Journal List > Korean J Women Health Nurs > v.21(3) > 1089509

Kim, Kim, and Kwon: Tool Development for Cancer Patients’ Sexuality Information Needs

Abstract

Purpose

This study aimed to develop a scale measuring sexuality information needs of patients with cancer.

Methods

Nine items of sexuality information needs were based on the PLISSIT model and concepts of sexual rights. A factor analysis using principal axis factoring and Cronbach's ⍺ were performed to test validity and reliability. Data were collected from 211 patients with cancer visiting a cancer center in Seoul, Korea.

Results

Factor loadings of the 9 items of sub scales ranged from .43 to .96. Three factors in this study explained 74.4% of the total variance. Cronbach's ⍺ of the 9 items was .83.

Conclusion

The scale of information needs about sexuality showed acceptable construct validity and reliability. This scale would be useful to assess the levels of information needs for sexuality for patients with cancer. The possibility of the scales’ expansion to other group could be investigated in future studies.

REFERENCES

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Figure 1.
The research process of the tool development.
kjwhn-21-207f1.tif
Table 1.
Socio-demographic Characteristics of the Subjects (N=211)
Characteristics Categories n (%) M±SD Min~Max
Socio-demographic factors        
Gender Male 66 (31.3)    
  Female 145 (68.7)    
Age (yr) 27~42 50 (23.7) 49.0±9.10 27~70
  43~49 54 (25.6)    
  50~55 54 (25.6)    
  56~70 53 (25.1)    
Religion Yes 137 (64.9)    
  None 74 (35.1)    
Job status (n=208) Yes 102 (49.0)    
  No 106 (51.0)    
Economic status (n=210) Very poor 8 (3.8)    
  Poor 81 (38.5)    
  Fair 115 (54.7)    
  Very good 6 (2.9)    
Marital status (n=209) Unmarried 18 (8.6)    
  Married 177 (84.7)    
  Divorced 6 (2.9)    
  Separated from dying and other 8 (3.8)    
Clinical characteristics        
Time after diagnosis (month) (n=208)     29.5±35.8 1~216
History of surgery (n=204) Yes 86 (42.2)    
  No 118 (57.8)    
History of chemotherapy (n=207) Yes 74 (35.7)    
  No 133 (64.3)    
History of radiation therapy (n=206) Yes 142 (68.9)    
  No 64 (31.1)    
Perceptions about sexual satisfaction Absolute disagree (1) Disagree (2) I don't know (3) Agree (4) Very much agree (5)
n (%) n (%) n (%) n (%) n (%)
1. I am dissatisfied with my sexuality (n=208) 15 (7.2) 121 (58.2) 47 (22.6) 20 (9.6) 5 (2.4)
2. My sexual function become worse due to disease (n=208) 22 (10.6) 46 (22.1) 65 (31.3) 60 (28.8) 15 (7.2)
3. My sexual confidence was lowered due to cancer treatment (n=210) 20 (9.5) 48 (22.9) 40 (19.0) 87 (41.4) 15 (7.1)
Table 2.
Results of Factor Analysis and Descriptive Statistics
No. Items M±SD Factor I Factor II Factor III Eigen value
3 Queries for sexuality… 2.89±1.06 .96 -.07 -.05  
4 Need to counsel sexuality with… 2.48±1.03 .93 -.06 -.05  
2 Need to get sexual information… 3.14±1.02 .80 .12 .11  
  Variance 46.1%         4.15
5 My sexual partner is satisfied with… 3.29±0.92 -.12 .89 -.10  
6 My sexual partner is honest to talk… 3.43±1.03 .04 .82 -.04  
7 Sexuality is important for my life 3.25±0.98 .18 .44 .39  
  Variance 18.0 %         1.62
8 Need to ask from health professional… 2.89±0.98 -.03 -.07 .95  
9 Need to solve the sexual issue from… 2.75±0.98 -.01 -.09 .92  
1 Importance of the sexual information … 3.55±0.92 .33 .25 .43  
  Variance 10.3%         0.92

Total variance 74.4%

Table 3.
Relationships among Three Factors
Variables Factor I Factor II Factor III
r (p) r (p) r (p)
Factor I (Necessity of sexuality information) 1.00 .27 (<.001) .63 (<.001)
Factor II (Sexual satisfaction)   1.00 .24 (.001)
Factor III (Professional sexual intervention)     1.00
Table 4.
Results of Reliabilities: Three Factors and Total
No. Items Scale mean if item deleted Scale variance if item deleted Corrected item-total correlation Cronbach's ⍺ if item deleted
3 Queries for sexuality…. 5.54 3.59 .82 .81
4 Need to counsel sexuality with…. 5.96 3.93 .75 .86
2 Need to get sexual information…. 5.29 3.86 .77 .85
  Cronbach's ⍺of factor I=.89        
5 My sexual partner is satisfied with…. 6.66 2.60 .48 .46
6 My sexual partner is honest to talk…. 6.51 2.25 .51 .40
7 Sexuality is important for my life 6.69 2.85 .32 .67
  Cronbach's ⍺ of factor II=.62        
8 Need to ask from health professional…. 6.18 2.71 .75 .59
9 Need to solve the sexual issue from …. 6.33 2.79 .71 .64
1 Importance of the sexual information … 5.54 3.54 .47 .88
  Cronbach's ⍺ of factor III=.80        
Total Cronbach's ⍺=.83
TOOLS
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