Vol.9, No.2, 189 200, 2003. :,,, 1 ) 2 ). 1.. ( ).,. (Roeske, 1979). (1992), Butt s (1979),,,,,.. (, 1985)....... (, 1991 ;, 1988) 1), 2) 03. 6. 7 03. 6. 16 189
2003 6. 2. 1). 2). 3) 4 ). 5),,. 6).. 1.. 2. 1999 1 12002 1 30. 1) 2), 3) 6 ( ) 4) 5) 6). 3. 1 1999 1 12002 1 30 1 2002 9 110 30 55 110. 4. 6, 9, 14 5, 6, 14, 665 11, 5, 8, 27, 5, 10 6 Cronbach ' s alpha.88,.9 1,.93,.89,.91,.86. 5. Cronbach ' s alph a, 190
92,,,,, tt est, P ear son, Multiple Regression. 6. 1). 2). 3). 50 80%, 4 7.2% 63.7%, 40.0% 65.5%. 2) 40.1 5043.6%, 50.1 60 23.7%, 47 3. 63.6%, 7.3%, 38.2% 69.1%. 2.. 1. 1) 40.1 504 3.6% 30.14029.1% 44 < 1>. 72.8% 67.3%, 65.5%, 6 1.8%., 18.2% 16.3% < 1> ( N = 5 5 ) /, % % 2 3.6 2 3.6 40 72.8 37 67.3 13 23.6 16 29.1 /, /, 36 65.5 34 61.8 19 34.5 21 38.2 9 16.3 13 23.6 10 18.2 6 10.9 25 45.5 23 41.8 11 20.0 13 23.7 24 43.7 14 25.4 31 56.3 41 74.6 16 29.1 6 10.9 5 9.1 3 5.4 6 10.9 4 7.2 1 1.8 3 5.4 27 49.1 39 71.1 19 1
2003 6 < 1> () (N = 5 5 ) % % 32 58.2 41 72.8 8 14.5 1 1.8 14 25.5 12 21.8 1 1.8 2 3.6 12 11 20.0 12.1 24 21 38.2 24.1 36 15 27.3 22.9±10.6 36.1 8 14.5 27 49.1 13 23.7 7 12.7 8 14.5 9 16.3 46 83.7 45.5% 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 ) % % 4 34 61.8 32 58.2 2 11 20.0 16 29.1 3 6 10.9 6 10.9 6 2 3.6 2 3.6 1 1.8 4 / 6 10.9 9 16.4 23 / 18 32.7 15 27.3 1 / 14 25.5 16 29.1 23 / 10 18.2 12 21.8 1 / 5 9.1 3 5.5 2 3.6 4 / 3 5.5 4 7.3 23 / 16 29.1 17 30.9 1 / 11 20.0 12 21.8 23 / 15 27.3 12 21.8 1 / 10 18.2 9 16.4 1 1.8 3 5.8 2 3.8 12 23.1 16 30.2 37 71.2 35 66.0 17 32.1 5 10.0 4 7.5 15 30.0 32 60.4 30 60.0 < 2>, < 3> 192
92 12 3 (1991)1 3. 71.2%, 66.0%, 23.1%, 30.2%.. 60%,., 88.9%, 85.2%.. < 3 > ( N = 1 10 ) % % 22 40.0 21 38.2 24 43.6 28 50.9. 9 16.4 6 10.9 17 30.9 14 25.5 30 54.5 38 69.1. 8 14.5 3 5.5 50 94.3 48 88.9 3 5.7 4 7.4 1 1.9 1 1.9 1 1.9 2 3.7 52 98.1 52 96.3 23 42.6 27 50.0 31 57.4 27 50.0 48 88.9 46 85.2 6 11.1 8 14.8 9 16.7 5 9.3 45 83.3 49 90.7 2) (1) < 4 > 26.0% 34.0%. < 4 > % % 2 4.0 2 4.0 6 12.0 6 12.0 13 26.0 17 34.0 8 16.0 6 12.0 3 6.0 (mn) 12 6 52 24.0 12.0 100.0 12 7 50 24.0 14.0 100.0 mn = multiple number (2) < 5> 4 3.0% 40.0% 80% 53%. < 5 > (N = 1 10 ) % % 14 24.0 25 40.0 1 2.0 1 2.0 4 7.0, 17 29.0 25 40.0. 26 43.0 8 13.0 4. 1) 6 6< 6> 1%. < 6 > t 3.64.96 3.75.93.87 2.94.79 3.31.84 2.67** 3.51.90 3.67.80 1.19.70.28.74.38.29 3.80 1.10 3.94.94.94 3.35 1.01 3.40.91.49 19 3
2003 6 2) 6< 7> < 8>.,,,,. < 7 > (N = 5 5 ).59**.46**.55**.44**.31*.63** (.001) (.022).24.29*.11.18 (.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**.23.21.37**.23 (.001) (.089) (.126) (.006) (.097) * p<.05, ** p<.01 5. 1) (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 21 40 20 41.8±7.2 16.1±3.6 21.6±4.0 21.6±3.6 32.7±5.8.90 2.54 3.96* 7.27** 41 50 24 38.9±7.0 14.2±3.5 20.7±6.2 17.8±3.9 29.4±4.9 4.55* (.025) (.002) (.015) 5111 39.1±9.3 13.3±3.9 15.8±6.8 16.8±4.6 27.4±3.1 35 38.5±7.6 2.10* 13.3±3.4 4.50** 19.6±5.7.76 18.0±4.2 2.32* 28.6±4.0 3.13** 20 42.7±6.7 (.041) 17.2±2.9 20.9±6.4 20.7±4.1 (.024) 32.9±6.2 (.003) 194
