• 한국노년학
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• v.41 no.1
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• pp.69-83
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• 2021

The purpose of this study is to identify the characteristics and factors of each area by considering the gender health of the elderly as the integration of mental, physical, emotional, and social gender health based on the WHO gender health. The sexual health of the elderly is significantly different by gender, academic background, and region, and there is a clear difference in mental, physical, emotional sexual health and social sexual health. The mental, physical and emotional sexual health of the elderly in urban areas, those with high education and male is high, but the elderly in the rural areas, those with low education, and female are high in social sexual health. The factors affecting sexual health are as follows. Mental sexual health was positively influenced by satisfaction of sexual life and sexual knowledge. Physical sexual health was positively influenced by life and spouse satisfaction, and emotional sexual health was positively influenced by sexual relationship, spouse satisfaction, sexual life satisfaction and sexual knowledge. Social sexual health has a negative (-) effect on spouse satisfaction and sexual relationships. Integrated sexual health in old age can affect subjective health and quality of life, leading to successful aging. Sexual health education is needed to form a safe and healthy sexual life and interpersonal relationship. The 'sex' that appears as a cumulative trajectory of life should be accompanied by the accurate sexual health awareness and sex education that encompasses all generations. Therefore, in the composition of sex health education program, it is necessary to reflect the components that can enhance the sensitivity of adulthood to strengthen understanding and communication of spouse.

• Women's Health Nursing
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• v.10 no.1
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• pp.59-65
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• 2004

Purpose: This study was conducted to look at the relationship among sexual consciousness, reproductive health knowledge and sexual experience. Method: the subjects were 276 high school students in 4 high schools in Gyonggi Province and Chungnam Province. The data was collected from August 1 to September 10, 2003. Result: The average age of the subjects is 16.5 years old, composed of male students, 154 persons(55.8%), and female students, 122 persons(44.2%). The mean scores of sexual consciousness, reproductive health knowledge and the mean level of sexual experience are 28.9, 10.5, and 1.7 respectively. There is a significant difference in sexual consciousness and sexual experience by sex (t=-3.22, p<.001; t=8.17, p<.001), the male students have more sexual experience than the female students, while the girls have a higher sexual consciousness than boys. Sexual consciousness has a negative relationship with reproductive health knowledge and sexual experiences(r=-0.13, p=0.04;r=-0.17, p=0.01). Sexual experience has a positive relationship to reproductive health knowledge(r=0.21, p<.001). Conclusion: We can conclude that sexual consciousness and reproductive health knowledge are weakly related to sexual experience. In addition we suggest developing an educational program to enhance sexual consciousness for high school students considering sexual differences.

• The Journal of Korean Society for School & Community Health Education
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• v.19 no.1
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• pp.47-60
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• 2018

Objectives: The purpose of this study was to investigate the sexual knowledge, sexual attitude and sexual autonomy related to reproductive health of female college student and affecting factors on reproductive health promoting behavior. Methods: The sample included 329 females students S university in D city. Data were collected from 24th to 28th of october, 2016 by using a structured questionnaire. The data were analyzed using a T-test, ANOVA, pearson's correlation and multiple regression analysis with SPSS 22.0. Results: The subjects' reproductive health promoting behavior differed according to the age, sexual experience, dating experience, form of high school. The subjects' reproductive health promoting behavior had positive correlations with sexual knowledge and sexual autonomy, and negative correlation with sexual attitude. Sexual knowledge was influencing factors on reproductive health promoting behavior accounting for 79.0%. Conclusions: Therefore, this result suggest that the developing reproductive health education programs based on the findings and providing the programs on their demands.

• Women's Health Nursing
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• v.10 no.3
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• pp.252-260
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• 2004

Purpose: This study was done to develop a sexual health education program for unmarried mothers that were intended to provide the correct sexual knowledge, to help them establish positive sexual perception and to improve sexual health. The program was applied and its effect was evaluated. Method: One group pretest-posttest quasi-experimental research design was applied to evaluate the effect of a sexual health education program unmarried mothers. The research team developed a 34 hour program of 16 units, where the basic schemes were human development, relationships, personal skills, sexual behavior, sexual health, and society & culture. We applied the program to 32 unmarried mothers in the Institute for unmarried mothers in Gangwon-do, Korea from April 19, 2004 to June 14, 2004. Result: After the application of an 8 week sexual health education program, the subjects significantly showed a better perception of self-efficiency, self-esteem, sexual knowledge and sexual behavior than before the program. Conclusion: The sexual health education program for unmarried mother in this study was effective on improving sexual perception and promoting sexual health behavior.

