Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effectiveness of PLISSIT Model Sexual Program on Female Sexual Function for Women with Gynecologic Cancer

PLISSIT 모형 부인암 여성 성기능 향상 프로그램의 효과

  • Chun, Na-Mi (College of Nursing, Sungshin Women's University)
  • 전나미 (성신여자대학교 간호학과)
  • Received : 2011.01.25
  • Accepted : 2011.08.04
  • Published : 2011.08.31
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Abstract

Purpose: The purpose of this study was to evaluate the effectiveness of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual program on female sexual function for women with gynecologic cancer. Methods: The integrative 6-hr (two hours per session) program reflecting physical and psychosocial aspects of women's sexuality was developed based on Annon's PLISSIT model. Participants were 61 women with cervical, ovarian, or endometrial cancer. Of them, 29 were assigned to the experimental group and 32 to the control group. The women completed the Female Sexual Function Index (FSFI) including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain. Independent t-test and repeated measured ANOVA were used to test the effectiveness of the program. Results: Significant group differences were found on FSFI sub-domain scores including sexual desire, arousal, lubrication, orgasm, and satisfaction but not pain. Significant time differences were found on all domains except for pain in the experimental group repeated measured ANOVA. Conclusion: The results indicate that the three-week PLISSIT model sexual program is effective in increasing sexual function for women with gynecologic cancer. Nurses may contribute to improving women's sexual function by utilizing the program. Strategies to relieve sexual pain need to be considered for greater effectiveness of the program.

Keywords

References

  1. Annon, J. S. (1976). The PLISSIT model: A proposed scheme for the behavioral treatment of sexual problems. Journal of Sex Education and Therapy, 2, 1-15.
  2. Ayaz, S., & Kubilay, G. (2008). Effectiveness of the PLISSIT model for solving the sexual problems of patients with stoma. Journal of Clinical Nursing, 18, 89-98. doi:10.1111/j.1365-2702.2008.02282.x
  3. Bancroft, J., Loftus, J., & Long, J. S. (2003). Distress about sex: A national survey of women in heterosexual relationship. Archives of Sexual Behavior, 32, 193-208. doi:10.1023/A:1023420431760
  4. Brotto, L. A., Heiman, J. R., Goff, B., Greer, B., Lentz, G. M., Swisher, E., et al. (2008). A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer. Archives of Sexual Behavior, 37, 317-329. doi:10.1007/s10508-007-9196-x
  5. Chun, N. (2008). A structural equation model on sexual function in women with gynecologic cancer. Journal of Korean Academy of Nursing, 38, 639-648. doi:10.4040/jkan.2008.38.5.639
  6. Chun, N. (2010). Predictors of sexual desire, arousal, lubrication, orgasm, satisfaction, and pain in women with gynecologic cancer. Journal of Korean Academy of Nursing, 40, 24-32. doi:10.4040/jkan.2010.40.1.24
  7. Chun, N., Kwon, J. Y., Noh, G. O., & Kim, S. H. (2006). Symptom clusters in women with gynecologic cancer. Journal of Korean Clinical Nursing Research, 14, 61-70.
  8. Cohen, J. (1988). Statistical power analysis for the behavior sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Assoc.
  9. Jensen, P. T., Groenvold, M., Klee, M. C., Thranov, I., Petersen, M. A., & Machin, D. (2003). Longitudinal study of sexual function and vaginal changes after radiotherapy for cervical cancer. International Journal of Radiation Oncology, Biology, Physics, 56, 937-949. doi:10.1016/S0360-3016(03)00362-6
  10. Jun, E. Y., Kim, S., Chang, S. B., Oh, K., Kang, H. S., & Kang, S. S. (2011). The effect of a sexual life reframing program on marital intimacy, body image, and sexual function among breast cancer survivors. Cancer Nursing, 34, 142-149. doi:10.1097/NCC.0b013e3181f1ab7a
  11. Katz, A. (2005). Do ask, do tell, why do so many nurses avoid the topic of sexuality? American Journal of Nursing, 105, 66-68.
  12. Krychman, M. L. (2006). Sexual rehabilitation medicine in a female oncology setting. Gynecologic Oncology, 101, 380-384. doi:10.1016/j.ygyno. 2006.03.001
  13. Ministry of Health and Welfare. (2010, December). Annual report of cancer statistics in Korea in 2008, the Korea central cancer registry, National Cancer Center. Seoul: Author.
  14. Nichols, F. H., & Humenick, S. S. (2000). Childbirth Education (2nd ed.). Philadelphia, PA: W. B. Saunders.
  15. Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., et al. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy, 26, 191-208. doi:10.1080/009262300278597
  16. Speer, J. J., Hillenberg, B., Sugrue, D. P., Blacker, C., Kresge, C. L., Decker, V. B., et al. (2005). Study of sexual functioning determinants in breast cancer survivors. The Breast Journal, 11, 440-447. doi:10.1111/j.1075-122X.2005.00131.x
  17. Stead, M. L. (2004). Sexual function after treatment for gynecological malignancy. Current Opinion in Oncology, 16, 492-495. https://doi.org/10.1097/00001622-200409000-00014
  18. Stead, M. L., Brown, J. M., Fallowfield, L., & Selby, P. (2003). Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues. British Journal of Cancer, 88, 666-671. doi: 10.1038/sj.bjc.6600799
  19. Stewart, D. E., Wong, F., Duff, S., Melancon, C. H., & Cheung, A. M. (2001). "What doesn't kill you makes you stronger": An ovarian cancer survivor survey. Gynecologic Oncology, 83, 537-542. doi:10.1006/gyno.2001.6437
  20. Takahashi, M., & Kai, I. (2005). Sexuality after breast cancer treatment: Changes and coping strategies among Japanese survivors. Social Science & Medicine, 61, 1278-1290. doi:10.1016/j.socscimed.2005.01.013
  21. Weijmar Schultz, W. C., & Van De Wiel, H. B. (2003). Sexuality, intimacy, and gynecological cancer. Journal of Sex & Marital erapy, 29, 121-128. https://doi.org/10.1080/713847128
  22. Wiegel, M., Meston, C., & Rosen, R. (2005). The female sexual function index (FSFI): Cross-validation and development of clinical cutoff scores. Journal of Sex & Marital Therapy, 31, 1-20. doi:10.1080/0092623059-0475206
  23. Yu, H. S. (2003). Predictors of female sexual dysfunction. Unpublished master's thesis, Seoul National University, Seoul.

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