KMID : 0806120080380050639
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´ëÇÑ°£È£ÇÐȸÁö 2008 Volume.38 No. 5 p.639 ~ p.648
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A Structural Equation Model on Sexual Function in Women with Gynecologic Cancer
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Chun Na-Mi
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Abstract
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Purpose: This study was designed to construct and test a structural equation model on sexual function in women with gynecologic cancer.
Methods: The model was constructed and tested under the hypotheses that women¡¯s physical changes in sexual function after gynecologic cancer treatment did not automatically lead to sexual dysfunctions. Women¡¯s psychosocial factors were considered to be mediating variables. Two hundred twelve women with cervical, ovarian, and endometrial cancer were recruited and asked to complete a survey on their physical factors, psychosocial factors and sexual function. Data was analyzed using SPSS WIN 12.0 and Amos WIN 5.0.
Results: Predictors of sexual function in the final model were sexual attitude affected by physical distress and couple¡¯s age, sexual information affected by physical distress and couple¡¯s age, depression affected by physical distress, and marital intimacy affected by physical distress. Tumor stage and time since last treatment directly affected women¡¯s sexual function without any mediating psychosocial variables. However, body image did not affect women¡¯s sexual function.
Conclusion: Nursing professionals should develop a tailored educational program integrating both physical and psychosocial aspects, and apply it to women and their spouses in order to promote sexual function in women with
gynecologic cancer.
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KEYWORD
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Gynecologic cancer, Sexual function, Structural equation modeling
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