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- Relationship among Sexual Knowledge, Frequency, Satisfaction, Marital Intimacy and Levels of Depression in Stroke Survivors and Their Spouses
- Jung-Hee Kim
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Journal of Korean Academy of Nursing 2008;38(3):483-491.
DOI: https://doi.org/10.4040/jkan.2008.38.3.483
Published online: June 30, 2008
Full-time Instructor, Department of Nursing, Woosuk University, Wanju, Korea
- Address reprint requests to : Kim, Jung-Hee Department of Nursing, Woosuk University, 490 Samnye-eup, Wanju-gun, Jeollabuk-do 565-701, Korea Tel: 82-63-290-1760 Fax: 82-63-290-1548 E-mail: jhee90@woosuk.ac.kr
• Received: February 21, 2008 • Revised: February 26, 2008 • Accepted: June 3, 2008
Copyright © 2008 Korean Society of Nursing Science
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
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Purpose
- The purpose of this research was to examine the relationship between sexual knowledge, frequency, satisfaction, marital intimacy, and depression levels in stroke survivors and their spouses.
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Methods
- This study was a convenience sample of Korean men who had experienced a stroke and their spouses. The subjects were discharged from the hospital and received physical therapy. Data such as sexual knowledge, frequency, satisfaction, marital intimacy, and depression levels were collected from November 2005 to April 2006.
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Results
- In a comparison of stroke survivors and their spouses, the survivors showed higher mean levels of sexual knowledge and marital intimacy. The levels of knowledge, frequency, satisfaction and marital intimacy were low and depression was mild in the subjects. There were significant correlations between sexual frequency, sexual satisfaction and marital intimacy. Also, subjects with lower levels of sexual satisfaction were more depressed. The spouses who possessed greater levels of sexual knowledge reported a higher frequency of sex and greater marital intimacy. In addition, spouses who reported feeling greater levels of marital intimacy experienced fewer depressive symptoms.
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Conclusion
- These findings demonstrate a need for the development of sexual adaptation programs which could be effective in improving sexual knowledge, frequency, satisfaction, marital intimacy, and depression reported by stroke patients and their spouses. Ideally, these corrective programs should be administered before patients are discharged from the hospital.
Table 1.General Characteristics of Subjects (N=62)
Table 2.Health related Characteristics (N=62)
Table 3.Differences of Variables between Stroke Survivals and their Spouses (N=62)
Table 4.Correlations among Variables in Stroke Survivors (N=31)
Table 5.Correlations among Variables in Spouses (N=31)
- 1. Adams SG Jr, Dubbert PM, Chupurdia KM, Jones A Jr, Lofland KR, Leermakers E. Assessment of sexual beliefs and information in aging couples with sexual dysfunction. Achives of Sexual Behavior. 1996;25:249–260.ArticlePDF
- 2. Bae J, Min K, Ahn S. Construction of an explanatory model of female sexual dysfunction. Journal of Korean Academy of Nursing. 2007;37:1080–1090.ArticlePubMedPDF
- 3. Battle J. Relationship between self-esteem and depression. Psychological Report. 1978;42:745–746.ArticlePDF
- 4. Block JD, Bakos SC. In: Sex over 50. NJ: Reward Books; 1999.
- 5. Boldrini P, Basaglia N, Calanca MC. Sexual changes in hemiparetic patients. Archives of Physical Medicine and Rehabilitation. 1991;72:202–207.PubMed
- 6. Carod J, Egido J, González JL, Vareia de Seijas E. Poststroke sexual dysfunction and quality of life. Stroke. 1999;30:2238–2239.Article
- 7. Chang SB. In: An analytic study on influencing factors for sexual satisfaction in women who have had a hysterectomy. Seoul: Ewha Womans University; 1988. Unpublished doctoral dissertation.
- 8. Cheon YH. In: Sexuality in the disabled. Seoul: Hakjisa; 2000.
- 9. Choi-Kwon S, Lee SK, Park HA, Kwon SU, Ahn JS, Kim JS. What stroke patients want to know and what medical professionals think they should know about stroke: Korean perspective. Patient Education and Counseling. 2005;56:85–92.ArticlePubMed
- 10. Chon KK, Rhee MK. Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology. 1992;11:65–76.
- 11. Derogatis LR, Melisaratos N. The DSFI: A multidimensional measure of sexual functioning. Journal of Sex & Marital Therapy. 1979;5:244–281.Article
- 12. Giaquinto S, Buzzelli S, Di Francesco L, Nolfe G. Evaluation of sexual changes after stroke. The Journal of Clinical Psychiatry. 2003;64:302–307.ArticlePubMed
- 13. Kim JJ, Kim NC, Kim MJ, Kim SS, Kim OS, Kim YS, et al. In: Medical Surgical Nursing. Seoul: Hyunmoon publishing; 2005.
- 14. Kim JH. Sexual life in men after stroke. Journal of Korean Academy of Community Health Nursing. 2006;12(4):1–8.
