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Original Articles
Effects of Lifestyle Intervention on Fatigue, Nutritional Status and Quality of Life in Patients with Gynecologic Cancer
Hyunjin An, Ju-Hee Nho, Sunyoung Yoo, Hyunmin Kim, Minji Nho, Hojeong Yoo
J Korean Acad Nurs 2015;45(6):812-822.   Published online December 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.812
AbstractAbstract PDF
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.

Citations

Citations to this article as recorded by  
  • 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
    Eun A Song, Youngran Kweon, Yoon Young Hwang, Minjeong An
    Korean Journal of Adult Nursing.2020; 32(4): 385.     CrossRef
  • Deriving the Components of Lifestyle-Related Occupational Therapy Intervention Program for the Elderly: Through the Delphi Technique
    Yun-Chan Shin, Da-Sol Park, Eun-Hye Cho, Kyung-A Won, Dae-Sung Han, Jung-Ran Kim
    Journal of Korean Society of Occupational Therapy.2020; 28(1): 45.     CrossRef
  • Theoretical evaluation of Cox’s interaction model of client health behavior for health promotion in adult women
    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
    Young Sil Kang, In Soo Kwon, Eunyoung Hong
    Journal of Korean Public Health Nursing.2016; 30(3): 445.     CrossRef
  • 314 View
  • 4 Download
  • 14 Crossref
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Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands
Ju-Hee Nho
J Korean Acad Nurs 2013;43(5):681-689.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.681
AbstractAbstract PDF
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.

Citations

Citations to this article as recorded by  
  • The Effect of Sexual Education Program on Sexual Function and Genital Self-image, Sexual Quality of Life among Primiparous Women
    Athar Rasekh Jahromi, Hanie Jafari, Parvin Adedi, Mojgan Javadnoori, Solmaz Mohammadi, Vahid Rahmanian, Safieh Jamali
    Current Womens Health Reviews.2025;[Epub]     CrossRef
  • Effects of a sexual health enhancement program for women with breast cancer: A quasi-experimental study
    Hye Sook Kim, Chaewon Yun
    European Journal of Oncology Nursing.2025; 76: 102852.     CrossRef
  • The effectiveness of couple-based interventions on the marital outcomes of women with genital and breast cancer and their partners: a systematic review and meta-analysis
    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
    Susanne A. M. Arends, Carlijn E. van Rossum, Corien M. Eeltink, Jantien E. Robertus, Linda J. Schoonmade, Anneke L. Francke, Irene P. Jongerden
    Supportive Care in Cancer.2024;[Epub]     CrossRef
  • The Effect of Sexual Counseling Based on PLISSIT and EX-PLISSIT Models on Sexual Function, Satisfaction, and Quality of Life: A Systematic Review and Meta-Analysis
    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
    Maryam Shami, Ali Montazeri, Seyedeh Tahereh Faezi, Zahra Behboodi Moghadam
    Sexuality and Disability.2023; 41(2): 451.     CrossRef
  • The Effect of Post-Operative Sexual Counseling Carried out with PLISSIT Model on Sexual Function and Sexual Satisfaction in Gynecologic Cancers
    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
    Fatemeh Soleimaninejad, Razieh Lotfi, Mehdi Mousavi, Majid Taghizadeh, Kourosh Kabir
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    Effat Merghati Khoei, Rhoghieh Kharaghani, Elham Shakibazadeh, Soghrat Faghihzadeh, Noura Aghajani, Jeffrey E. Korte, Mina Esmkhani
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  • Effects of the Better Model Based Counseling on Sexuality of Women with Breast Cancer
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  • Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
    Bom-Mi Park
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  • The Effect of the PLISSIT Model on Sexual Functions: A Systematic Review
    Serap KIRICI, Emel EGE
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  • Sexual Health Outcomes of PLISSIT-based Counseling versus Grouped Sexuality Education among Iranian Women with Breast Cancer: A Randomized Clinical Trial

