• Women's Health Nursing
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• v.20 no.1
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• pp.72-82
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• 2014

Purpose: This study was conducted to investigate sexual behaviors and influencing factors affecting premenopausal women who have breast cancer and have undergone surgery. Methods: Seventy premenopausal women, ranging between 35~55 years of age, were included in this study. Sexual behaviors were evaluated using the WSBQ-F (Wilmoth Sexual Behaviors Questionnaire-Female). The in-depth interview was analyzed utilizing content analysis. Results: There were no significant differences regarding the type of surgery, age, time of marriage, education level, occupation, chemotherapy, use of Tamoxifen, and radiotherapy in the sexual activities of premenopausal women with breast cancer. However, quality-related information utilizing qualitative in-depth interviews, revealed 3 issues regarding sexual behaviors.. Participants reported physical discomfort such as vaginal dryness, dyspareunia, emotional changes such as decrease in sexual confidence, and interaction-related changes such as mandatory sexual life, sexual intimacy with one's partner, and being more active sexual behaviors. Conclusion: There were complex changes associated with sexual behavior after surgery for women with breast cancer which included various events related to stress regarding sexual behavior. Communication between women with breast cancer, their partners, and medical caregivers has a ability to maximize the sense of sexual wellbeing while minimizing the sexual crises.

• Journal of Korean Public Health Nursing
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• v.21 no.1
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• pp.46-56
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• 2007

Purpose: This study attempted to identify the sexual function (ALARM: Activity, Libido, Arousal and orgasm, Resolution, Medical history) of patients who have had an ostomy for the development of an ALARM sexual counseling program. Method: Subjects for this descriptive study were recruited from the outpatient clinic of a university affiliated medical center and peer group. Fifty-two subjects who have had an ostomy and lived with their spouse were selected. Instruments were developed by researchers based on the ALARM model by Anderson (1990). Results: In the subject group, 32.7% patients were not sexually active and 76.9% hesitated to have sexual activity because of the stoma. The mean score of resolution was 13.2 (range: 8-32), with a higher score for couple's intimacy indicating a higher level of libido and resolution. Conclusion: This study presents a series of clinical guidelines that nurses can use to accurately assess sexual health issues and select appropriate sexual counseling for patients with an ostomy.

• Journal of muscle and joint health
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• v.20 no.1
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• pp.62-71
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• 2013

Purpose: This study was conducted to explore factors that influence illness intrusiveness of the sexual life in women with overactive bladder. Methods: Ninety-two women diagnosed with overactive bladder, from D University Hospital and three private urology hospitals in B region, participated in a survey between April 7 and August 7, 2012. The Overactive Bladder-questionnaire (OAB-q), the Marital Intimacy Tool, the Center for Epidemiologic Studies Depression (CES-D), and 1 question to ask illness intrusiveness of the sexual life were used in the study. Results: The illness intrusiveness score of the sexual life in women with overactive bladder was 2.22 out of 5. There were no significant differences of illness intrusiveness by demographic and disease related characteristics. The predictor were the clinical symptom score and depression, accounting for 13% of the variance of the illness intrusiveness of the sexual life in the women with overactive bladder. Conclusion: Effective nursing intervention to relieve clinical signs of overactive bladder and reduce depression can improve quality of sexual life in women with overactive bladder.

• Child Health Nursing Research
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• v.22 no.3
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• pp.227-235
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• 2016

