부인암 여성과 배우자를 위한 PLISSIT 모델 성 건강증진 프로그램의 효과

노주희(Nho, Ju-Hee) 한국간호과학회 2013 Journal of Korean Academy of Nursing Vol.43 No.5

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.

다학제적 라이프스타일 개선 프로그램이 과체중 · 비만 중년여성의 건강증진행위, 심리적 디스트레스, 신체조성과 생식기계증상에 미치는 효과

노주희(Nho, Ju-Hee),황은숙(Hwang, Eun Suk) 한국성인간호학회 2019 성인간호학회지 Vol.31 No.6

부인암 여성과 배우자를 위한 웹 기반 성 건강 프로그램 개발

노주희 ( Ju-hee Nho ) 여성건강간호학회 2016 여성건강간호학회지 Vol.22 No.2

Purpose: The purpose of this study was to develop a web-based sexual health program for women undergoing treatment for gynecologic cancer and their partners, and to evaluate the validity of the developed program. Methods: A web-based sexual health program was developed and evaluated: analysis (needs assessment on 23 patients and content analysis through literature review and web search), design, development, implementation, and evaluation. Results: The web-based sexual health program for women undergoing treatment for gynecologic cancer and their partners was structured with sexual life, sexual response cycle, change of sexual function, sexual dysfunction related to treatment, and useful method for sexual dysfunction. This program included a video to improve for understanding and a bulletin board to promote bi-directional interactions between program users and providers. Experts and users rated this program in terms of efficacy, convenience, design, relevance, and usefulness. This program contents were found appropriate and satisfactory to both experts and users. Conclusion: This web-based sexual health program for women undergoing treatment for gynecologic cancer and their partners would contribute to sexual health promotion for gynecologic cancer women and their partners.

항암화학요법을 받는 부인암 환자의 영양장애, 우울 정도와 삶의 질과의 관계

노주희 ( Ju Hee Nho ),김성렬 ( Sung Reul Kim ),강경선 ( Gyeong Seon Kang ),권용순 ( Yong Soon Kwon ) 여성건강간호학회 2014 여성건강간호학회지 Vol.20 No.2

Purpose: The purpose of this study was to identify nutritional status, and relationships among malnutrition, depression and quality of life in patients with gynecologic cancer who were receiving chemotherapy. Methods: For this study a descriptive cross-sectional design was used. Participants were 111 women who were enrolled and agreed to undergo a face-to-face interviews including administration of the structured questionnaires: Patient-Generated Subjective Global Assessment (PG-SGA), Beck Depression Inventory (BDI), Simplified Nutritional Appetite Questionnaire(SNAQ), and Functional Assessment of Cancer Therapy-General (FACT-G). Results: Mean body mass index was23.3 and mean body weight was 56.5 kg. Sixty-three (57%) of the 111 patients were malnourished according to the PG-SGA. The malnourished patients showed higher levels of depression and lower quality of life compared to then on-malnourished patients. In addition, malnutrition was associated with BMI level, depression, appetite and quality of life. Conclusion: The findings indicate that the prevalence of malnutrition is high and malnutrition in patients with gynecologic cancer influences depression and adversely affects the quality of life of these women. To improve the patient`s quality of life, nutritional assessment and appropriate management is important to decrease malnutrition in patients with gynecologic cancer.

부인암 여성의 성생활에 대한 서술적 연구

노주희 ( Ju Hee Nho ),박영숙 ( Young Sook Park ) 여성건강간호학회 2012 여성건강간호학회지 Vol.18 No.1

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 semistructured 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.

부인암 환자의 말초신경병증과 삶의 질

정주현 ( Ju Hyeon Jeong ),노주희 ( Ju Hee Nho ),김기숙 ( Gi Suk Kim ),이영은 ( Young Eun Lee ),유선영 ( Sun Young Yu ),이현주 ( Hyun Ju Lee ),심유미 ( Yu Mi Sim ),이영선 ( Young Sun Lee ) 여성건강간호학회 2013 여성건강간호학회지 Vol.19 No.4

Purpose: The purpose of this study was to identify chemotherapy induced peripheral neuropathy, quality of life of patients with gynecologic cancer. Methods: This was a cross-sectional survey design. We collected 130 patients with gynecologic cancer. They complete a self reported questionnaire including items related neuropathy and quality of life (FACT-GOG/Ntx subscale, FACT-G scale). Results: The neuropathy score was 14.3±7.9. The quality of life score was 64.8±16.4. The neuropathy induced significant difference according to diabetic status, difficulties in performing household chores and willing to discontinuity of chemotherapy. And duration of cancer diagnosis, neuropathy,number of total chemo agent associated with quality of life. There was a negative correlation between number of total chemo agent and quality of life. Neuropathy independently affected quality of life. Conclusion: Chemotherapy induced peripheral neuropathy of patients with gynecologic cancer adversely affected women`s quality of life and activities of daily living. To improve patient`s quality of life, it is important that accurate assess and appropriately manage neuropathy in patients with gynecologic cancer

생활습관중재가 부인암 환자의 피로와 영양상태 및 삶의 질에 미치는 효과

안현진(An, Hyunjin),노주희(Nho, Ju-Hee),유선영(Yoo, Sunyoung),김현민(Kim, Hyunmin),노민지(Nho, Minji),유호정(Yoo, Hojeong) 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.6

Purpose: The purpose of this study was to examine the effect of lifestyle intervention on the development of fatigue, nutritional status and quality of life of patients with gynecologic cancer. Methods: A nonequivalent control group quasi-experimental design was used. Participants were 49 patients with gynecologic cancer. They were assigned to the experiment group (n=24) or the control group (n=25). The lifestyle intervention for this study consisted of physical activity, nutritional education, telephone call counseling, health counseling, monitoring for lifestyle, and affective support based on Cox’s Interaction Model of Client Health Behavior and was implemented for six weeks. Results: Significant group differences were found for fatigue (p =.037), nutritional status (p =.034) and social/family well-being (p =.035) in these patients with gynecologic cancer. Conclusion: Results indicate that this lifestyle intervention is effective in lessening fatigue, and improving nutritional status and social/family well-being. Therefore, nurses in hospitals should develop strategies to expand and provide lifestyle interventions for patients with cancer.