92 < 10 > ± t or F ± t or F ± t or F ± t or F ± t or F 21 40 12 43.3±6.3 18.6±2.4 20.8±7.0 21.4±3.6 31.4±5.1.85 3.81* 1.23 2.02 40.1 50 24 40.1±6.1 16.7±3.7 21.3±2.9 19.8±3.5 31.1±5.6 (.029) 50.1 19 41.2±8.2 15.2±3.4 18.9±5.7 18.6±4.3 29.5±3.7.75 38 42.6±6.9 2.37* 16.9±3.6 1.12 21.0±4.7 1.45 20.4±3.9 2.28* 31.6±5.1 17 38.1±6.3 (.024) 15.8±3.5 18.9±5.7 18.1±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 36 42.0±6.9 15.8±3.4 3.14** 29.7±4.9 21.0±5.5 20.5±4.0 31.9±5.4 2.90** 2.96** 1.68 4.25** 4.23** (.003) 19 36.2±7.3 (.005) 12.7±3.6 25.1±6.6 (.005) 18.2±6.5 16.1±3.5 26.9±3.2 12 11 43.4±7.3 16.2±2.3 29.8±5.7 21.5±4.6 20.5±3.2 31.6±6.5 12.1 21 39.0±5.7 14.4±3.8 1.83 28.1±4.7 20.2±6.0 19.5±4.5 29.5±4.1 24 1.56 3.72* 4.77** 1.11 24.1 (.017) (.005) 15 40.9±9.2 15.3±4.4 29.8±5.8 22.1±5.0 17.9±4.9 30.1±6.0 36 36.1 8 36.5±7.7 12.4±3.1 22.4±6.8 13.6±5.3 17.5±4.1 30.0±5.4.39 27 41.7±7.7 15.2±4.1 28.6±6.6 21.3±4.7 21.0±3.5 32.2±5.7 13 41.1±6.6 15.2±3.3 28.5±5.2 21.9±3.7 17.4±4.2 29.2±2.8.37 4.09* 7 38.7±6.0 14.3±3.6 1.09 27.1±4.3 17.9±6.1 18.0±4.2 28.1±2.7 2.9* (.011) 5.68** (.043) (.002) 8 33.5±6.7 12.6±3.0 26.4±6.3 14.5±9.0 15.4±4.2 26.6±6.1 8 35.8±6.9 12.3±3.6 24.9±3.2 15.3±8.9 16.4±3.9 25.8±3.3 1.73 2.05* 2.69* 2.65* 1.96 (.046) (.015) (.011) 46 40.7±7.5 15.1±3.7 28.2±6.1 21.0±5.0 19.5±4.3 31.0±5.2 * p<.05 ** p<.01 : None of Significant 3.48* (.022) 3.76* * (.002). 6. < 13> < 14> 20%, 18%., 13%, 6%. 19 5
2003 6 < 12 > (N = 1 10 ).98 1.99 2.20 1.86 4.72** (.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) 1.58 2.25 3.73** (.007) 2.47.41 2.04* (.045) 2.71** (.008) 3.07** (.003) 4.93** 1.64.97 1.48 8.23** 3.20** (.002) 2.25* (.027) 1.49 1.68 5.35** 1.69.86 4.41** 4.24** 1.80 1.36.10.97 * p<.05, ** p<.01 7.06** (.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** 1.39 1.79 2.22* (.029) 6.21** 5.18** 4.89** < 13 > (N = 5 5 ) R 2 F p.45.20 13.53.001.36.33 12.50.000 < 14 > (N = 5 5 ) R 2 F p.42.18 11.52.001.26.24 8.19.001. 50 80%..... 67.3%, 6 1.8%. 4 5.5%, 4 1.8%.., 18.2% 16.3% 45.5% 196
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%... 12 ~ 3 (1991)1~ 3. 71.2%, 66.0%. 88.9% 85.2%.. 26.0% 34.0%. (2002),,,.. 4 3.0% 40.0% 80% 53%.,.,,.,,,,. (1988).,,,, 19 7
2003 6,,. (1988).,, 19%, 4%, 3%26%..,,, (, 1985).,..... 1. 50 80%. 2. 72.8% 67.3%, 65.5% 6 1.8%.. 3. 450%, 88.9%, 85.2%. 4. 20%, 18%. 13%, 6%.... Re f e re n c e s (1996)..,. (1991)..,.,, (1997).., 27 (4), 753 764. (1997)..,. (1984 ).. :.,, (2000).., 30 (5), 1292 1302. (1989)..,. (1988)..,. (2002).. 198
92 SM C. (1992)..,. (1985).. :., (1987)..., 10, 109 12 1, (1989).., 28 (1), 67 76. (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), 7 10. But t s, P. (1979). M eeting th e special needs of y our hy st erect omy.n ursing, Nov :404 7. Campsey, J. R. (1985). The Sexual dimention of P at ient car e. N ursing Forum, 12 (2), 69 71. 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), 16 18. Roeske, N. C. (1979). Hystrectomy and the quality of a woman ' s life. A rchiv es of Int ernal M edicine, 139, 1464 7. 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), 31 42. 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), 351 363. 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 50. 2. 72.8% 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
2003 6 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