Effectiveness of a Sexual Health Program for Men with Rectal Cancer Resection

Sang Jun Woo; Eun Sook Lee; Hyeong Rok Kim

doi:10.7475/kjan.2017.29.3.225

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Woo, Lee, and Kim: Effectiveness of a Sexual Health Program for Men with Rectal Cancer Resection

Original Article

Korean Journal of Adult Nursing 2017; 29(3): 225-234.

Published online: 30 June 2017

DOI: https://doi.org/10.7475/kjan.2017.29.3.225

Effectiveness of a Sexual Health Program for Men with Rectal Cancer Resection

Sang Jun Woo, Ph.D., RN¹, Eun Sook Lee, Ph.D., RN², Hyeong Rok Kim, Ph.D., M.D.³

¹Department of Nursing, Dongshin University, Naju, Korea.

²College of Nursing, Chonnam National University, Gwangju, Korea.

³Medical School, Chonnam National University, Gwangju, Korea.

Corresponding author: Lee, Eun Sook. College of Nursing, Chonnam National University, 160 Baekseo-ro, Dong-gu, Gwangju 61469, Korea. Tel: +82-62-530-4953, Fax: +82-62-227-4009, eslee4347@chonnam.ac.kr

Received 8 March 2017 Revised 21 April 2017 Accepted 21 June 2017

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The aim of this study was to evaluate the effect of sexual health program for men with rectal cancer resection based on sexual function, self-esteem, depression, and marital intimacy.

Methods

Using a quasi-experiment design, the intervention group (n=32) participated in the sexual health program based on PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Therapy) model. They received the program three times between August 2014 and March 2015. The comparison group (n=30) received a general educational program for rectal cancer. Four survey questionnaires such as International Index of Erectile Function (IIEF), Self-Esteem Scale, Center for Epidemiologic Studies Depressing Scale (CES-D), Marital Intimacy were used to measure the four key variables.

Results

After the sexual health program, the intervention group showed statistically positive effect for the sexual function (F=4.14, p=.046), self-esteem (F=16.71, p<.001), depression (F=12.56, p=.001), and marital intimacy (F=12.45, p=.001) than the comparison group.

Conclusion

Sexual health program should be consistently provided for men with rectal cancer resection since the intervention group reported better self-esteem, less depression, more intimacy and better sexual functioning.

Keywords: Rectal neoplasm, Sexual dysfunction, Sex education

Figures and Tables

Table 1

Sexual Health Program

Table 2

Homogeneity Test of Characteristics between Two Groups (N=62)

^†Fisher's exact test.

Table 3

Comparisons of Sexual Function between Two Groups (N=62)

^†Result of ANCOVA correcting sexual function with pretest as covariate.

Table 4

Comparison of Self-esteem, Depression, Marital Intimacy between Two Groups (N=62)

^†Result of ANCOVA correcting self-esteem with pre-test as covariate; Depression with pre-test as covariate; Marital Intimacy with pre-test as covariate.

Notes

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

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