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    Michael R. Bennett
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  • Effect of a Web-Based Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands
    Ju-Hee Nho, Yeon Hee Kim, Hye-Ji Kook
    International Journal of Sexual Health.2019; 31(1): 50.     CrossRef
  • Oncology Nurses' Knowledge Regarding Fertility Preservation for Patients with Cancer
    Miok Kim, Ju-Hee Nho, Aeran Lee
    Korean Journal of Adult Nursing.2019; 31(3): 315.     CrossRef
  • The Influence of Ex-PLISSIT (Extended Permission, Limited Information, Specific Suggestions, Intensive Therapy) Model on Intimacy and Sexuality of Married Women with Multiple Sclerosis
    Fatemeh Daneshfar, Zahra Behboodi-Moghadam, Zohreh Khakbazan, Seyed Massood Nabavi, Nahid Dehghan Nayeri, Sogand Ghasemzadeh, Ali Montazeri
    Sexuality and Disability.2017; 35(4): 399.     CrossRef
  • Development of a Web-based Sexual Health Program for Women Undergoing Treatment for Gynecologic Cancer and Their Partners
    Ju-Hee Nho
    Korean Journal of Women Health Nursing.2016; 22(2): 104.     CrossRef
  • The effectiveness of the Permission, Limited Information, Specific suggestions, Intensive Therapy (PLISSIT) model based sexual counseling on the sexual function of women with Multiple Sclerosis who are sexually active
    Zohreh Khakbazan, Fatemeh. Daneshfar, Zahra Behboodi-Moghadam, Seyed Massood Nabavi, Sogand Ghasemzadeh, Abbas Mehran
    Multiple Sclerosis and Related Disorders.2016; 8: 113.     CrossRef
  • Comments on female sexual dysfunction with cervical cancer in Republic of Korea
    Gyeong-Eun Heo, Tae-Hee Kim, Hae-Hyeog Lee, Jun-Mo Kim
    Archives of Gynecology and Obstetrics.2016; 294(1): 209.     CrossRef
  • Reply to letter to the editor by J.-M. Kim et al. on "Sexual function and quality of life in women with cervical cancer before radiotherapy: a pilot study" by Grion et al.
    R. C. Grion, Luiz Francisco Baccaro, A. F. Vaz, L. Costa-Paiva, D. M. Conde, A. M. Pinto-Neto
    Archives of Gynecology and Obstetrics.2016; 294(1): 211.     CrossRef
  • Interventions for sexual dysfunction following treatments for cancer in women
    Bridget Candy, Yuan Chi, Lisa Graham-Wisener, Louise Jones, Michael King, Anne Lanceley, Victoria Vickerstaff, Adrian Tookman
    Cochrane Database of Systematic Reviews.2016;[Epub]     CrossRef
  • Effects of Lifestyle Intervention on Fatigue, Nutritional Status and Quality of Life in Patients with Gynecologic Cancer
    Hyunjin An, Ju-Hee Nho, Sunyoung Yoo, Hyunmin Kim, Minji Nho, Hojeong Yoo
    Journal of Korean Academy of Nursing.2015; 45(6): 812.     CrossRef
  • 271 View
  • 11 Download
  • 25 Crossref
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Effectiveness of PLISSIT Model Sexual Program on Female Sexual Function for Women with Gynecologic Cancer
Nami Chun
J Korean Acad Nurs 2011;41(4):471-480.   Published online August 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.4.471
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effectiveness of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual program on female sexual function for women with gynecologic cancer.

Methods

The integrative 6-hr (two hours per session) program reflecting physical and psychosocial aspects of women's sexuality was developed based on Annon's PLISSIT model. Participants were 61 women with cervical, ovarian, or endometrial cancer. Of them, 29 were assigned to the experimental group and 32 to the control group. The women completed the Female Sexual Function Index (FSFI) including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain. Independent t-test and repeated measured ANOVA were used to test the effectiveness of the program.

Results

Significant group differences were found on FSFI sub-domain scores including sexual desire, arousal, lubrication, orgasm, and satisfaction but not pain. Significant time differences were found on all domains except for pain in the experimental group repeated measured ANOVA.

Conclusion

The results indicate that the three-week PLISSIT model sexual program is effective in increasing sexual function for women with gynecologic cancer. Nurses may contribute to improving women's sexual function by utilizing the program. Strategies to relieve sexual pain need to be considered for greater effectiveness of the program.

