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

Journal of Korean Academy of Nursing 2013; 43(5): 681-689.

Published online: 31 October 2013

DOI: https://doi.org/10.4040/jkan.2013.43.5.681

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

Ju-Hee Nho

Department of Nursing, University of Ulsan, Ulsan, Korea.

Address reprint requests to: Nho, Ju-Hee. Department of Nursing, University of Ulsan, 93 Daehakro, Nam-gu, Ulsan 680-749, Korea. Tel: +82-10-9703-7092, Fax: +82-259-1236, jhnho@ulsan.ac.kr

Received 17 July 2013       Accepted 24 September 2013

© 2013 Korean Society of Nursing Science

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: Gynecologic neoplasm, Couples therapy, Sexual dysfunction, Program evaluation

Figures and Tables

Figure 1
Conceptual framework of sexual health enhancement program.
jkan-43-681-g001
Table 1
Sexual Health Enhancement Program
jkan-43-681-i001

FSFI=Female sexual function index; FSDS=Female sexual distress scale.

Table 2
Baseline Characteristics of Participants (N=43)
jkan-43-681-i002

Exp.=Experimental group; Cont.=Control group.

Table 3
Homogeneity Test for FSFI, Sexual Distress, Marital Intimacy and Subjective Happiness (N=43)
jkan-43-681-i003

Exp.=Experimental group; Cont.=Control group; FSFI=Female sexual function index.

Table 4
Effectiveness of Sexual Health Enhancement Program (N=43)
jkan-43-681-i004

Exp.=Experimental group; Cont.=Control group; FSFI=Female sexual function index.

Notes

This manuscript is a revision of the first author's doctoral dissertation from Seoul National University.

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