부인암 여성을 위한 성건강 향상 프로그램 개발과 효과

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to develop a SHIP (Sexual Health Improvement Program) for women with gynecologic cancer and to evaluate the program effect. Methods: The SHIP was developed using a needs assessment derived from an in-depth interview and analysis of literature based on the sexual health framework. This program consisted of providing information about sexuality, Kegel exercises, group art activities, and psychodrama and group counseling. The program was held for two hours, once a week for six weeks. A pre-post quasi-experimental design was employed (experimental group 15 and control group 15). Data collecting was conducted by using the Female Sexual Function Index (FSFI), as well as body image and sexual communication questionnaires. Data were analyzed using SPSS/WIN 18.0. Results: The SHIP experimental group showed significantly increased scores for FSFI (U=31.00, p<.001), body image (U=50.00, p=.009), and sexual communication (U=26.00, p<.001) compared with the control group. Conclusion: The SHIP adopted in this study was found to be an effective method to increase sexual function, body image, and sexual communication for women with gynecologic cancer, and is therefore recommended.

목차 (Table of Contents)

• 서론
• 연구방법
• 연구결과
• 논의
• 결론 및 제언
• REFERENCES

참고문헌 (Reference)

1 문진영, "신체꾸미기 중심의 집단미술치료가 요양시설 여성노인의 신체만족도와 생활만족도에 미치는 효과" 한국미술치료학회 27 (27): 67-85, 2020

2 문덕희, "성기능증진 프로그램이 유방암 생존 여성의 성스트레스, 성만족 및 부부친밀감에 미치는 효과" 한국여성건강간호학회 22 (22): 30-38, 2016

3 이현정, "부인암 환자의 지지적 돌봄 요구" 대한종양간호학회 18 (18): 21-29, 2018

4 배은정, "부인암 환자의 증상 클러스터, 활동정도, 정서상태가삶의 질에 미치는 영향" 한국모자보건학회 23 (23): 45-55, 2019

5 박정숙, "부인암 환자의 생존단계에 따른 디스트레스와 신체상 비교" 대한종양간호학회 14 (14): 15-22, 2014

6 전나미, "부인암 여성의 성기능 구조모형" 한국간호과학회 38 (38): 639-648, 2008

7 노주희, "부인암 여성과 배우자를 위한 PLISSIT 모델 성 건강증진 프로그램의 효과" 한국간호과학회 43 (43): 681-689, 2013

8 전나미, "근치적자궁절제술 후 배뇨장애가 자궁경부암 여성의 삶의 질에 미치는 영향" 대한종양간호학회 19 (19): 150-158, 2019

9 Scott JL, "United we stand? The effects of a couple-coping intervention on adjustment to early stage breast or gynecological cancer" 72 : 1122-1135, 2004

10 Woods NF, "Toward a holistic perspective of human sexuality : alterations in sexual health and nursing diagnoses" 1 : 1-11, 1987

11 Lee YS, "The relationship between marital conflict factors and sexual dissatisfaction of Korean urban wives" 15 : 155-184, 1990

12 Seo SY, "The perception of love and marital sexuality in early-married couples" Ewha Womans Univ. 2001

13 Kim HS, "The effects of a sexual health enhancement program for women with breast cancer" Seoul Univ 2018

14 Jun EY, "The effect of a sexual life reframing program on marital intimacy, body image and sexual function among breast cancer survivors" Yonsei Univ 2008

15 Rosen R, "The Female Sexual Function Index(FSFI) : a multidimensional self-report instrument for the assessment of female sexual function" 26 : 191-208, 2000

16 Alinejad Mofrad S, "Spousal sexual life issues after gynecological cancer : a qualitative study" 29 : 3857-3864, 2021

17 Cleary V, "Sexuality in Irish women with gynecologic cancer" 38 : E87-96, 2011

18 Dai Y, "Patient-reported barriers and facilitators to seeking and accessing support in gynecologic and breast cancer survivors with sexual problems : a systematic review of qualitative and quantitative studies" 17 : 1326-1358, 2020

19 전나미, "PLISSIT 모형 부인암 여성 성기능 향상 프로그램의 효과" 한국간호과학회 41 (41): 471-480, 2011

20 National Cancer Information Center (KR), "National Cancer Information Center web site"

21 Goodenough FL, "Measurement of intelligence by drawing" Harcourt, Brace, & World 1926

22 Huffman LB, "Maintaining sexual health throughout gynecologic cancer survivorship : a comprehensive review and clinical guide" 140 : 359-368, 2016

23 Korean Statistical Information Service, "Korean Statistical Information Service web site"

24 Bae MK, "Educational needs for sexual health and sexual communication with medical staffs according to the stages of survivorship in gynecologic cancer" Ewha Womans Univ. 2021

25 Kim HY, "Development of the Korean-version of Female Sexual Function Index(FSFI)" 20 : 50-56, 2002

26 Anderson BJ, "Chronic physical illness and sexual behavior : psychological issues" 54 : 168-175, 1986

27 Chang SB, "An analytic study on influencing factors for sexual satisfaction in women who have had a hysterectomy" 19 : 160-172, 1989

28 Kim JY, "A study on the relationship between the defense mechanism type and the draw-a-person test" Hanyang Univ. 2010

29 Derogatis LR, "A psychological profile of the transsexual. I. The male" 166 : 234-254, 1978

30 Brotto LA, "A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer" 37 : 317-329, 2008