• Journal of Korean Academy of Nursing
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• v.20 no.3
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• pp.357-367
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• 1990

This descriptive study was done to identify factors influencing sexual satisfaction in women who had had a hysterectomy and to compare these with women who had not had a hysterectomy. The purpose was to contribute theoretical understanding on which to base nursing care planning. One group of subjects were 156 women who had had a hysterectomy, between one and 18 months post surgery, living with their spouse, having no complications, and menstruating before surgery. The other group of subjects were 282 healthy women who were living with their husbands and menstruating. The study tool consisted of 108 items including item concerning personal characteristics, characteristics related to the hysterectomy, husband's support, body image, emotions, attitude toward the sexual relationship, knowledge of sexuality, sexual behavior, and sexual satisfaction. Sexual satisfaction was measured by a tool based on Derogatis Sexual Function Inventory. The range of the internal level of the study tool was from. 5208 to .9462. Data collection was done during the period from June 20 to Aug.20, 1989. The same questionnaire was used of data collection for both groups, but a mail survey method was used for the women who had had a hysterectomy, and an interview method was used for the women who had not had a hysterectomy. Data analysis was done using frequency, ratio, mean and S.D. for the characterstics of the subjects and level of sexual satisfaction. t - test or ANOVA was used for the differences between the groups with regard to the general and hysterectomy related characteristics. The relationship between the score for sex life related factors and the level of sexual satisfaction was analyzed using the Pearson Correlation, and the influencing factors on sexual satisfaction were analyzed by stepwise multiple regression. The results of this study were as follows ; 1. Mean age and income level were the only general characteristics for the two groups that were significantly different. The mean age, and income level of the group who had had a hysterectomy were 45years, and 1,150,000 won respectively, and for those who had not had a hysterectomy, 41 years and 999,000 won. 2. There was no statistical difference of the sexual satisfaction score between the two groups. 3. There was differences in the factors influencing sexual satisfaction between the two groups. Factors influencing sexual satisfaction for the group who had had a hysterectomy were husband's support (R＝.5793, P＝.000) and the women's Knowledge of sexuality(R＝.6670, P＝.000) (total variance : 33.56). On the other hand, emotional status(R＝.4294, P＝.000), sexual behavior(R＝.4294, P＝.000), husband's support(R＝.5274, P＝.000) and attitude towards sexual relations (R＝.5412, P＝.000) (total variance : 54.12) were the factors influencing sexual satisfaction in the group who had not had a hysterectomy. Since husband's support and sexuality knowledge were identified as factors influencing sexual satisfaction of women who have had a hysterectomy, it can be concluded that, before a woman who has had a hysterectomy is discharged from hospital, nurses should include strategies in the nursing care plan that will promote husband's support and the women's knowledge of sexuality.

• Journal of Korean Academy of Nursing
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• v.39 no.4
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• pp.539-548
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• 2009

Purpose: This study was designed to construct and test the structural equation model on sexual satisfaction in patients with a colostomy. Methods: The model construction was based upon Roy's adaptation model. Stoma-related discomfort (SRD), age, frequency of sexual intercourse, treatment modality, and gender affect sexual satisfaction and are mediated by physical, psychosocial, and interdependence modes. Each mode was conceptualized as sexual function, body image/ depression, and marital intimacy. The patients were 112 colostomates with colorectal cancer who were asked to complete a mail-back survey on their demographic data, SRD, body image, depression, marital intimacy, sexual function, and sexual satisfaction. Data were analyzed using SPSS WIN 15.0 and AMOS WIN 7.0. Results: Significant variables for sexual satisfaction in the final model were body image affected by SRD, depression affected by body image and SRD, marital intimacy affected by depression, and sexual function affected by marital intimacy. Conclusion: The results of this study suggest that specific guidelines for SRD are necessary to improve sexual satisfaction among colostomates. Nurses should be vigilant in monitoring depression and body image disturbance, and providing appropriate interventions to increase marital intimacy. Treatment modality, gender, and age should be considered in developing education programs pertaining to sexuality.

