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KMID : 0379720070210010046
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Journal of Korean Community Health Nursing Academic Society
2007 Volume.21 No. 1 p.46 ~ p.56
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A Descriptive Study on Development of an ALARM Sexual Counseling Program for Patients with Ostomy
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Pakr So-Mi
Hur Hea-Kung
Kim Gi-Yon
Kim Chang-Hee
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Abstract
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Purpose: This study attempted to identify the sexual function (ALARM: Activity, Libido, Arousal and orgasm, Resolution, Medical history) of patients who have had an ostomy for the development of an ALARM sexual counseling program.
Method: Subjects for this descriptive study were recruited from the outpatient clinic of a university affiliated medical center and peer group. Fifty-two subjects who have had an ostomy and lived with their spouse were selected. Instruments were developed by researchers based on the ALARM model by Anderson (1990).
Results: In the subject group, 32.7% patients were not sexually active and 76.9% hesitated to have sexual activity because of the stoma. The mean score of resolution was 13.2 (range: 8-32), with a higher score for couple’s intimacy indicating a higher level of libido and resolution.
Conclusion: This study presents a series of clinical guidelines that nurses can use to accurately assess sexual health issues and select appropriate sexual counseling for patients with an ostomy.
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KEYWORD
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Sexuality, Ostomy, Counseling
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