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구경애,소희영 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.1
This research was conducted to varify the factors related to sexual life in women who had a mastectomy. For that purpose, women who has a mastectomy and general cancer surgery, and who had not experienced mastectomy were, compared sexual related factors to extended the understanding of sexual life in women who had mastectomy. This study was a descriptive survey study. There were 219 subjects in the study, and they were selected by a convenient sampling method. The tool for this study was Derogatis Sexual Function Inventory modified by Chang and Rosenburg's Self-esteem Inventory. Data collection was done between Nov, 1995 and Feb. 1996 using a mail and interview by researcher. Data was analyzed by SAS program using frequency, ANOVA, ANCOVA, Pearson correlation coefficients, and Regression. The results of this study are summarized as follows: 1. There was a statistically significant difference in sexual attitude (F=3.57, P< .05) and sexual behavior (F=9.91, P< .001) among 3 groups. 2. In women who had mastectomy, there was a statistically significant difference in sexual satisfaction (F=4.04, P< .05) according to monthly income, in sexual behavior (F=3.42, P< .05) according to age in body image (F=4.10, P< .05) and sexual satisfaction (F=4.74, P< .05) according to spousal educational level, in sexual behavior (F=3.00, P< .05) and sexual satisfaction (F=5.52 P< .001) according to number of children, in spousal support (t=-5.61, P< .05) and body image (t=-3.01 P< .05) according to spousal stress, and in sexual satisfaction (F=6.01, P< .01) according to postoperative lapse. 3. Sexual satisfaction has statistically very highly significant positive correlation with spousal support (r=.4633, P< .0001), body image (r=.3634, P< .001), self-esteem (r= .3750 p< .001), sexual attitude (r=.4195, p< .0001), and sexual behavior (r=.4317 p<.0001). 4. The factors influencing sexual satisfaction of women who had a mastectomy were spousal support, sexual attitude and sexual behavior, and these 3 factors explained 41.6% of the total variance. In conclusion, for the care of women who had a mastectomy, nurses have to work with the husbands of clients to help them and understand the importance of their support. Nurses also need to make sure that the subjects have an adequate knowledge of sexual life after mastectomy. Nursing intervention should focus on the subjen for comprehensive approach to the management of psychosexual problemsvia psychological counseling by nurse specialist through perioperative period.
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소희영,구경애,명길재 충남대학교 간호과학연구소 1999 충남대 간호학술지 Vol.2 No.1
The purpose of the study was to identify the cause of delaying the screening test of breast cancer by comparing the role stress and locus of control between the women with breast cancer and the healthy women. The 213 women with the mean age of 48.7 years were surveyed with structured questionnaires and the data were analyzed using SAS program. The results were as follows: 1. There was statistically no difference in role stress between two groups. 2. The women who has extemal locus of control were negatively correlated with role stress in healthy population. 3. Among demographic characteristics of breast cancer women, there were significant differences in role stress according to monthly income and marital status. 4. The influencing factors of the occurrence of breast cancer were marital status, educational level, and the occupation of the subjects according to the result of logistic regression analysis. Women's role stress was related to economie and marital status and locus of control. Further investigation would be necessary to identify other causes of delaying the screening test related to ecological, socio-cultural aspects for early detection of breast cancer in women population.
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