• Journal of Korean Academy of Rural Health Nursing
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• v.5 no.2
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• pp.74-83
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• 2010

Purpose: The purpose of this study was to explore the sexual life and sexual life satisfaction of elderly people. Method: The participants were 181 elders over 65 years of age. Data were collected from February 10 to December 15, 2007 by interviews and questionnaires. Results: Of the respondents 17.1% still had sex in their lives but sexual satisfaction was less than that of middle-aged adults. Further, 31.8% of the elders reported no experience of sex over the past 10-19 years. The reasons for not having sex were 'no sexual partner' or 'no sexual desire'. Finally, 27.2% wanted to have a date. The main reason for dating was to relieve loneliness and the reason for not dating was 'good as it is', 'having date is shameful'. The level of satisfaction with sexual life was 2.71. Satisfaction with sexual life was higher for elders who had a spouse and for elders who still had sex. Conclusion: This study provides bases on the usefulness of various nursing intervention programs to enhance the quality of life through better understanding of the sexual life and sexual life satisfaction of elders.

• Korean Journal of Adult Nursing
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• v.15 no.4
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• pp.563-572
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• 2003

Purpose: This study aimed to compare differences on sexual satisfaction between non-smokers and smokers of Korean adult males. Method: The subjects of this study were 304 current smokers and 331 current non-smokers(stop smokers, never smokers) (58.0%). Because of the nature of the study, the participants were recruited through a home page advertisement of a brand newspaper company in Korea, and the survey was done through Internet system. The tool to measure participant's sexual satisfaction was adopted from the Arizona Sexual Experience Scale-Male. Result: Participant's age ranged from 20 to 49, mostly in their 30s-40s(96.1%). They were smoking average of 15 cigarettes per day. There were no significant difference on sexual satisfaction between current smokers and non-smokers( t=-.55, p>.05). However, there were significant difference on sexual satisfaction between ever smokers(n=481) and never smokers(n=154) (t=2.10, p<.05). There were significant differences an erectile and orgasm satisfaction according to number of cigarettes they smoked per day. 54.5% smokers who said that they have difficulty in keeping erectile state considered on smoking cessation within 30 days whereas 24.2% in those who said that keeping erectile state was easy. Conclusion: Informing about the high risk of sexual dysfunction with cigarette smoking should become a important part of smoking cessation education and for smoking adolescents.

• Korean Journal of Adult Nursing
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• v.21 no.5
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• pp.529-537
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• 2009

Purpose: The purpose of this study was to investigate the correlation of sexual satisfaction and daily stress in breast cancer patients. Methods: Data was collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, ANOVA and Pearson's correlation. Data survey was conducted with 500 conveniently selected breast cancer patients who visited the out patient department in 5 university hospitals in Seoul, Gyung-gi and Gang-won province. Results: The sexual satisfaction of breast cancer patients score was 31.34 and there were significant sexual satisfaction differences by age, education level, menopause and sexual activity frequency. Sexual satisfaction was negatively related with daily stress (r = -.177) especially personal stress (r = -.155), economic stress (r = -.138), stress of self (r = -.181), family stress (r = -.154) and stress about leisure (r = -.139). Conclusion: These findings are expected to make a contribution to creation of ideal sexual rehabilitation nursing interventions for breast cancer patients care nurse. Furthermore continuous and customized education and counseling programs can contribute to promote healthy sexual life for breast cancer patients.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.20 no.1
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• pp.6-17
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• 2013

Purpose: The purpose of this study was propose and test a predictive model that could explain and predict factors influencing the sexual satisfaction of women with diabetes mellitus. Method: The conceptual frame for this study was formed as a hypothesized model based on Roy's adaptation model. Participants for this study were 240 out-patient women from P university hospital in Y city. The data were analyzed using SPSS 18.0 and AMOS 19.0 program. Results: The paths that had direct effects on sexual satisfaction, and were statistically significant were showing intimacy with spouse, and sexual function. The explanatory power of these variables for sexual satisfaction was 64%. Conclusion: The results of the study suggest that it is necessary for enhancement of sexual satisfaction for women with diabetes to increase intimacy with husband, and that sexual function, frequency of exercise, adequate glycemic control be maintained, and depression decreased.

• Women's Health Nursing
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• v.13 no.4
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• pp.262-271
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• 2007

Purpose: This study aimed to examine the relationship between pre and post operative sexual condition, differences in sexual attitude through post operational periods, and the relationship between sexual attitude and satisfaction. Method: Data was collected with questionares from 119 women registered in the gynecology department of a general hospital in Seoul who had undergone a hysterectomy. Result: There was a significant difference between the condition of pre and post operation coital frequency, sexual satisfaction, and spouse's attitude toward the extraction of the partner's uterus. There was a significant difference between their views of the operation. Twelve months after the operation sexual attitude of sexual aspects changed, but not in physical and psychological aspects. There was a significant difference between sexual attitude and satisfaction on sexual, psychological aspects, but not physical aspects. Conclusion: The findings suggest that a preliminary sexual condition be identified before surgery, scheduling the operation after helping a spouse gain a positive attitude about the hysterectomy, and couples in their 50's and older get counselling. Increased sexual satisfaction will develop with a belief in positive changes of sexual aspects, but a rapid change should not be expected.

