본문 바로가기
KERD
논문KCI 등재

유방절제술 후 1년 이내 여성의 성적 친밀감과 성만족에 영향을 미치는 요인

Influencing Factors of Sexual Intimacy and Satisfaction among Women within 1 Year after Mastectomy

1

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The purpose of this study was to identify the levels of body image, sexual intimacy, and sexual satisfaction, and to explore factors affecting sexual intimacy and satisfaction among women within one year of mastectomy. Methods: The present study was a cross-sectional survey and involved 101 women who had undergone mastectomy at a University hospital of D city, Korea. Measurement included the scales of body image, sexual intimacy, and sexual satisfaction. Results: Mean age of the subjects was 51 years. Scores of the body image, sexual intimacy, and sexual satisfaction were 59.62, 90.69, and 69.04, respectively. Body image, sexual intimacy, and sexual satisfaction were significantly related to each other. Sexual intimacy was higher when women were of young age (β=−.32), had a shorter period since surgery (β=−.24), and with higher levels of body image (β=.37). Sexual satisfaction was higher when women had higher levels of body image (β=.19) and greater levels of sexual intimacy (β=.74). Conclusion: Higher levels of body image and greater levels of sexual intimacy were identified as the significant factors influencing sexual satisfaction among these women. Future research with a mixed-method research is needed to gain a deep understanding of the sexuality between women and their husbands.

Abstract

Purpose: The purpose of this study was to identify the levels of body image, sexual intimacy, and sexual satisfaction, and to explore factors affecting sexual intimacy and satisfaction among women within one year of mastectomy. Methods: The present study was a cross-sectional survey and involved 101 women who had undergone mastectomy at a University hospital of D city, Korea. Measurement included the scales of body image, sexual intimacy, and sexual satisfaction. Results: Mean age of the subjects was 51 years. Scores of the body image, sexual intimacy, and sexual satisfaction were 59.62, 90.69, and 69.04, respectively. Body image, sexual intimacy, and sexual satisfaction were significantly related to each other. Sexual intimacy was higher when women were of young age (β=−.32), had a shorter period since surgery (β=−.24), and with higher levels of body image (β=.37). Sexual satisfaction was higher when women had higher levels of body image (β=.19) and greater levels of sexual intimacy (β=.74). Conclusion: Higher levels of body image and greater levels of sexual intimacy were identified as the significant factors influencing sexual satisfaction among these women. Future research with a mixed-method research is needed to gain a deep understanding of the sexuality between women and their husbands.

참고문헌 (29)

