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1 Vol.9, No.2, , :,,, 1 ) 2 ). 1.. ( ).,. (Roeske, 1979). (1992), Butt s (1979),,,,,.. (, 1985) (, 1991 ;, 1988) 1), 2)

2 ). 2). 3) 4 ). 5),,. 6) ) 2), 3) 6 ( ) 4) 5) 6) , 9, 14 5, 6, 14, , 5, 8, 27, 5, 10 6 Cronbach ' s alpha.88,.9 1,.93,.89,.91, Cronbach ' s alph a, 190

3 92,,,,, tt est, P ear son, Multiple Regression. 6. 1). 2). 3) %, 4 7.2% 63.7%, 40.0% 65.5%. 2) %, %, %, 7.3%, 38.2% 69.1% ) % % 44 < 1>. 72.8% 67.3%, 65.5%, 6 1.8%., 18.2% 16.3% < 1> ( N = 5 5 ) /, % % /, /,

4 < 1> () (N = 5 5 ) % % ± % 4 1.8%, 23.6%, 10.9%. 58.2%, 25.5%83.7%. 14.2%. 72.8%, 2 1.8%93.%. 1.8%., 56.3%. 49.1% 36.4 % 14.5%. 3. 1) < 2 > (N = 1 10 ) % % / / / / / / / / / / < 2>, < 3> 192

5 (1991) %, 66.0%, 23.1%, 30.2%.. 60%,., 88.9%, 85.2%.. < 3 > ( N = 1 10 ) % % ) (1) < 4 > 26.0% 34.0%. < 4 > % % (mn) mn = multiple number (2) < 5> 4 3.0% 40.0% 80% 53%. < 5 > (N = 1 10 ) % % , ) 6 6< 6> 1%. < 6 > t **

6 ) 6< 7> < 8>.,,,,. < 7 > (N = 5 5 ).59**.46**.55**.44**.31*.63** (.001) (.022).24.29* (.084) (.034) (.431) (.189).45**.42**.30*.30*.45** (.001) (.001) (.025) (.025) (.001) * p<.05, ** p<.01 < 8 > (N = 5 5 ).32* (.018).43**.62** (.001).31*.32*.20 (.023) (.195) (.138).56**.31*.34*.17 (.021) (.012) (.205).42** **.23 (.001) (.089) (.126) (.006) (.097) * p<.05, ** p< ) (1) < 9>.,,,, 5 1 5%.,,,,,. (2) 6 < 10>,,,, 51 5%.,,. 2) 6 < 11>,,,? 4. 3) 6 < 12> 10 < 9 > ± t or F ± t or F ± t or F ± t or F ± t or F ± ± ± ± ± * 7.27** ± ± ± ± ± * (.025) (.002) (.015) ± ± ± ± ± ± * 13.3± ** 19.6± ± * 28.6± ** ±6.7 (.041) 17.2± ± ±4.1 (.024) 32.9±6.2 (.003) 194

7 92 < 10 > ± t or F ± t or F ± t or F ± t or F ± t or F ± ± ± ± ± * ± ± ± ± ±5.6 (.029) ± ± ± ± ± ± * 16.9± ± ± * 31.6± ±6.3 (.024) 15.8± ± ±3.5 (.029) 28.5±3.6 * p<.05 ** p<.01 : None of Significant 2.61* (.012) < 1 1> ( N = 5 5 ) ±t or F ±t or F ±t or F ±t or F ±t or F ±t or F ± ± ** 29.7± ± ± ± ** 2.96** ** 4.23** (.003) ±7.3 (.005) 12.7± ±6.6 (.005) 18.2± ± ± ± ± ± ± ± ± ± ± ± ± ± ± * 4.77** (.017) (.005) ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± * ± ± ± ± ± ± * (.011) 5.68** (.043) (.002) ± ± ± ± ± ± ± ± ± ± ± ± * 2.69* 2.65* 1.96 (.046) (.015) (.011) ± ± ± ± ± ±5.2 * p<.05 ** p<.01 : None of Significant 3.48* (.022) 3.76* * (.002). 6. < 13> < 14> 20%, 18%., 13%, 6%. 19 5

8 < 12 > (N = 1 10 ) ** (.002) 3.36* (.039) 2.92** (.004) 2.61* (.011) 2.57* (.012) 2.96** (.004) 4.38** 3.98** (.005) 4.45** (.002) 5.20** (.007) ** (.007) * (.045) 2.71** (.008) 3.07** (.003) 4.93** ** 3.20** (.002) 2.25* (.027) ** ** 4.24** * p<.05, ** p< ** (.001) 3.24* (.015) 6.72** 11.05** 4.24** 3.02** (.003) 3.57** (.001) 9.78** 9.92** 26.75** 13.98** 4.25** 5.89** 5.01** * (.029) 6.21** 5.18** 4.89** < 13 > (N = 5 5 ) R 2 F p < 14 > (N = 5 5 ) R 2 F p % %, 6 1.8% %, 4 1.8%.., 18.2% 16.3% 45.5% 196

9 92, 4 1.8%, 23.6%, 10.9%...,., (1988), (199 1). 58.2%, 25.5%83.7%. 14.2%. 72.8%, 21.8%93.%. 1.8% ~ 3 (1991)1~ %, 66.0%. 88.9% 85.2% % 34.0%. (2002),,, % 40.0% 80% 53%.,.,,.,,,,. (1988).,,,, 19 7