• Journal of Korean Academy of Nursing
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• v.25 no.1
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• pp.173-183
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• 1995

The research questions of this study were : Will the level of sexual satisfaction of women who have had a hysterectomy 4 months before be decreased compare to the level of sexsual satisfaction before the hysterectomy\ulcorner, Will the level of perceived spouse support of women who have had a hysterectomy 4 months before be decreased compare to the level before the hysterectomy\ulcorner, and What is the relationship between sexual satisfaction and spouse support\ulcorner This is a perspective descriptive correlational study. The number of subjects was 44. The subjects were limited to Korean women who had an abdominal or vaginal hysterectomy for non - malignant diseases, were married(living with their husbands), mentally healthy, and premenopause at the time of operation. The instrument was consisted of 4 items of demo-graphic characteristics, 13 items of spouse support, and 10 items of sexual satisfaction. The instrument of sexual satisfaction was a component of the Derogatis Sexual Function Inventory. Data analysis was done by paired t-test to see the differences between the pre-post scores of sexual satisfaction and spouse support. The Pearson Correlation Coefficiency was calculated to see the relationship between the scores of sexual satis-faction and spouse spport of pre-post hysterectomy. Results were summerized as follow : The mean age of the subjects was 43.5 years : 72.7% of the subjects were above middle school graduates : their mean income level was 1, 453, 000 Korean won and 86.4％ of the subjects have had bi-lateral oophrectomy. 1. The scores of sexual satisfaction of women at 4 months after hysterectomy was decreased significantly compare to the score before hysterectomy(paired t=.274, p=.009). 2. The scores of spouse support of the women at 4 months after hysterectomy was not decreased significantly compare to the score before hysterectomy(paired t=.19, p=.847). 3. The scores of sexual satisfaction and spouse support before hysterectomy was significantly related(r=.5186, p=.000). 4. The scores of sexual satisfaction and spouse support at 4 months after hysterectnmy was significantly related(r=.4110, p=.005). It carl be conlcluded that the sexual satisfaction level could be decreased 4 months after the hyster ectomy, but the spouse support level may not be decreased at 4 months after hysterectomy. Further studies have to be done to identify the factors related to the decrease of sexual satisfaction and spouse support after hysterectomy.

• Journal of Korean Academy of Nursing
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• v.27 no.4
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• pp.753-764
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• 1997

This study was conducted to develop a sexual satisfaction tool for married women in Korea. The data was collected from July 19 to Aug 18, 1997 by means of questionnaires developed by researchers. The subject were 417 married women living in Seoul and Pusan. The process of this study was as follows : 1) The concept of sexual satisfaction was defined. 2) A conceptual framework was identified based on the extensive review of relevant literature and interviews with married women. 3) The preliminary question items containing the attributes and elements of the concept of sexual satisfaction were listed. 4) The preliminary items were revised after a pilot study. 5) The Index of Content Validity(CVI) was calculated from the content specialists' rating. 6) The reliability and validity of the sexual satisfaction measurement tool were tested. As a result of the item and factor analysis, 17 out of 30 items were found to be valid, consequently could be used to measure sexual satisfaction for married women. These final 17 items were divided into two factors. These factors were labeled as "situation factor" (10 items) and "response factor"(7 items) according to the attributes of the clustered items. The reliability of the final 17 items was .9118. Further research is needed to confirm the reliability and validity of the tool by applying it to a group of healthy married women and to a group of married women having health-related problem.

• Journal of Digital Convergence
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• v.13 no.1
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• pp.575-585
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• 2015

The objectives of this study were to understand sexual attitudes and coping behavior of elderly people and to examine the mediating effects of the sexual coping behavior on the sexual attitudes and life satisfaction in order to improve the quality of life of elderly people. The survey was conducted on 305 elderly people at home living. As a result, in relation to the sexual attitudes of elderly people, it was shown that the 'rational sexual attitude' was the highest and the 'liberal sexual attitude' was higher than the 'traditional sexual attitude' among the subordinate factors. This study showed that there was a significant correlation between the sexual attitude, sexual coping behavior and life satisfaction. Furthermore, it is shown that the sexual coping behavior significantly mediates the relation between the liberal sexual attitude and life satisfaction of elderly people at home.