Purpose: The purpose of this study was to identify the relationship between self-esteem and sexual attitude in healthcare college students, and also to provide a basis for sexual health education programs to help establish healthy sexual attitudes. Methods: A survey was conducted with 218 unmarried students attending the healthcare colleges in B and U cities. Data were collected from October 15 to November 10, 2015 and analyzed using Stepwise multiple regression with SPSS PASW 18.0. Results: Mean score for self-esteem was $3.23{\pm}0.46$ out of 5 and sexual attitude $2.64{\pm}0.54$ out of 5. Self-esteem and sexual attitude had a negative correlation (r=-.169, p=.012). Among sub-variables of sexual attitude, negative correlations were found between self-esteem and premarital chastity (r=-.207, p=.002), and between self-esteem and homosexual attitudes (r=-.167, p=.013). There were statistically significant differences in sexual attitude according to perceived intimacy with mother (${\beta}$=-.228, p<.001), year in college (${\beta}$=.135, p=.047), major (${\beta}$=.148, p=.023), religion (${\beta}$=-2.429, p=.016), and homosexual tendencies (${\beta}$=.139, p=.037). These factors explained 14.6% of the variance in sexual attitude. Conclusion: Findings demonstrate the importance of self-esteem for sexual attitudes. This finding should be used in the development of healthcare college students, promotion programs to enhance healthy sexual attitudes.

• Korean Journal of Psychosomatic Medicine
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• v.5 no.2
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• pp.223-236
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• 1997

One faces four major developmental tasks to achieve in young adulthood, ages between 20 and 40 : intimacy, vocation, marriage and child-rearing. Intimacy is the capacity to commit oneself to concrete affiliations and partnerships and to develop the ethical strength to abide by such commitments, even though they call for significant sacrifices and compromises. Through vocation and marriage young adults become united to networks of persons, find tasks that demand involvement, and gain roles into which they fit and are fitted and which help define their identities. An occupation represents much more than a set of skills and functions : it means a way of life. The extent of vocational choice increases with educational level, and the unconscious factors are frequency the decisive element. The vocational choice stare with fantasy choices in childhood, passes through tentative choices in adolescence, realistic choices in college days, and crystallized choices in post-college days, and finally ends up to the choice of specification. Along with the hazards and the need for realignment of personality functioning, the marriage brings with it new opportunities for self-fulfillment and completion. Motives other than a romantic love gain more importance in the decision to marry and in the choice of a partner. The impulsions to marry are sexual gratification, the desire to propagate, narcissistic gratification, and a need of interdependence. Many factors such as oedipal wishes, sexuality and sexual attractions, socio-economic classes, and geography involve in selection of marriage partner. There are also various motivations to marry a romantic love, the desire for a home of one's own, sexual attractions, the wish for security and a shelter, and the wish for children. The hostile marriage, the marriage on the rebound, the marriage rooted in rescue fantasies, and sado-masochistic marriage are the examples of pathological marriages. A successful marriage will usually both Lead to and require a marked reorganization of the personality structure of each partner that will influence the lurker personality development of each. Many marital problems are largely dependent upon the personality characteristics of one partner which might well create difficulties no manor who was the spouse.

• Journal of Korean Public Health Nursing
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• v.12 no.2
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• pp.236-251
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• 1998

This study aimed at comprehending the meaning of sexual life for aged people, their strength of sexual desire and causes of change in their sexual life. It was another purpose to understand the extent of aged people's acknowledging the necessity of sexual consultation. This study adopted descriptive method using open-ended questionaires. The data for study was collected from 26 people over 65 years who reside in communities. It was gathered from April to June of 1998 through interview. The interviewee includes 16 males, 9 females and their average age was 73.3. 19 people among them have spouses. The conclusion of this study can be summarized as follows. 1) Attitude to sexual life: The meaning of sexual life for aged people is categorized as 'sense of duty', 'feeling of intimacy', 'basic desire', 'decrease of meaning' and 'meaningless'. 2) Sexual desire: Sexual desire of aged people is categorized as 'extinction', 'decrease', 'continuation' and 'restraint'. Restraint of sexual desire is due to social convention or the difficulty in fulfilling desire. 3) Causes of troubles in sexual life Causes which lead to troubles in sexual life of aged people can be categorized as 'physical', 'psychological' and 'social'. 'Physical' elements include 'incompetence of erection', 'decrease in duration of erection', 'increase in time needed to re-erection', 'declining of physical strength', 'decrease in vagina secretion' and 'worsening of health'. Among 'psychological' elements 'decrease of self-confidence', 'diminished concern of female aged people' are. 'Social elements' are 'absence of sexual parter', 'circumstances of living' and 'recognition of neighbor'. 4) Response to change of sexual life The reaction of aged people to change of sexual activities is classified as 'positive' and 'negative'. 5) Attitude to the consultation of sexual life of aged people The attitude to the consultation of sexual life in old age is classified as 'negative', 'doubtful' and 'positive'. This study explored the meaning which aged people in community attach to sexual life, the extent of their sexual desire, the causes of troubles in their sexual life, their emotional response to changes in sexual life, their recognition of necessity in sexual consultation. Considering the frequency of the statement, most of aged people who were interviewed thought much of sexual life and put emphasis on it. Those who said that sexual life has decreased meaning or is not important to them are few, Though aged people still maintain sexual desire, most of them have some trouble in sexual life. These trouble changes the sexual life, and results in negative feeling such as depression, renunciation and difficulty in relations. So they acknowledged that sexual consultation is necessary to them.