10 2003 6,,. (1988).,, 19%, 4%, 3%26%..,,, (, 1985)., % % 67.3%, 65.5% 6 1.8% %, 88.9%, 85.2% %, 18%. 13%, 6%.... Re f e re n c e s (1996)..,. (1991)..,.,, (1997).., 27 (4), (1997)..,. (1984 ).. :.,, (2000).., 30 (5), (1989)..,. (1988)..,. (2002).. 198

11 92 SM C. (1992)..,. (1985).. :., (1987)..., 10, , (1989).., 28 (1), (1985)..,. Anderson, B. I., Mot h, S. B., J esen, M. D., & Bobak, I. M. (1986). Sexual fu nction and som at opsychic relations in Vulvect omyoperat ed women and th eir part ners. Act a. Obst et. Gy necol. Scand, 65 (1), But t s, P. (1979). M eeting th e special needs of y our hy st erect omy.n ursing, Nov : Campsey, J. R. (1985). The Sexual dimention of P at ient car e. N ursing Forum, 12 (2), Crooks, R., & Bauer, K. (1980). Our S exuality. California : The Benj amin Cummings Publishing Company. Derogatis, L. R. (1976). Paycholosical assessment of th e sexu al disabilities, In J. K. Meyer, (E d), Clinical M anagem ent of Sexual Disorders. Baltimor e : Williams and Wilkins. Maslow, A. (1954 ). Motiv ation and Personality. New York : Harper and Br os. Quinn, M. (1984 ). F act s, allacies and feminity. N ursing Mirror, 159 (1), Roeske, N. C. (1979). Hystrectomy and the quality of a woman ' s life. A rchiv es of Int ernal M edicine, 139, Sch enk, J. H., Pfr ang, & Rau sch e, A. (1983). P ersonalit y tr ait s ver su s t he quality of t he m arit al relat ionship as th e det erminant of m arit al sexuality. A rchiv es of Sexu al Beh avior, 12 (1), Zalar, M. K. (1982). Role pr epar ation for nur ses in human sexu al function. N ursing Clinics of N ort h A m erica, 17 (3), Ab s t ra ct A Com p a r a t ive St u d y on Sex u a l Life b etw een Wom en a n d Th eir Sp ou s es a ft er Hy s t e r e ct om y Lim, Heoy n Suk 1 ) Y oo, Eu n Kw ang 2 ) Th e purpose of this compar ative st udy is t o find out women and t heir spou ses' sexual life and t he fact ors affect ing on t heir sexual life aft er women ' s hyst erect omy. Th e dat a wer e t he 110 questionaires which wer e collect ed fr om t he part icipant s, th e 55 wom en who had u ndergone a hyst erect omy du e t o gynecologic disease or benign tumor of genit al or gans and th eir spouses fr om J anuary 1, 1999 t o J anuary 30, 2002 in one gener al h ospit al locat ed in Seoul, Kor ea. Quest ionnair es were mailed t o cou ples, wh o agreed t o participat e on th e stu dy and self r eport ed quest ionnair es r eturned in th e pre st amped envelopes. And personal visit s were made for th ose cou ples wh o did not r espond. Tools for Sexu al life and char act eristics of sexu al activit ies wer e r econstit ut ed by t he auth or based on Kim (1996) and Ch ang(1988)' s t ools and wer e reviewed by a nurse specialist. Dat a analysis was done by SPSS 10.0 progr am using fr equ ency, per cent age, mean, S.D. Pear son corr elation coefficient, tt est, oneway ANOVA and multiple regression. Th e result s of t his st udy are as follows ; 1. Of all female subj ect s, 80% had experienced hyst er ect omy below th e age of % of fem ale subj ect s and 67.3% of 1) Hanyang University, Women ' s Health Nursing, Mast er, Hea d Nur se of Samsung Medical Cent er 2) Hanyang Universit y, Women' s Health Nursing, Professor. 199

12 male subj ect s did not receive any sexual edu cat ion & counseling before and aft er th e sur gery. Mor e t han 60% of both fem ale and m ale subj ect s answered t hat it was necessary t o have a sexual cou nseling. And 40% want ed t o r eceive sexu al cou nseling from a pr ofessional sexual cou nselor. 3. Mor e th an half of cou ples st art ed th eir fir st coitu s within 4 weeks aft er th e sur gery. And 88.9% of fem ales and 85.2% of males answered t hat th ey wer e experiencing or gasm s wit h th eir sexual relationship. 4. Influ encing fact or s on th e sat isfact ion level of sexu al life were cou ple' s intim acy and sexu al discomfort in wom en and couple' s int imacy and sexual knowledge in spouses. These fact or s explained t he 33% and 24% of t ot al variance respectively. In conclu sion, th e result suggest s th at it is necessary for cou ples t o r eceive a pr ofessional sexu al edu cation and cou nseling t o im pr ove couples' qualit y of life. It is also necessary for institutions t o use prepar ed nur ses by receiving sexu al cou nseling and edu cation progr am as a professional sexu al counselor s or educat or s so as t o provide individu alized sexual educat ion and counseling for t heir client s. Key w o rds : Sexu al life, Hyst erect omy, Sexual education, Sexual counseling 200

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歯09.PDF