• Korean Journal of Adult Nursing
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• v.22 no.2
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• pp.113-120
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• 2010

Purpose: The purpose of this study is to examine the factors influencing the barriers faced by Korean nurses in addressing the patients' sexual health. Methods: The subjects in this study were nurses working at hospitals in Seoul and Jeonju. The data for this study were collected between November 2008 and December 2008. The subjects were assured of anonymity and confidentiality. Results: The barriers to addressing the patients' sexual health were moderate in the subjects. The nurses had moderate sexual knowledge and communication skills. In a stepwise regression analysis, the areas of work, communication skills, participation in sexual health training, and experience in Obstetrics and Gynecology accounted for 18.3% of the variance of the barrier for addressing the patients' sexual health. Conclusion: These findings emphasize the need for the development of a patient-centered sexual health-related curriculum for nurses, which has been briefly discussed in Korea. An educational program that improves the nurses' communication skills will be effective in reducing the barriers to addressing the patients' sexual health and will help the nurses become sexual health specialists.

• Women's Health Nursing
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• v.23 no.4
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• pp.243-255
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• 2017

Purpose: The purpose of this study was to clarify attributes, antecedents, and consequences of female sexual subjectivity. Methods: Walker and Avant's concept analysis process was used to analyze 27 studies from the current literature that relates to female sexual subjectivity. A systematic literature review of women's study in sociology, psychology, theology, law, health science, and nursing was reviewed. Results: The defining attributes of female sexual subjectivity were sexual self-awareness, sexual decision making, sexual desire, and good sexual communication with partner. The antecedents of female sexual subjectivity were social environment, sexual education, sexual experience, and interpersonal relationship. The consequences of female sexual subjectivity were safe sex, prevention of sexual victimization, and sexual satisfaction. Conclusion: Female sexual subjectivity is defined as sexual self-awareness, sexual decision making, sexual desire to seek sexual pleasure and safety, and effective communication with partner in terms of sexual behavior, sexual experience and sexual health. Based on these results, a scale measuring female sexual subjectivity is needed.

• Child Health Nursing Research
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• v.7 no.1
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• pp.5-20
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• 2001

The purpose of this study was to analyze and identify the higher-grade primary school children's needs for sexual education. We got the data with open question from 481 children from March to July 1999. We analyzed them according to the framework suggested by the Sex Information and Education Council of USA. The framework involves the six domains such as human development, relationship, personal skills, sexual behavior, sexual health, and society & culture. In the analysis of need for sexual education according to domain, need for human development was highest (79.2 ％), after that followed society & culture (8.3 ％), sexual health (5.8％), sexual behavior (3.6％), and relationships (3.1％). There was no need for personal skills. By topics, there were needs for puberty (38.0％), reproduction (32.5％), gender roles (6.0％), body image (4.9％), sexual abuse (2.4％) and reproductive health (2.4％). Girls and boys all mostly wanted to know human development 41.0 ％ and 38.2 ％ each. Society & culture (3.4 ％), sexual behaviour (2.7％), sexual health (2.6％), relationship (2.4％) were domains selected by boys. Girls wanted to know society & culture (4.9％) and 'sexual health (3.2％). Comparing by grade, fourth, fifth and sixth grade children are commonly interested in development, society & culture. Fourth grade children scarcely show attention on the relationship, sexual behaviour and sexual health; meanwhile sixth grade children would like to know sexual behaviour and sexual health. When their grade became higher, they would like to know more precise, concrete and deep information. We suggest that the textbook/guidebook for sexual health for the higher-grade primary school children should be developed considering the sex and grade.

