간호사의 암환자 성건강 간호에 대한 태도와 수행
Nurses’ Attitude and Practice Regarding Sexual Health Care in Patients with Cancer
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
연구배경: 본 연구는 일 종합병원 간호사의 암환자 성건강간호에 대한 태도와 수행을 파악하여 간호사의 성건강 간호역량을 증진시키기 위한 교육프로그램 개발의 기초자료를제공하고자 한다. 방법: 2016년 11월 7일부터 10일까지 강원도 일 종합병원에서 근무하는 암환자 간호 경험이 있는 간호사 152명을 대상으로 성건강 간호 태도와 수행 도구(SHCS-A, SHCS-P) 를 이용하여 자료를 수집하였다. 결과: 간호사의 암환자 성건강 간호에 대한 태도는 51점만점에 평균 26.59±6.80점이었으며, 암환자 성건강 간호에대한 수행은 21점 만점에 평균 2.63±3.23점으로 21개 항목중 2-3개 정도 수행하는 것으로 나타났다. 암환자 성건강 간호교육을 받은 대상자는 단 3명(2.0%)이었으며, 성건강 상담 공간의 부족과 상담시간 부족을 호소하였다. 성건강 간호 수행은 40세 이상의 군과 혈액종양병동에 근무한 대상자에서 높았으며, 대상자의 성건강 간호에 대한 태도가 긍정적일수록 수행이 높은 것으로 나타났다(r=0.33, P=0.001). 결론: 본 연구를 통해 간호사를 위한 암환자 성건강 간호교육프로그램 개발이 요구되며, 시뮬레이션이나 가상현실교육 등의 다양한 교육 방법이 시도될 필요가 있다.
Abstract
Background: The purpose of this study was to investigate the levels of attitude and practice regarding sexual health care in patients with cancer among nurses. Methods: This study used a cross-sectional descriptive design. Participants were 152 nurses who care patients with cancer at a general hospital in Gangwon province. Data were collected from November 7 to 10, 2016 using self-report questionnaire including each 17 item of sexual health care scale-practice and attitude. Results: The subjects’ average age was 29.8±6.3 years, and oncology nursing experience was 7.3±6.2 years. Nurses’ attitude was the average score of 26.6 out of 51. Practice was 2.63 out of 21. Formal education about sexual health care (t=2.01, P=0.048) had significant influenced on nurses’ attitude and age (F=4.45, P=0.013) and working site (F=3.28, P=0.013) on nurses’ practice. The relationship between nurses´attitude and practice toward cancer patients´ sexual health nursing was statistically significant (r=0.33, P=0.001). Conclusions: The findings of this study indicate that it is imminent for nurses to acquire various information about sexual problems with patients during cancer treatment. Educational programs for sexual health care for nurses need to be developed to provide cancer patients to improve their sexual health.
참고문헌 (19)
- "Deaths and death rates by cause" (2020)[URL]
- Lavin M, "Sexuality as an aspect of nursing care for women receiving chemotherapy for breast cancer in an Irish context", Eur J Oncol Nurs, 10(1), pp.10~18 (2006)
- "Sexual and reproductive health" (2022)[URL]
- 김혜원, "한국형 간호사의 성 태도와 신념 조사도구(Sexuality Attitudes and Beliefs Survey)의 적합성 평가 및 적용", Journal of Korean Academy of Nursing, 42(6), pp.889~897 (2012), 한국간호과학회
- Algier L, "Nurses' approach to sexuality-related issues in patients receiving cancer treatments", Turk J Cancer, 38(3), pp.135~141 (2008)
- Cort EM, "An initial exploration of community mental health nurses' attitudes to and experience of sexuality-related issues in their work with people experiencing mental health problems", J Psychiatr Ment Health Nurs, 8(6), pp.489~499 (2001)
- Magnan MA, "Barriers to addressing patient sexuality in nursing practice", Medsurg Nurs, 14(5), pp.282~289 (2005)[DOI]
- Lee SY, "A study on sexual life of cancer patients", pp.2006
- 채영희, "암 환자를 돌보는 간호사의 성건강 간호에 대한 태도와 수행", Asian Oncology Nursing, 15(1), pp.28~36 (2015), 대한종양간호학회
- 김정희, "암 환자를 돌보는 간호사의 성건강 간호수행 측정도구개발", 여성건강간호학회지, 16(4), pp.360~369 (2010), 한국여성건강간호학회
- Kim S, "A sexual health care attitude scale for nurses: development and psychometric evaluation", Int J Nurs Stud, 48(12), pp.1522~1532 (2011)
- Lion EM, "Human sexuality in nursing process" (2002), Hyunmoonsa
- Stead ML, "Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues", Br J Cancer, 88(5), pp.666~671 (2003)
- West E, "Overcoming the barriers to patient-centred care : time, tools and training", J Clin Nurs, 14(4), pp.435~443 (2005)
- 김정희, "간호사의 성역할 태도와 성건강간호 장애감", 기본간호학회지, 16(3), pp.282~289 (2009), 기본간호학회
- Fogel CI, "Sexual health promotion" (1989), Saunders
- Vadaparampil ST, "ENRICH : a promising oncology nurse training program to implement ASCO clinical practice guidelines on fertility for AYA cancer patients", Patient Educ Couns, 99(11), pp.1907~1910 (2016)
- Kim MK, "Application and development of fertility preservation among young breast cancer patients", pp.2018
- Annon JS, "The PLISSIT model: a proposed conceptual scheme for the behavioral treatment of sexual problems", J Sex Educ Ther, 2(1), pp.1~15 (1976)