남성 척수손상 장애인을 위한 성교육 프로그램 개발 및 효과
Development and Effects of Sexuality Education Program for Men with Spinal Cord Injury
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구는 남성 척수손상 장애인의 성적 자신감 증진을 위한 성교육 프로그램 개발 및 효과 평가를 위해 시도된 비동등성 대조군 전후설계의 유사실험 연구이다. 성교육 프로그램은 Dick & Carey의 체제적 교수설계 모형을 활용하여 문헌고찰, 초점집단 심층면접, 전문가 간담회, 사전연구를 통해 개발되었다. 본 연구 참여자는 실험군30명, 대조군 30명으로 편의할당 되었고, 실험군에게 주 1회 90~120분간의 1차시씩 총 3차시로 구성된 성교육 프로그램을 제공하였다. 실험군과 대조군에게 사전, 사후, 추가 4주 후에 성지식, 성태도, 결혼의지를 측정하였고, 사후 성지식(p<.001), 성태도(p=.020) 점수에 유의한 차이가 있었다. 본 연구에서 개발된 프로그램은 남성 척수손상 장애인의 성지식과 성태도를 긍정적으로 변화시켰으며, 간호중재 프로그램으로 유용하였을 뿐 아니라 본 연구는 장애인에 대한 사회적 인식환기 및 보건교육의 기초자료로서 의의가 있다고 사료된다.
Abstract
This is nonequivalent control group pretest-posttest quasi-experimental study to develop a sexual education program for improving sexual confidence of men with spinal cord injury disabled and assess the effect of the program. The program was based on Dick & Carey‘s systematic design of instruction, literature review, focus group, in-depth interview, expert meeting, and preliminary study and formative evaluation. Subjects were conveniently assigned to experimental group of 30 and control group of 29, and the program was provided to experimental group once a week for 90~120 minutes, 3 sessions total. Sexual knowledge, attitude, and marriage intention were measured before, after, and after 4 weeks of intervention, and there was a significant difference in sexual knowledge(p<.001) and attitude(p=.020). The program positively changed sexual knowledge and attitude of men with spinal cord injury, and was useful nursing intervention. This study is considered to be significant as a basic data for social awareness ventilation and health education for the disabled.
참고문헌 (55)
- Survey on the Status of Disabled Persons in 2014, "S. H. Kim", Korea Institute for Health and Social Affairs, ~ (2014)
- Kirsi Valtonen, "Satisfaction with sexual life among persons with traumatic spinal cord injury and meningomyelocele", Disability and Rehabilitation, 28(16), pp.965~976 (2009), Informa UK Limited[DOI]
- T. R. Han, "Rehabilitation medicine" (2014), Koonja
- M.L.E. Overgoor, "Increased Sexual Health After Restored Genital Sensation in Male Patients with Spina Bifida or a Spinal Cord Injury: the TOMAX Procedure", Journal of Urology, 189(2), pp.626~632 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
- M Kreuter, "Sexuality and sexual life in women with spinal cord injury: A controlled study", Journal of Rehabilitation Medicine, 40(1), pp.61~69 (2008), Medical Journals Sweden AB[DOI]
- 김선홍, "남성 척수손상 장애인의 성실태 및 성적응에 미치는 요인", 임상간호연구, 20(3), pp.290~302 (2014), 병원간호사회
- W. H. Lee., "Current status of sexual life in the spinal cord injured men", Journal of the Korean Academy of Rehabilitation Medicine, 18(4), pp.801~808 (1994)
- A S Ramos, "Specific aspects of erectile dysfunction in spinal cord injury", International Journal of Impotence Research, 16(S2), pp.S42~S45 (2004), Springer Science and Business Media LLC[DOI]
- 신영주, "척수손상인 부부에서 성적응 수준과 삶의 질과의 관련성", Annals of Rehabilitation Medicine, 27(6), pp.13~893 (2003), 대한재활의학회
- A Reitz, "Impact of spinal cord injury on sexual health and quality of life", International Journal of Impotence Research, 16(2), pp.167~174 (2004), Springer Science and Business Media LLC[DOI]