  1. "Breast cancer facts and figures 2018" (2018)[URL]
  2. Boswell EN, "Breast cancer and sexual function", Translational Andrology and Urology, 4(2), pp.160~168 (2015)
  3. Teo I, "Body image and quality of life of breast cancer patients : influence of timing and stage of breast reconstruction", Psycho-oncology, 25(9), pp.1106~1112 (2016)
  4. Chang O, "Association between socioeconomic status and altered appearance distress, body image, and quality of life among breast cancer patients", Asian Pacific Journal of Cancer Prevention, 15(20), pp.8607~8612 (2014)
  5. 김은자, "폐경 전 유방암 수술 환자의 성행동과 영향요인 탐색 - 트라이앵귤레이션 방법 적용 -", 여성건강간호학회지, 20(1), pp.72~81 (2014), 한국여성건강간호학회
  6. Taylor S, "Breast cancer, sexuality, and intimacy : addressing the unmet need", The Breast Journal, 22(4), pp.478~479 (2016)
  7. Boquiren VM, "Sexual functioning in breast cancer survivors experiencing body image disturbance", Psycho-oncology, 25(1), pp.66~76 (2016)
  8. Jankowska M, "Sexual functioning in young women in the context of breast cancer treatment", Reports of Practical Oncology and Radiotherapy, 18(4), pp.193~200 (2013)
  9. 변혜선, "암 치료를 받은 유방암 여성의 성기능 영향 요인", Asian Oncology Nursing, 13(2), pp.85~94 (2013), 대한종양간호학회
  10. de Morais FD, "Sociodemographic and clinical factors affecting body image, sexual function and sexual satisfaction in women with breast cancer", Journal of Clinical Nursing, 25(11-12), pp.1557~1565 (2016)
  11. Yang EJ, "Longitudinal changes in sexual problems related to cancer treatment in Korean breast cancer survivors : a prospective cohort study", Support Care in Cancer, 19(7), pp.909~918 (2011)
  12. Panjari M, "Sexual function after breast cancer", Journal of Sexual Medicine, 8(1), pp.294~302 (2011)
  13. Marino JL, "How does adjuvant chemotherapy affect menopausal symptoms, sexual function, and quality of life after breast cancer?", Menopause, 23(9), pp.1000~1008 (2016)
  14. Zhong T, "A comparison of psychological response, body image, sexuality, and quality of life between immediate and delayed autologous tissue breast reconstruction : a prospective long-term outcome study", Plastic and Reconstructive Surgery, 138(4), pp.772~780 (2016)
  15. Fang SY, "The effect of breast reconstruction surgery on body image among women after mastectomy : a meta-analysis", Breast Cancer Research and Treatment, 137(1), pp.13~21 (2013)
  16. Metcalfe KA, "Changes in psychosocial functioning 1 year after mastectomy alone, delayed breast reconstruction, or immediate breast reconstruction", Annals of Surgical Oncology, 19(1), pp.233~241 (2012)
  17. Lindau ST, "A manifesto on the preservation of sexual function in women and girls with cancer", American Journal of Obstetrics and Gynecology, 213(2), pp.166~174 (2015)
  18. Cohen J, "Statistical power analysis for the behavioral science", pp.400~ (1988), Lawrence Erlbaum Associates
  19. Jun JY, "A study on body image, spouse support and psychosocial adjustment of patients in mastectomy", Korean Journal of Adult Nursing, 8(2), pp.394~409 (1996)
  20. Massey RF, "The assessment of sexual intimacy: a validity study", pp.1999
  21. 이희숙, "성인애착과 결혼만족 간의 관계: 보살핌과 성적 친밀감의 매개 효과", 한국심리학회지: 건강, 13(3), pp.671~689 (2008), 한국건강심리학회[DOI]
  22. Hudson WW, "A short-form scale to measure sexual discord in dyadic relationships", The Journal of Sex Research, 17(2), pp.157~174 (1981)
  23. 김연, "기혼 남녀의 성생활만족도에 관한 연구", 한국가족관계학회지, 7(1), pp.1~18 (2002), 한국가족관계학회
  24. Kowalczyk R, "Factors affecting sexual function and body image of early-stage breast cancer survivors in Poland: a short-term observation", Clinical Breast Cancer, 19(1), pp.e30~e39 (2019)
  25. Markopoulos C, "Impact of breast cancer surgery on the self-esteem and sexual life of female patients", The Journal of International Medical Research, 37(1), pp.182~188 (2009)
  26. Karabulut N, "Sexual desire and satisfaction in sexual life affecting factors in breast cancer survivors after mastectomy", Journal of Psychosocial Oncology, 27(3), pp.332~343 (2009)
  27. 정재원, "유방암 여성이 인식한 배우자와의 친밀감과 삶의 질", Asian Oncology Nursing, 9(2), pp.122~128 (2009), 대한종양간호학회
  28. 강희선, "유방암 생존자 부부를 위한 중재 연구 문헌고찰", 여성건강간호학회지, 19(3), pp.153~165 (2013), 한국여성건강간호학회
  29. Ussher JM, "Changes to sexual well-being and intimacy after breast cancer", Cancer Nursing, 35(6), pp.456~465 (2012)

관련 논문AI추천

이 간행물의 다른 논문 (10건)