DOI QR코드

DOI QR Code

Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands

부인암 여성과 배우자를 위한 PLISSIT 모델 성 건강증진 프로그램의 효과

  • Nho, Ju-Hee (Department of Nursing, University of Ulsan)
  • Received : 2013.07.17
  • Accepted : 2013.09.24
  • Published : 2013.10.31

Abstract

Purpose: The purpose of this study was to examine effects of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual health enhancement program on, and development in, sexual function, sexual distress, marital intimacy, and subjective happiness of women with gynecologic cancer and their husbands. Methods: The comprehensive program (4 session, 90 minutes per session) was developed based on the PLISSIT model. Participants were 43 couples, 21 assigned to the experimental group who attended the 4-week program, and 22 to the control group. Sexual function, sexual distress, marital intimacy, subjective happiness of the women, marital intimacy, subjective happiness of husbands were determined by a questionnaire that was completed by the participants before and after the program. The control group received the intervention post experiment. Chi-square test, t-test, Fisher's exact test were used to test the effectiveness of the program. Results: Post intervention results showed significant differences between the groups for sexual function, sexual distress, and marital intimacy in the women and for subjective happiness in the husbands. Conclusion: Results indicate that the sexual health enhancement program is effective in improving sexual function, lowering sexual distress, increasing marital intimacy, and subjective happiness in women with gynecologic cancer and their husbands.

Keywords

References

  1. Anderson, B., Anderson, J. E., & Yi, M. Y. (2001). Stretching. Seoul: Nexusbook.
  2. Annon, J. S. (1977). Behavioural treatment of sexual problems: Brief therapy. Hagerstown, MD: Joanna Cotler Books.
  3. 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(2), 317-329. http://dx.doi.org/10.1007/s10508-007-9196-x
  4. Chun, N. (2008). A structural equation model on sexual function in women with gynecologic cancer. Journal of Korean Academy of Nursing, 38(5), 639-648. http://dx.doi.org/10.4040/jkan.2008.38.5.639
  5. Chun, N. (2011). Effectiveness of PLISSIT model sexual program on female sexual function for women with gynecologic cancer. Journal of Korean Academy of Nursing, 41(4), 471-480. http://dx.doi.org/10.4040/jkan.2011.41.4.471
  6. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
  7. Derogatis, L. R., Rosen, R., Leiblum, S., Burnett, A., & Heiman, J. (2002). The female sexual distress scale (FSDS): Initial validation of a standardized scale for assessment of sexually related personal distress in women. Journal of Sex and Marital Therapy, 28(4), 317-330. https://doi.org/10.1080/00926230290001448
  8. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). $G^*Power$ 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
  9. Han, C., Kim, H. C., Kang, S. H., Moon, D. G., Kim, J. J., & Choi, J. Y. (2004). Validity and reliability of Korean version of the female sexual distress scale (FSDS). Korean Journal of Andrology, 22(2), 68-74.
  10. 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(4), 937-949. https://doi.org/10.1016/S0360-3016(03)00362-6
  11. Juraskova, I., Butow, P., Robertson, R., Sharpe, L., McLeod, C., & Hacker, N. (2003). Post-treatment sexual adjustment following cervical and endometrial cancer: A qualitative insight. Psycho-Oncology, 12(3), 267-279. http://dx.doi.org/10.1002/pon.639
  12. Kalaitzi, C., Papadopoulos, V. P., Michas, K., Vlasis, K., Skandalakis, P., & Filippou, D. (2007). Combined brief psychosexual intervention after mastectomy: Effects on sexuality, body image, and psychological wellbeing. Journal of Surgical Oncology, 96(3), 235-240. http://dx.doi.org/10.1002/jso.20811
  13. Katz, A. (2007). Breaking the silence on cancer and sexuality: A handbook for healthcare providers. Pittsburgh, PA: Oncology Nursing Society.
  14. Katz, A. (2009). Woman cancer sex. Pittsburgh, PA: Hygeia Media.
  15. King, I. M. (1981). A theory for nursing: Systems, concepts, process. New York, NY: Wiley.
  16. Laumann, E. O., Paik, A., Glasser, D. B., Kang, J. H., Wang, T., Levinson, B., et al. (2006). A cross-national study of subjective sexual well-being among older women and men: Findings from the global study of sexual attitudes and behaviors. Archives of Sexual Behavior, 35(2), 145-161. http://dx.doi.org/10.1007/s10508-005-9005-3
  17. Lee, K. H. (1995). A measure of marital intimacy. Journal of the Korean Home Economics Association, 33(4), 235-249.
  18. Lim, J. S. (2004). The relationships of a self-enhancement bias, life events and subjective well-being in old-adults. Unpublished master's thesis, Ewha Womans University, Seoul.
  19. Lyubomirsky, S., & Lepper, H. S. (1999). A measure of subjective happiness: Preliminary reliability and construct validation. Social Indicators Research, 46(2), 137-155. https://doi.org/10.1023/A:1006824100041
  20. Manne, S., Sherman, M., Ross, S., Ostroff, J., Heyman, R. E., & Fox, K. (2004). Couples' support-related communication, psychological distress, and relationship satisfaction among women with early stage breast cancer. Journal of Consulting and Clinical Psychology, 72(4), 660-670. http://dx.doi.org/10.1037/0022-006x.72.4.660
  21. Masters, W. H., & Johnson, V. E. (1970). Human sexual inadequacy. Boston, MA: Little, Brown.
  22. Nho, J. H., & Park, Y. S. (2012). Descriptive study on sexuality for women with gynecological cancer. Korean Journal of Women Health Nursing, 18(1), 17-27. http://dx.doi.org/10.4069/kjwhn.2012.18.1.17
  23. Park, J. S., & Lee, Y. E. (2011). Effects of integrated menopause management program for middle aged woman. Korean Journal of Women Health Nursing, 17(1), 10-20. http://dx.doi.org/10.4069/kjwhn.2011.17.1.10
  24. Park, Y. S., Cho, I. S., & Kim, Y. M. (2007). A survey of urban middle-aged women's sexual function and sexual distress. Korean Journal of Women Health Nursing, 13(4), 254-261.
  25. Rivalta, M., Sighinolfi, M. C., De Stefani, S., Micali, S., Mofferdin, A., Grande, M., et al. (2009). Biofeedback, electrical stimulation, pelvic floor muscle exercises, and vaginal cones: A combined rehabilitative approach for sexual dysfunction associated with urinary incontinence. The Journal of Sexual Medicine, 6(6), 1674-1677. http://dx.doi.org/10.1111/j.1743-6109.2009.01238.x
  26. 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 and Marital Therapy, 26(2), 191-208. http://dx.doi.org/10.1080/009262300278597
  27. Scott, J. L., Halford, W. K., & Ward, B. G. (2004). United we stand? The effects of a couple-coping intervention on adjustment to early stage breast or gynecological cancer. Journal of Consulting and Clinical Psychology, 72(6), 1122-1135. http://dx.doi.org/10.1037/0022-006x.72.6.1122

