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Effects of Lifestyle Intervention on Fatigue, Nutritional Status and Quality of Life in Patients with Gynecologic Cancer
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Hyunjin An, Ju-Hee Nho, Sunyoung Yoo, Hyunmin Kim, Minji Nho, Hojeong Yoo
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J Korean Acad Nurs 2015;45(6):812-822. Published online December 15, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.6.812
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Abstract
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- Abstract
Purpose
The purpose of this study was to examine the effect of lifestyle intervention on the development of fatigue, nutritional status and quality of life of patients with gynecologic cancer.
Methods
A nonequivalent control group quasi-experimental design was used. Participants were 49 patients with gynecologic cancer. They were assigned to the experiment group (n=24) or the control group (n=25). The lifestyle intervention for this study consisted of physical activity, nutritional education, telephone call counseling, health counseling, monitoring for lifestyle, and affective support based on Cox's Interaction Model of Client Health Behavior and was implemented for six weeks.
Results
Significant group differences were found for fatigue (p=.037), nutritional status (p=.034) and social/family well-being (p=.035) in these patients with gynecologic cancer.
Conclusion
Results indicate that this lifestyle intervention is effective in lessening fatigue, and improving nutritional status and social/family well-being. Therefore, nurses in hospitals should develop strategies to expand and provide lifestyle interventions for patients with cancer.
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Citations
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- Effectiveness of Postoperative Dietary Intervention in Patients with Gastric Cancer who Underwent Gastrectomy: Quasi-Experimental Study Design
Dahye KIM, Myung Kyung LEE Seminars in Oncology Nursing.2025; 41(1): 151797. CrossRef - Health-Related Behaviors of Middle-Aged Cancer Survivors: A Comparative Study with Matched Non-Cancer Controls Using the Korea National Health and Nutrition Examination Survey VI–VII (2013–2018) Data
Mi Lee KIM, Ju Ri JEONG, Yu Ri CHOE Korean Journal of Health Promotion.2025; 25(1): 20. CrossRef - Effects of a Customized Diet Education Program Using a Mobile Instant Messenger for People Undergoing Peritoneal Dialysis: A Feasibility Test
Hyun-Jung Lee, Hee-Young Kang Asian Nursing Research.2024; 18(4): 367. CrossRef - Effects of an integrated lifestyle intervention for overweight and obese breast cancer survivors: A quasi-experimental study
Su Jin Seo, Ju-Hee Nho European Journal of Oncology Nursing.2024; 73: 102714. CrossRef - Literature Review on Lifestyle Intervention Program for Adults in Korea
Keun-Young Yang Journal of Digital Contents Society.2023; 24(8): 1815. CrossRef - Effect of a Hospital-To-Home Transitional Intervention Based on an Interaction Model of Client Health Behavior for Adult Patients with Stroke
Su-Jin Cho, Sung Reul Kim, Kyung-Hee Cho, Nah-Mee Shin, Won-Oak Oh Journal of Community Health Nursing.2023; 40(4): 273. CrossRef - Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home
Hee Sang Yoon, Eun A Hwang Journal of Korean Academy of Community Health Nursing.2021; 32(1): 51. CrossRef - Attitudes About Coping With Fatigue in Patients With Gastric Cancer
Eun Ja Yeun, Misoon Jeon Gastroenterology Nursing.2020; 43(1): 97. CrossRef - Health-related Quality of Life and Its Related Factors among Cancer Survivors and General Adults: Focusing on Lifestyle Behaviors and Mental Health
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Youlim Kim, Hyeonkyeong Lee, Gi Wook Ryu Korean Journal of Women Health Nursing.2020; 26(2): 120. CrossRef - A Comparative Study on the Characteristics of Cancer Patients and Cancer Survivors
So Young Baek, Ja Yun Choi Asian Oncology Nursing.2018; 18(1): 11. CrossRef - The Effects of Stress and Stress Coping on Life Quality in Cancer Patients and Caregivers: A Dyadic Analysis Using an Actor-Partner Interdependence Model
Eun-Jung Kim, Jeong Won Han Asian Oncology Nursing.2018; 18(3): 135. CrossRef - The Effects of Integrated Intervention Program for Community Dwelling Cancer Patients' Quality of Life, Depression and Self Care Agency
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Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands
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Ju-Hee Nho
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J Korean Acad Nurs 2013;43(5):681-689. Published online October 31, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.5.681
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Abstract
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Purpose
The purpose of this study was to examine effects of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual health enhancement program on, and development in, sexual function, sexual distress, marital intimacy, and subjective happiness of women with gynecologic cancer and their husbands.