- J. H. Kang, "The case study for the attitude on sexuality and sexual activity of Korean elderly", Journal of Welfare for the Aged, 22, pp.105~126 (2003)
- M. D. Romano, "Sexual counselling with spinal cord injured", Archives of Physical Medicine and Rehabilitation, 53, pp.568~572 (1972)
- Health design family and social relationships, "Korea Association For Life Planning", Korea Association For Life Planning, ~ (2016)
- R. Ricciardi., "Sexuality and spinal cord injury", The Nursing Clinics of North America, 42(4), pp.675~684 (2007)
- Lari Wenzel, "Quality of life in long-term cervical cancer survivors", Gynecologic Oncology, 97(2), pp.310~317 (2005), Elsevier BV[DOI]
- S. M. Hong, "Good sex & good life" (2005), HWB
- J. S. Greenberg., "Human sexuality" (2013), Jones & Bartlett Learning
- Marika J. Hess, "Impact of spinal cord injury on sexuality: Broad-based clinical practice intervention and practical application", The Journal of Spinal Cord Medicine, 35(4), pp.211~218 (2013), Informa UK Limited[DOI]
- 강현숙, "남녀 척수장애인의 성적관심, 성적적응과 관련요인 비교 연구", 재활간호학회지, 4(2), pp.198~206 (2001), 한국재활간호학회
- S. H. Kim., "Development and its application of shot-term couple sex therapy for persons with spinal cord injury and their spouses", Master, pp.2011
- B. S. Lee., "Sexual rehabilitation of the disabled", The Korean Journal of Rehabilitation Nursing, 2(1), pp.109~119 (1999)
- P E Julia, "Barriers to sexual activity: counselling spinal cord injured women in Malaysia", Spinal Cord, 49(7), pp.791~794 (2011), Springer Science and Business Media LLC[DOI]
- H. S. Yoon., "The effects of sexual rehabilitation education on the knowledge of sexual activities and satisfaction of sexual activities of spinal cord injury clients", The Korean Journal of Fundamentals of Nursing, 6(3), pp.434~451 (1999)
- 임지영, "척수장애 남자 환자의 성재활 지식, 성생활 만족 및 성재활 교육 요구", 가정간호학회지, 15(2), pp.91~98 (2008), 한국가정간호학회
- "성 재활 교육이 척수장애인의 성 지식과 성 적응에 미치는 효과", 재활간호학회지, 3(2), pp.127~140 (2000), 한국재활간호학회
- C E Abramson, "Sexual health outcome measures for individuals with a spinal cord injury: a systematic review", Spinal Cord, 46(5), pp.320~324 (2008), Springer Science and Business Media LLC[DOI]
- Thomas L. Fisher, "Sexual health after spinal cord injury: A longitudinal study", Archives of Physical Medicine and Rehabilitation, 83(8), pp.1043~1051 (2002), Elsevier BV[DOI]
- Eva G. Widerström-Noga, "Relationships among clinical characteristics of chronic pain after spinal cord injury", Archives of Physical Medicine and Rehabilitation, 82(9), pp.1191~1197 (2001), Elsevier BV[DOI]
- K. K. Kim., "The erectile response to intracavernosal injection of prostaglandin e1 in spinal cord injured men", Journal of the Korean Academy of Rehabilitation Medicine, 23(4), pp.762~769 (1999)
- William H. Gans, "Efficacy And Safety Of Oral Sildenafil In Men With Erectile Dysfunction And Spinal Cord Injury", The Journal of Spinal Cord Medicine, 24(1), pp.35~40 (2016), Informa UK Limited[DOI]
- F. Giuliano, "Efficacy and safety of vardenafil in men with erectile dysfunction caused by spinal cord injury", Neurology, 66(2), pp.210~216 (2006), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Horace W. Sawyer, "Microcounseling: A counselor training format relating to sexual concerns of spinal cord injured woman", Sexuality and Disability, 6(1), pp.30~37 (1983), Springer Science and Business Media LLC[DOI]
