Yeon Hee Kim; Hae Won Kim; Mikyung Kwon

doi:10.4069/kjwhn.2015.21.3.207

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

Original Article

Korean J Women Health Nurs 2015;21(3):207-215.

Published online: 17 September 2015

DOI: https://doi.org/10.4069/kjwhn.2015.21.3.207

Tool Development for Cancer Patients’ Sexuality Information Needs

Yeon Hee Kim¹, Hae Won Kim^2,, Mikyung Kwon³

¹Division of Nursing, Asan Medical Center, Seoul, Korea

²College of Nursing ․ The Research Institute of Nursing Science, Seoul National University, Seoul, Korea

³Department of Nursing, Catholic Kwandong University, Gangreung, Korea

Corresponding author: Kim, Hae Won College of Nursing, Seoul National University, 103 Daehak-ro, Jongro-gu, Seoul 110-799, Korea. Tel: +82-2-740-8820, Fax: +82-2-765-4103, E-mail: haewon@snu.ac.kr

Received 27 February 20151 June 2015 Accepted 18 August 2015

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

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.

Keywords: Sexuality, Assessment of health care needs, Patient, Neoplasm

REFERENCES

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Figure 1.

The research process of the tool development.

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)
Perceptions about sexual satisfaction	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
Variables	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

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