Citations

Citations to this article as recorded by  
  • The Effect of Sexual Education Program on Sexual Function and Genital Self-image, Sexual Quality of Life among Primiparous Women
    Athar Rasekh Jahromi, Hanie Jafari, Parvin Adedi, Mojgan Javadnoori, Solmaz Mohammadi, Vahid Rahmanian, Safieh Jamali
    Current Womens Health Reviews.2025;[Epub]     CrossRef
  • Effects of a sexual health enhancement program for women with breast cancer: A quasi-experimental study
    Hye Sook Kim, Chaewon Yun
    European Journal of Oncology Nursing.2025; 76: 102852.     CrossRef
  • Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review
    Susanne A. M. Arends, Carlijn E. van Rossum, Corien M. Eeltink, Jantien E. Robertus, Linda J. Schoonmade, Anneke L. Francke, Irene P. Jongerden
    Supportive Care in Cancer.2024;[Epub]     CrossRef
  • Educational programs and counseling models for improving postpartum sexual health: a narrative review
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  • The Effect of Post-Operative Sexual Counseling Carried out with PLISSIT Model on Sexual Function and Sexual Satisfaction in Gynecologic Cancers
    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
    Fatemeh Soleimaninejad, Razieh Lotfi, Mehdi Mousavi, Majid Taghizadeh, Kourosh Kabir
    Sexual and Relationship Therapy.2023; 38(2): 277.     CrossRef
  • The Effect of BETTER-Based Sex Counseling on Sexual Quality of Life in Infertile Women: a Randomized Controlled Clinical Trial
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    Sexuality and Disability.2022; 40(4): 785.     CrossRef
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    European Journal of Cancer Care.2022;[Epub]     CrossRef
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    Kirsty Winkley, Camilla Kristensen, Jackie Fosbury
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    Soon Yang Jang
    Asian Oncology Nursing.2021; 21(3): 163.     CrossRef
  • The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial
    Zohreh Keshavarz, Elham Karimi, Samira Golezar, Giti Ozgoli, Maliheh Nasiri
    BMC Women's Health.2021;[Epub]     CrossRef
  • ´Tratamientos psicológicos para mejorar la vida sexual en mujeres supervivientes de cáncer ginecológico: revisión sistemática.
    Karla Maricela Figueroa Espinoza
    Psicooncología.2020; 17(2): 293.     CrossRef
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    Maryam Mehrabi, Razieh Lotfi, Mitra Rahimzadeh, Effat Merghati Khoei
    International Journal of Diabetes in Developing Countries.2019; 39(4): 626.     CrossRef
  • The Effect of Cognitive Behavioral Therapy on Sexual Function in Infertile Women: A Randomized Controlled Clinical Trial
    Maryam Sahraeian, Razieh Lotfi, Mostafa Qorbani, Mahbobeh Faramarzi, Fatemeh Dinpajooh, Fahimeh Ramezani Tehrani
    Journal of Sex & Marital Therapy.2019; 45(7): 574.     CrossRef
  • PLISSIT Interventions and Sexual Functioning: Useful Tools for Social Work in Palliative Care?
    Michael R. Bennett
    Journal of Social Work in End-of-Life & Palliative Care.2019; 15(4): 157.     CrossRef
  • Influence of Urinary Dysfunction on Quality of Life in Women with Cervical Cancer after Radical Hysterectomy
    Nami Chun, Gie-Ok Noh
    Asian Oncology Nursing.2019; 19(3): 150.     CrossRef
  • The Influence of Ex-PLISSIT (Extended Permission, Limited Information, Specific Suggestions, Intensive Therapy) Model on Intimacy and Sexuality of Married Women with Multiple Sclerosis
    Fatemeh Daneshfar, Zahra Behboodi-Moghadam, Zohreh Khakbazan, Seyed Massood Nabavi, Nahid Dehghan Nayeri, Sogand Ghasemzadeh, Ali Montazeri
    Sexuality and Disability.2017; 35(4): 399.     CrossRef
  • Comments on female sexual dysfunction with cervical cancer in Republic of Korea
    Gyeong-Eun Heo, Tae-Hee Kim, Hae-Hyeog Lee, Jun-Mo Kim
    Archives of Gynecology and Obstetrics.2016; 294(1): 209.     CrossRef
  • Reply to letter to the editor by J.-M. Kim et al. on "Sexual function and quality of life in women with cervical cancer before radiotherapy: a pilot study" by Grion et al.
    R. C. Grion, Luiz Francisco Baccaro, A. F. Vaz, L. Costa-Paiva, D. M. Conde, A. M. Pinto-Neto
    Archives of Gynecology and Obstetrics.2016; 294(1): 211.     CrossRef
  • The effectiveness of the Permission, Limited Information, Specific suggestions, Intensive Therapy (PLISSIT) model based sexual counseling on the sexual function of women with Multiple Sclerosis who are sexually active
    Zohreh Khakbazan, Fatemeh. Daneshfar, Zahra Behboodi-Moghadam, Seyed Massood Nabavi, Sogand Ghasemzadeh, Abbas Mehran
    Multiple Sclerosis and Related Disorders.2016; 8: 113.     CrossRef
  • Sexual Health Care Attitudes and Practices of Nurses Caring for Patients with Cancer
    Young Hee Chae, Young Ok Song, Soon Tae Oh, Won Hee Lee, Young Mi Min, Hyang Mi Kim, Seung A Lee, Young Sin Choi
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  • Development and Evaluation of the Psychosocial Distress Nursing Intervention for Patients with Gynecological Cancer
    Jeong-Sook Park, Yun-Jung Oh
    Korean Journal of Adult Nursing.2012; 24(3): 219.     CrossRef
  • 315 View
  • 12 Download
  • 29 Crossref
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