- Theodore M. Cole, "Rehabilitation professionals and sexual counseling for spinal cord injured adults", Archives of Sexual Behavior, 4(6), pp.631~638 (1975), Springer Science and Business Media LLC[DOI]
- Patricia Fronek, "The Effectiveness of a Sexuality Training Program for the Interdisciplinary Spinal Cord Injury Rehabilitation Team", Sexuality and Disability, 23(2), pp.51~63 (2005), Springer Science and Business Media LLC[DOI]
- Annlee Burch, "Health Care Providers’ Knowledge, Attitudes, and Self-efficacy for Working With Patients With Spinal Cord Injury Who Have Diverse Sexual Orientations", Physical Therapy, 88(2), pp.191~198 (2008), Oxford University Press (OUP)[DOI]
- 강현숙, "결혼상태에 따른 척수장애인의 성적 관심과 성적 적응 비교 연구", 재활간호학회지, 2(2), pp.176~186 (1999), 한국재활간호학회
- "Population census" (2010)[URL]
- "Survey on the status of persons with disabilities" (2014)[URL]
- SF36 health survey : manual and institute, "J. E. Ware.", The Health Institute, New England Medical Center, ~ (1993)
- Sexual activity, contraceptive use, and childbearing of teenagers aged 15-19 in the United States, "G. M. Martinez", Centers for Disease Control and Prevention, ~, pp.NCHS Data Brief. Number 209 (2015)
- K. Sheingold, "Memory observed: Remembering in Natural Contexts" (1982), Freeman
- I. S. Lee, "Knowledge of sex, attitude toward sex, and sexual satisfaction in married women", Korean Society of Public Health Nursing, 14(2), pp.396~414 (2000)
- Margareta Kreuter, "Sexual adjustment and quality of relationships in spinal paraplegia: A controlled study", Archives of Physical Medicine and Rehabilitation, 77(6), pp.541~548 (1996), Elsevier BV[DOI]
- 황혜리, "동료상담자에 의한 지지집단 상담 효과", 상담학연구, 3(2), pp.365~383 (2002), 한국상담학회
- A Siösteen, "Sexual ability, activity, attitudes and satisfaction as part of adjustment in spinal cord-injured subjects", Spinal Cord, 28(5), pp.285~295 (1990), Springer Science and Business Media LLC[DOI]
- Sun Houng Kim, "Development and Validation of a Sexual-Outlook Questionnaire (SOQ) for Adult Populations in the Republic of Korea", International Journal of Environmental Research and Public Health, 17(22), pp.8681~ (2020), MDPI AG[DOI]
- Jo Ann Brockway, "Effectiveness of a sex education and counseling program for spinal cord injured patients", Sexuality and Disability, 1(2), pp.127~136 (1978), Springer Science and Business Media LLC[DOI]
- Y. N. An, "(The)Effects of group counseling by sex-education on change in elementary school children's sex knowledge and sexual attitude", Doctor, pp.2006
- 김하영, "발달장애 청소년의 성폭력예방을 위한 성교육프로그램의 효과성 연구 - 성지식, 성태도 변화를 중심으로 -", 한국치안행정논집, 12(2), pp.23~46 (2015), 한국치안행정학회[DOI]
- 최원재, "대학생을 위한 융복합 생식건강증진 프로그램이 성 지식, 성 태도 및 생식건강행위에 미치는 영향", 한국융합학회논문지, 9(3), pp.145~152 (2018), 한국융합학회[DOI]
- 이은미, "학령전기 자녀를 둔 부모 성지식, 성태도, 자녀 성교육에 대한 부모효능감의 융합적 비교", 한국융합학회논문지, 7(6), pp.141~150 (2016), 한국융합학회[DOI]
- 박미현, "성교육이 노인의 성지식과 성태도에 미치는 효과", 노인간호학회지, 12(1), pp.62~71 (2010), 한국노인간호학회
- K. H. Ko, "Effects of a sex education program on sex knowledge, sex attitude and self-esteem of chronic schizophrenia patients", Doctor, pp.2009
- Health planning, "family & social relation planning", Korea Association for Life Planning(KALP), 2016
- 서정연, "미혼 남녀의 결혼의지에 관한 연구", 민족문화논총, (69), pp.371~393 (2018), 민족문화연구소[DOI]
