teachers to be specific in talking about sex makes it uncomfortable to discuss sex. 6. Sex education should begin in the family and in school in early childhood and continue throughout life. 7. Sexual feelings and emotions are stirred up differently between male and female by sexual sensations. 8. Half of the intimate relationship with opposite sex shows a love relationship with sexual closeness and pleasure. Unguided reading or peers remain the primary source of information about topics like masurbation and sexual technique. Thus, schools should be responsible for the more value-laden subjects (such as birth control, homosexuality, and sexual techniques). And inclusionof a peer education componebt that modified college students' perceived peer norms may be the intervention method of choice. The prevention of health problems is far more desirable than treatment. The earlier the knowledge and skill to make healthful decisions are instilled, the greater the chance a healthful lifestyle will be adopted. School is the logical place in our society to provide the college students learning opportunities essential to developing the knowledge and skills to choose a healthful life course.

• Women's Health Nursing
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• v.13 no.1
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• pp.35-42
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• 2007

Purpose: This study was done to discover the contents needed for a sexual education program in the lower grades (the first to the third grade) by primary school teachers and to discover difficulties in confronting sexual education. Method: This was a descriptive study of 198 teachers for lower grade students in 15 primary schools. A questionnaire on sexual education was distributed and collected by mail. Result: The contents for sexual education that teachers felt were highly needed are as follows: sanitation of genitals, sexual violence, pregnancy & childbirth, family, selfassertion, and sexual self-determination. Teachers think prevention of sexual violence is the main reason for sexual education. Teachers indicated that sexual education considering the developmental stage was difficult. Conclusion: Development of a sexual education curriculum for lower grade primary school students is necessary for increasing the problem-solving ability of students focused on sexual violence, self-assertion and sexual self-determination, in addition to providing simple information.