Methods
The comprehensive program (4 session, 90 minutes per session) was developed based on the PLISSIT model. Participants were 43 couples, 21 assigned to the experimental group who attended the 4-week program, and 22 to the control group. Sexual function, sexual distress, marital intimacy, subjective happiness of the women, marital intimacy, subjective happiness of husbands were determined by a questionnaire that was completed by the participants before and after the program. The control group received the intervention post experiment. Chi-square test, t-test, Fisher's exact test were used to test the effectiveness of the program.
Results
Post intervention results showed significant differences between the groups for sexual function, sexual distress, and marital intimacy in the women and for subjective happiness in the husbands.
Conclusion
Results indicate that the sexual health enhancement program is effective in improving sexual function, lowering sexual distress, increasing marital intimacy, and subjective happiness in women with gynecologic cancer and their husbands.
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Citations
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- The Effect of Sexual Education Program on Sexual Function and Genital Self-image, Sexual Quality of Life among Primiparous Women
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Hamideh Zahedi, Zohreh Alizadeh-Dibazari, Mojgan Mirghafourvand, Mohammad Hasan Sahebihagh, Mina Hosseinzadeh BMC Cancer.2024;[Epub] CrossRef - Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review
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Sevil Cicek Ozdemir, Aliye Dogan Gangal, Ayten Senturk Erenel Archives of Sexual Behavior.2024; 53(9): 3485. CrossRef - The Effect of Sexual Counseling Based on EX‑PLISSIT Model on Improving the Sexual Function of Married Women with Systemic Lupus Erythematosus: A Randomized Controlled Trial
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Çiğdem BİLGE, Ergül ASLAN Clinical and Experimental Health Sciences.2023; 13(3): 623. CrossRef - The effect of a psycho-educational intervention on sexuality of women with acute coronary syndromes: a randomized controlled trial
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Hyunjin An, Ju-Hee Nho, Sunyoung Yoo, Hyunmin Kim, Minji Nho, Hojeong Yoo Journal of Korean Academy of Nursing.2015; 45(6): 812. CrossRef
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The effects of a lifestyle intervention for men in infertile couples in South Korea: a non-randomized clinical trial
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Yun Mi Kim, Ju-Hee Nho
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Received August 20, 2024 Accepted March 6, 2025 Published online March 25, 2025
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DOI: https://doi.org/10.4040/jkan.24104
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Abstract
ePub
- Purpose
This study aimed to evaluate the effects of an interaction model of client health behavior (IMCHB)-based lifestyle intervention on health-promoting behaviors, infertility stress, fertility-related quality of life, and semen quality in men in infertile couples.
Methods This study used a quasi-experimental, non-equivalent control group, pretest-posttest design, with participants divided into an experimental group (n=17) and a control group (n=19). The 16-session, 8-week intervention included components such as reproductive health education, physical activity, nutritional management, and stress management. Data collection occurred between July 1, 2021 and September 27, 2022. The outcomes measured included health-promoting behaviors, infertility stress, fertility-related quality of life, and sperm quality (volume, total motility, immobility, concentration, and normal morphology).
Results The experimental group showed significant improvements in health-promoting behaviors (z=–2.27, p=.023) and reductions in infertility stress (t=–2.40, p=.022) compared to the control group. Total sperm motility (F=4.39, p=.045) and normal morphology (z=2.86, p=.017) were also significantly higher in the experimental group than in the control group.
Conclusion The IMCHB-based lifestyle intervention significantly increased health-promoting behaviors, reduced infertility stress, and improved key sperm parameters, indicating its effectiveness in supporting the reproductive health of men in infertile couples.
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