Cited by

  1. 생활습관중재가 부인암 환자의 피로와 영양상태 및 삶의 질에 미치는 효과 vol.45, pp.6, 2013, https://doi.org/10.4040/jkan.2015.45.6.812
  2. Comments on female sexual dysfunction with cervical cancer in Republic of Korea vol.294, pp.1, 2013, https://doi.org/10.1007/s00404-016-4082-1
  3. Reply to letter to the editor by J.-M. Kim et al. on "Sexual function and quality of life in women with cervical cancer before radiotherapy: a pilot study" by Grion et al. vol.294, pp.1, 2016, https://doi.org/10.1007/s00404-016-4083-0
  4. 부인암 여성과 배우자를 위한 웹 기반 성 건강 프로그램 개발 vol.22, pp.2, 2013, https://doi.org/10.4069/kjwhn.2016.22.2.104
  5. The effectiveness of the Permission, Limited Information, Specific suggestions, Intensive Therapy (PLISSIT) model based sexual counseling on the sexual function of women with Multiple Sclerosis who ar vol.8, pp.None, 2013, https://doi.org/10.1016/j.msard.2016.05.007
  6. The Influence of Ex-PLISSIT (Extended Permission, Limited Information, Specific Suggestions, Intensive Therapy) Model on Intimacy and Sexuality of Married Women with Multiple Sclerosis vol.35, pp.4, 2013, https://doi.org/10.1007/s11195-017-9482-z
  7. Addressing the Sexual Function of Women During First Six Month After Delivery: Aquasi-Experimental Study vol.30, pp.2, 2013, https://doi.org/10.5455/msm.2018.30.136-140
  8. PLISSIT Interventions and Sexual Functioning: Useful Tools for Social Work in Palliative Care? vol.15, pp.4, 2013, https://doi.org/10.1080/15524256.2019.1665156
  9. Effect of a Web-Based Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands vol.31, pp.1, 2013, https://doi.org/10.1080/19317611.2019.1565792
  10. Oncology Nurses' Knowledge Regarding Fertility Preservation for Patients with Cancer vol.31, pp.3, 2019, https://doi.org/10.7475/kjan.2019.31.3.315
  11. Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis vol.9, pp.6, 2013, https://doi.org/10.3390/healthcare9060699
  12. The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest-posttest trial vol.21, pp.1, 2013, https://doi.org/10.1186/s12905-021-01570-4