조기진통 임부의 피로, 우울과 불안이 삶의 질에 미치는 영향

강현아 ( Kang Hyuna ),노주희 ( Nho Ju-hee ),강혜진 ( Kang Hyejin ),이수진 ( Lee Soojin ),이황미 ( Lee Hwangmi ),최선숙 ( Choi Sunsook ) 여성건강간호학회 2016 여성건강간호학회지 Vol.22 No.4

Purpose: The purpose of this study was to identify effects of fatigue, depression and anxiety on quality of life in pregnant women with preterm labor. Methods: With a survey design, data were collected from 138 mothers who were admitted at a hospital in Seoul, between June 2014 and September 2015. Instruments used to collect the data for the study were: Fatigue Continuum Form, Depression anxiety stress scale (DASS-21) and maternal postpartum quality of life (MAPP-QOL). Results: The mean fatigue score was 68.30 with 50.7% of women being depressed and 79.7% of the 138 women being anxious. The mean quality of life was 18.92 with quality of life being associated with fatigue, depression and anxiety. Depression and fatigue explained 26% of the variance in quality of life. Conclusion: Depression and fatigue adversely affected women`s quality of life. It is important to address appropriate management of depression and fatigue in order to improve quality of life in pregnant women with preterm labor.

유방암 생존자의 생활습관, 우울, 부부친밀도가 삶의 질에 미치는 영향

서수진 ( Su-jin Seo ),노주희 ( Ju-hee Nho ),이명하 ( Myoungha Lee ),박영삼 ( Youngsam Park ) 한국여성건강간호학회 (구 여성건강간호학회) 2020 여성건강간호학회지 Vol.26 No.1

Purpose: This study investigated lifestyle, depression, marital intimacy, and quality of life (QoL) in breast cancer survivors, with the goal of identifying the impacts of these factors on QoL. Methods: A sample of 146 breast cancer survivors was surveyed in this cross-sectional study. Data were collected from March 20 to May 30, 2019, using self-report structured questionnaires at a hospital located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and hierarchical regression analysis. Participants agreed to complete a face-to-face interview, including administration of the Health Promoting Lifestyle Profile II, Depression Anxiety Stress Scale 21-Depression Scale, Marital Intimacy Scale, and Functional Assessment Cancer Therapy-Breast Cancer tool. Results: QoL was positively correlated with lifestyle (r=.49, p<.001) and marital intimacy (r=.45, p<.001) and negatively correlated with depression (r=-.72, p<.001). Hierarchical multiple regression analysis showed that depression (β=-0.63, p<.001), marital intimacy (β=0.19, p=.001), and lifestyle (β=0.13, p=.031) had significant effects on the QoL of breast cancer survivors, accounting for 63.3% of variance in related QoL. Conclusion: This study provides insights into how breast cancer survivors’ QoL was influenced by depression, marital intimacy, and lifestyle. To improve the QoL of breast cancer survivors, healthcare providers should consider developing strategies to decrease depression, to increase marital intimacy, and to improve lifestyle.

난임 여성의 난임관련 삶의 질 영향요인

김윤미 ( Yun Mi Kim ),노주희 ( Ju-hee Nho ) 한국여성건강간호학회 (구 여성건강간호학회) 2020 여성건강간호학회지 Vol.26 No.1

Purpose: Infertile women experience various physical, psychological, and relational problems that affect their infertility-related quality of life (QoL). This study investigated infertile women’s infertility-related QoL with the goal of identifying how it is influenced by fatigue, depression, and marital intimacy. Methods: A sample of 140 infertile women was surveyed in a cross-sectional study. Data were collected from February to April 2018 using self-report structured questionnaires at three infertility clinics located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression analysis in SPSS for Windows version 25.0. The subjects agreed to complete a face-to-face interview, including administration of the Fatigue Severity Scale, Depression Anxiety Stress Scale-21, Marital Intimacy Scale, and the Fertility Quality of Life tool. Results: The mean age of the participants was 35.6±4.3 years. Infertility-related QoL was negatively correlated with fatigue (r=-.42, p<.001) and depression (r=-.56, p<.001), and positively correlated with marital intimacy (r=.30, p<.001). Multiple regression analysis showed that depression (β=-0.44, p<.001), fatigue (β=-0.27, p<.001), and husband’s attitude (β=-0.19, p=.007) had significant effects on the QoL of infertile women, accounting for 40.5% of the variance in infertility-related QoL. Conclusion: The study provides insights into how infertile women’s infertility-related QoL was influenced by depression, fatigue, and their husbands’ attitudes regarding infertility treatment. To improve infertile women’s infertility-related QoL, healthcare providers should consider developing strategies to decrease depression and fatigue in infertile women and to address their husbands’ attitudes.