한국 유방암 여성의 성생활 경험에 관한 포커스 그룹 연구

Experiences of Sexual Life of Korean Women with Breast Cancer: Descriptions from Focus Groups and Interviews

  • 투고 : 2010.03.22
  • 심사 : 2010.05.10
  • 발행 : 2010.05.31

초록

Purpose: The purpose of this study was to describe experiences of sexual life among Korean women with breast cancer. Methods: Data were collected by focus group and individual tape-recorded interviews. The data were analyzed using qualitative content analysis. Results: Participants were 13 women who had stage I, II, or III breast cancer. Four major categories were discovered. "Not interested in sexual life at all" in which participants described their struggle to live while avoiding sexual life during initial stages of disease. "Sexual life that could not go back to previous normal life" in which participants described how they began to recognize many problems related to their sexual life resulting from the loss of femininity and pain during intercourse. "Dangerous marriage due to no sexual life" in which participants illustrated how no or unsatisfactory sexual life threatened their entire marriage and family life. Finally, "rediscovery of sexual life as a vital element in life" in which participants described how, with support from their spouse, they came to realize that sexual life was an important and vital part of their life. Conclusions: The results of this study could help in developing-educational programs to improve sexual well-being of women with breast cancer and their spouses.

키워드

참고문헌

  1. Alfano, C. M., & Rowland, J. H. (2006). Recovery issues in cancer survivorship: A new challenge for supportive care. The Cancer Journal. 12(5), 432-443. https://doi.org/10.1097/00130404-200609000-00012
  2. Bae, J., Min, K., & Ahn, S. (2007). Construction of an explanatory model of female sexual dysfunction. Journal of Korean Academy of Nursing, 37(7), 1080-1090.
  3. Bruner, D. W., & Boyd, C. P. (1999). Assessing women's sexuality after cancer therapy: Checking assumptions with the focus group technique. Cancer Nursing, 22(6), 438-447. https://doi.org/10.1097/00002820-199912000-00007
  4. Burwell, S. R., Case, L. D., Kaelin, C., & Avis, N. E. (2006). Sexual problems in younger women after breast cancer surgery. Journal of Clinical Oncology, 24(18), 2815-2821. https://doi.org/10.1200/JCO.2005.04.2499
  5. Chang, S. B., Kang, H, S., & Kim, S. N. (1998). The sexual satisfaction in married women. Journal of Korean Academy of Nursing, 28(1), 201-209.
  6. Denzin, N. K. (1989). The research act: A theoretical introduction to sociological methods (3rd ed.). Englewood Cliffs, NJ: Prentice-Hall, Inc.
  7. Dizon, D. S. (2009). Quality of life after breast cancer: Survivorship and sexuality. The Breast Journal, 15(5), 500-504. https://doi.org/10.1111/j.1524-4741.2009.00766.x
  8. Goo, K. A., & So, H. Y. (1996). Sexual life of women who had a mastectomy. Chungnam Medical Journal, 23(1), 63-73.
  9. Herbenick, D., Reece, M., Hollub, A., Satinsky, S., & Dodge, B. (2008). Young female breast cancer survivors: Their sexual function and interest in sexual enhancement products and services. Cancer Nursing, 31(6), 417-425. https://doi.org/10.1097/01.NCC.0000339252.91194.6c
  10. Hordern, A. (2000). Intimacy and sexuality for the woman with breast cancer. Cancer Nursing, 23(3), 230-236. https://doi.org/10.1097/00002820-200006000-00011
  11. Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. https://doi.org/10.1177/1049732305276687
  12. Huber, C., Ramnarace, T., & McCaffrey, R. (2006). Sexuality and intimacy issues facing women with breast cancer. Oncology Nursing Forum, 33(6), 1163-1167. https://doi.org/10.1188/06.ONF.1163-1167
  13. Kalaitzi, C., Papadopoulos, V. P., Michas, K., Vlasis, K., Skandalakis, P., & Filippou D. (2007). Combined brief psychosexual intervention after mastectomy: Effects on sexuality, body image, and psychological well-being. Journal of Surgical Oncology, 96(3), 235-240. https://doi.org/10.1002/jso.20811
  14. Kim, S. J., Kim, H. J., Lee, K. J., & Lee, S. O. (2000). Focus group methodology. Seoul: Hyunmoonsa Publishing.
  15. Kreuger, R. A. (1994). Focus groups; A practical guide for applied research (2nd ed.). Thousand Oaks, CA: Sage Publications.
  16. Malinovszky, K. M., Gould, A., Foster, E., Cameron, D., Humphreys, A., Crown, J., et al. (2006). Quality of life and sexual function after high-dose or conventional chemotherapy for high-risk breast cancer. British Journal of Cancer, 95(12), 1626-1631. https://doi.org/10.1038/sj.bjc.6603454
  17. Meyerowitz, B. E., Desmond, K. A., Rowland, J. H., Wyatt, G. E., & Ganz, P. A. (1999). Sexuality following breast cancer. Jorunal of Sex & Marital Therapy, 25(3), 237-250.
  18. Morgan, D. L. (1997). Focus groups as qualitative research (2nd ed.). Thousand Oaks, CA: Sage Publications.
  19. National Cancer Center. (2009). Cancer incidence 2006-2007. Ministry for Health, Welfare and Family Affairs. Retrieved March 4 2010, from http://ncc.re.kr/english/infor/regi.jsp.
  20. Noh, Y. H. (2003). Breast cancer survivor's conquest experience. Unpublished doctoral dissertation, Chonnam National University, Gwangju, Korea.
  21. Park, J. Y. (2002). The comparison of sexual behaviors in breast cancer survivors with women without breast cancer. Unpublished master's thesis, Seoul National University, Seoul, Korea.
  22. Patton, M. Q. (1987). How to use qualitative methods in evaluation. Newbury Park London New Delhi: Sage Publication.
  23. Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-37.
  24. Sheppard, L. A., & Ely, S. (2008). Breast cancer and sexuality. The Breast Journal, 14(2), 176-181. https://doi.org/10.1111/j.1524-4741.2007.00550.x
  25. Walsh, S. R., Manuel, J. C., & Avis, N. E. (2005). The impact of breast cancer on younger women's relationships with their partner and children. Families, Systems, & Health, 23(1), 80-93.
  26. Young-McCaughan, S. (1996). Sexual functioning in women with breast cancer after treatment with adjuvant therapy. Cancer Nursing, 19(4), 308-319. https://doi.org/10.1097/00002820-199608000-00007