The purpose of this study was to develope and test the structural model for sexual satisfaction in women having hysterectomies. A hypothetical model was constructed on the basis of previous studies and a review of literature. Exogenous variables included in this model were woven´ s age, spouse´ s support, sexual identity. Endogenous variables were post operative
physical status, post operative psychological status and sexual satisfaction.
Empirical data for testing the hypothetical model was collected using a self-report questionnare from 205 women having hysterectomies at the outpatient clinics of four general hospitals and a mail survey in Pusan City. The Data was collected from January to February, 1998.
Reliability of the eight instruments was tested with Cronbach´ s alpha which ranged from 0.762-0.901.
For the data analysis, SPSS 7.5 WIN Program and LISREL 8.12 WIN Program were used for descriptive statistics and covariance structural analysis.
The results of covariance structure analysis were as follows:
1. Hypothetical model showed a good fit with the empirical data.
(x2=0.46(df=1, P=.50), GFI=1.00, AGFI=.98, RMSR=.011, NNFI=1.03, NFI=1.00, standardized residuals(-.68-.68) 1
2. Women´ s age(y 11=-.17, t=-2.23) and sexual identity(y 11=.78, t=14.37) had a significant direct effect on the spouse´ s support.
3. Post operative physical status(p 21=.63, t=8.13) and spouse´ s support(y 22=.24, t=4.26).
women´s age(y21=.16, t=2.74) had a significant direct effect on the postoperative psychological status. Sexual identity had a direct(y 23=.24, t=3.19), indirect(y 23=.24, t=4.26) and total effect (y 23=.48, t=6.25) on the sexual satisfaction.
4. Post operative psychological status( 32=32, t=2.23) had a significant direct effect on the sexual satisfaction. Spouse´ s support and sexual identity had a direct(y32=.15, t=2.01; y33=.27, t=3.37) and total effect(y 32=.23, t=3.49; y 32=.49, t=6.67) on the sexual satisfaction. Post operative physical status had a significant total effect(# 31=36, t=4.64) adding the indirect effect(# 31=.20, t=2.17).
The results of this study showed that post operative psychological status had the most significant direct effect on sexual satisfaction after hysterectomy. Post operative physical status, spouse´ s support, sexual identity and women´ s age had a significant direct effect on this psychological status. The results of this study suggested that spouse´ s support should be included in the health professsional support and educational program for promote sexual satisfaction after hysterectomy.
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