• Journal of Families and Better Life
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• v.21 no.2
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• pp.103-115
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• 2003

This study develops and evaluates a mother-child relationship improvement program for poor female-headed families. The program consists of seven sessions including various physical and educational activities. The goals of this program are (1) enhancing emotional support, health, and physical intimacy among the female heads of households and their children, (2) understanding each other's wants and personalities, and (3) facilitating the communication skills and increasing knowledge on adolescent sexual development. Four mothers of poor female-headed families and four adolescent children of them were participated in the program. The result of the program evaluation shows that this program had positive effects on improving mother-child relationship and their Interaction.

• Journal of Families and Better Life
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• v.14 no.2
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• pp.201-214
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• 1996

The purpose of this study was to investigate the social-psycholigcal marital conflict contents and marital conflict degree and find out how socio-demographic variables had an effect on marital conflict. For these pourposes 265 couples in the early marriage stage in seoul were randomly selected. The data were analysed through statistical methods such as frequency percentile paired t-test F-test Scheffe-test factor analysis. The major finding of this study were as follows: First the main social-psychological marital conflict contents was the attitude or habit of life communication sexual life personality and intimacy. Second the degree of marital conflict was relatively low. Taking a look at each conflict fact wives was higher than husbands in the degree of the conflict in intimacy factor. Third among socio-demographic variables level of family income wife's education and marriage style had influences on the the marital conflict degree.

• Korean Journal of Psychosomatic Medicine
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• v.6 no.2
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• pp.97-103
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• 1998

A dolescence can be defined as the period between pubescence and physical maturity, and the passage through adolescence(age of 12-19) forms a critical period. Major developmental tasks of adolescence are construction of an emancipated identity, realistic ambitions, and reasonable ideals, and the further development of sexual and social identities. In early adolescence one struggles to adjust psychologically to the spurt in growth and tensions filled with sexual and aggressive impulses. There are reshuffling of peer groups due to differing rates of maturation, early adolescence crushes, sublimation of sexuality, and the resurgence of oedipal feelings. One reaches so-called period of formal operations in cognitive development. In mid-adolescence one struggles to overcome family attachments and controls, and it is a time marked by revolt and conformity. One has to overcome sexual repression while caught in reactivation of oedipal attachment. Peer groups gains in importance, and the peer group changes into a youth group that carries the youth culture. Late adolescence is a period of achieving an ego identity and capacities for intimacy. One has to prevent premature closure : Identity foreclosure limits both opportunity and the ability to guide one's own life. Gradually adolescent begins to have a loss self-centered and narcissistic orientation to one's sexual and affectional needs, and becomes involved in love relationship.

• Journal of Digestive Cancer Research
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• v.2 no.1
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• pp.8-10
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• 2014

Patients with uncontrolled pain may become tired, depressed, angry, worried, lonely, and stressed. In contrast, proper management of cancer pain allows patients to be more active, sleep better, enjoy family and friends, improve their appetite, enjoy sexual intimacy, and prevent depression. Pain control is strongly influence to quality of life of cancer patients. This review discusses the importance of quality of life in pain management for cancer patients.