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Effect of Sexual function and Sexual distress on Quality of life in Middle Aged Women with Osteoarthritis.

골관절염 중년여성의 성기능, 성스트레스가 삶의 질에 미치는 영향

  • Received : 2020.07.15
  • Accepted : 2020.11.06
  • Published : 2020.11.30

Abstract

This study examined the sexual function, sexual distress, and quality of life of middle-aged women with osteoarthritis, as well as the factors influencing the quality of life. The participants were 121 middle-aged women who have been suffering osteoarthritis. Data collection was conducted from September 1 to October 31, 2019. The instruments were the Female Sexual Distress Scale (FSDS), the Female Sexual Function Index (FSFI), and the World Health Organization Quality of Life Assessment Instrument (WHOQLO) -BREF scale. Data were collected with structured questionnaires and analyzed using a t-test, ANOVA, Pearson's correlation analysis, and multiple regression analysis. A positive correlation was observed between sexual function and quality of life, whereas sexual distress had a negative correlation between sexual function and the quality of life. Factors affecting the quality of life of middle-aged women with osteoarthritis were sexual function, sexual distress, which explained 16.1%. Sexual distress, sexual function, and quality of life showed a correlation. Therefore, it is important to develop a nursing intervention that can improve the sexual function and reduce the sexual distress of middle-aged women with osteoarthritis to improve their quality of life.

본 연구는 골관절염 질환을 있는 중년여성 환자의 성기능, 성스트레스, 삶의 질 정도와 관계를 파악하기 위한 서술적 상관관계 연구이다. 2019년 9월 1일부터 10월 31일까지 만40~65세 골관절염 질환이 있는 중년여성 121명을 대상으로 성기능, 성스트레스, 삶의 질의 관계를 설문조사하여 파악하였다. 성기능은 Female Sexual Function Index (FSFI), 성스트레스는 Female Sexual distress Scale (FSDS), 삶의 질은 World Health Organization Quaility of Life Assessment Instrument (WHOQLO)-BREF 척도를 사용하였다. 수집한 자료는 SPSS 25.0를 이용하여 기술통계, T-test, One-way ANOVA, Pearson's correlation coefficients, multiple regression analysis로 분석하였다. 연구결과, 골관절염 질환이 있는 중년여성의 성기능과 성스트레스는 통계적으로 유의한 음의 상관관계를 나타냈으며(r=-.24, p=.010), 성기능은 삶의 질과 통계적으로 유의한 양의 상관관계를 보였다(r=.32, p<.001). 성스트레스는 삶의 질과 통계적으로 유의한 음의 상관관계를 보였다(r=-.32, p<.001). 삶의 질 영향요인에서 여성의 성기능, 성스트레스가 삶의 질에 16.1% 영향을 미치는 것으로 나타났다. 본 연구를 통하여 골관절염 질환을 가진 중년여성의 성기능과 성스트레스를 삶의 질을 향상시킬 수 있는 중요한 부분임을 인식하여 성기능 장애와 성스트레스를 줄이고 삶의 질을 개선할 수 있는 중재 프로그램 개발 및 효과 검증을 위한 추가적인 연구가 필요하다.

Keywords

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