• Women's Health Nursing
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• v.10 no.2
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• pp.99-108
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• 2004

Purpose: This study was to serve the sexual health education of the hysterectomy patients and to get the basic data of the nursing intervention on sexual health education. Sexual health education for the patients is an independent function as well as a professional responsibility of nurses. Method: The subjects were composed of 108 post-op patients who had undergone doing a hysterectomy 5 to 10 days previously and 101 nurses at OBGY hospitals. For data analysis, the study executed a frequency, mean, standard deviation, t-test, ANOVA, Duncan Multiple Range test and Spearman's rho correlation coefficient, in accordance with the purpose of the study using SPSS Win 10.0. Result: Mean score of the needs degree of sexual health education was 3.30 point. The need for education was highest in the sexual health promotion with education related to sexual interaction the lowest. Mean score of the nurses' teaching performance degree of sexual health education was 1.80 point. The nurses' teaching performance was highest in the sexual health promotion. There exist significant correlations between the degree of patients' educational needs and the degree of nurses' teaching performance on physiosexual(p=-.667, p<.05), psychosexual(p=.762, p<.05), sexual interaction(p=.667, p<.05) respectively. There was no significant difference on sexual health promotion(p=.359, p>.05). Conclusion: The degree of sexual health education needs of hysterectomy patients was very high. Therefore, continuous nursing education program should be developed and provided for the promotion of the performance of sexual health education as the nursing professional role.

• Women's Health Nursing
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• v.22 no.2
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• pp.104-115
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• 2016

Purpose: The purpose of this study was to develop a web-based sexual health program for women undergoing treatment for gynecologic cancer and their partners, and to evaluate the validity of the developed program. Methods: A web-based sexual health program was developed and evaluated: analysis (needs assessment on 23 patients and content analysis through literature review and web search), design, development, implementation, and evaluation. Results: The web-based sexual health program for women undergoing treatment for gynecologic cancer and their partners was structured with sexual life, sexual response cycle, change of sexual function, sexual dysfunction related to treatment, and useful method for sexual dysfunction. This program included a video to improve for understanding and a bulletin board to promote bi-directional interactions between program users and providers. Experts and users rated this program in terms of efficacy, convenience, design, relevance, and usefulness. This program contents were found appropriate and satisfactory to both experts and users. Conclusion: This web-based sexual health program for women undergoing treatment for gynecologic cancer and their partners would contribute to sexual health promotion for gynecologic cancer women and their partners.

• Women's Health Nursing
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• v.8 no.2
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• pp.177-189
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• 2002

Sexual health education for the patients is an independent function as well as a professional responsibility of nurses. Education should be based on the needs of patients in order to be successful and effective. Therefore nurses must identify sexual health education needs of their patients. A sexual health education protocol for hysterectomy patients was developed by the researcher for this study and included physiosexual and psychosexual topics as well as the topic of sexual interaction. The subject pool was composed of 108 post op total hysterectomy patients who had undergone doing a hysterectomy 5 to 10 days previously at 5 hospitals located in the Seoul and Kyunggi-do area from July 23 to September 30, 2001. The questionnaire was composed of 60 items on sexual health education and used a Likert-type 4-point scale. Internal consistency of this questionnaire in this study was cronbach's $\alpha$=.9495 for sexual health educational needs. For data analysis, the study executed a t-test, ANOVA, and Duncan's Test, in accordance with the purpose of the study using SPSS/PC Win 10.0. The results were as follows: The need for education was highest in the psychosexual area (3.38 point) with education related to sexual interaction the lowest (3.20 point). Osteoporosis (3.75 point) was ranked overall as the highest area of educational need. The degree of educational need varied in correlation with other characteristics of the patients including age, status of marriage, duration of marriage, religion, academic career, monthly income, occupation, the number of children age of menarche, menstruation, other diseases except gynecological disease, previous genital organ operation experience, disease discovery method, pre-explanation for the hysterectomy, average sexual intercourse frequency, how to acquire sexual health information and previous sexual health education (p<.05). In conclusion, the degree of sexual health education needs of hysterectomy patients was very high. Therefore, sexual health educational programs planned according to characteristics of the participating women is necessary.