- 15. Kim JH, Moon HS. Health perception, body image, sexual function and depression in menopausal women according to menopausal stages. Journal of Korean Academy of Nursing. 2006;36:449–456.ArticlePubMedPDF
- 16. Kim O, Kim JH. Influence of mastery and sexual frequency on depression in Korean men after stroke; Seoul: 2005. Poster session presented at the conference of Global Korean Nursing Foundation.
- 17. Korpelanien JT, Neiminen P, Myllylä VV. Sexual functioning among stroke patients and their spouses. Stroke. 1999;30:715–719.ArticlePubMed
- 18. Lee HJ, Yi M. Adjustment of middle-aged people with hemiplegia after a stroke. Journal of Korean Academy of Nursing. 2006;36:792–802.ArticlePubMedPDF
- 19. Lee KH. In: The type of the relationships according to the conflicts and marital intimacy. Seoul: Seoul National University; 1998. Unpublished doctoral dissertation.
- 20. Lemieux L, Cohen-Schneider R, Holzapfel S. Aphasia and sexuality. Sexuality and Disability. 2001;19:253–266.
- 21. McCabe MP, Taleporos G. Sexual esteem, sexual satisfaction and sexual behavior among people with physical disability. Archives of Sexual Behavior. 2003;32:359–369.PubMed
- 22. 2001 National Health and Nutrition Survey. Ministry of Health and Welfare. 2002 Dec 30 [Retrieved September 30, 2006]. from http://www.mw.go.kr/user.tdf
- 23. Moon SM. In: A Study on the effects of sexual knowledge and attitude on the coping behavior with sexual desires of the elderly women. Gwangju: Cheonam University; 2002. Unpublished master's thesis.
- 24. Manga TN, Lawson JS, Inglis J. Sexual dysfunction in stroke patients. Archives of Physical Medicine and Rehabilitation. 1986;67:19–22.PubMed
- 25. Na IS. In: The effect of sexual knowledge and attitude on the coping behavior of the elderly with sexual desire. Seoul: Soongshil University; 2005. Unpublished doctoral dissertation.
- 26. Park JH, Kwon YC. Korean version of Mini-Mental State Examination (MMSE-K): Development of the test for the elderly. Journal of Korean Neuropsychiatric Association. 1989;28:125–135.
- 27. Park YC. Correlations among sexual concept, sexual behaviors, sexual satisfaction, and life satisfaction in the elderly; Seoul: 2004. Paper presented at the meeting of Korean Gerontological Society.
- 28. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1:385–401.ArticlePDF
- 29. Sjögren K, Damber JE, Liliequist B. Sexuality after stroke with hemiplegia. I. Aspects of sexual function. Scandinavian Journal of Rehabilitation Medicine. 1983;15(2):55–61.
- 30. Taleporos G, McCabe MP. Development of the physical disability sexual and body esteem scale. Sexuality and Disability. 2002;20:159–176.
- 31. Visser-Meily A, Post M, Schepers V, Lindeman E. Spouses' quality of life 1 year after stroke: Prediction at the start of clinical rehabilitation. Cardiovascular Disease. 2005;20:443–448.ArticlePDF
- 32. Yang J. In: The relationship between the marital intimacy, self esteem and family of origin's health. Seoul: Kyunghee University; 2004. Unpublished master's thesis.
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XML DownloadRelationship among Sexual Knowledge, Frequency, Satisfaction, Marital Intimacy and Levels of Depression in Stroke Survivors and Their Spouses
Relationship among Sexual Knowledge, Frequency, Satisfaction, Marital Intimacy and Levels of Depression in Stroke Survivors and Their Spouses
| Stroke survivors |
Spouses |
||
|---|---|---|---|
| n (%) or M±SD | n (%) or M±SD | ||
| Age (yr) | 40-49 | 3 (9.7) | 9 (29.0) |
| 50-59 | 22 (71.0) | 20 (64.5) | |
| 60-65 | 6 (19.3) | 2 (6.5) | |
| 55.48±4.54 | 52.3±5.46 | ||
| Education level | Middle school | 10 (32.3) | 20 (64.5) |
| High school | 13 (41.9) | 10 (32.3) | |
| ≥College | 8 (25.8) | 1 (3.2) | |
| Family income (10,000 won) | <100 | 15 (48.4) | |
| 100-199 | 8 (25.8) | ||
| ≥200 | 8 (25.8) | ||
| Economic status | Low | 16 (51.6) | 22 (71.0) |
| Moderate | 14 (45.2) | 6 (19.3) | |
| Sufficient | 1 (3.2) | 3 (9.7) | |
| Occupation | No | 27 (87.1) | 18 (58.1) |
| Yes | 4 (12.9) | 13 (41.9) | |
| Subject | Characteristics | Category | n (%) | M±SD | Min-max | Possible range | |
|---|---|---|---|---|---|---|---|
| Stroke survivals | Physical deficit | Muscle weakness | Right | 15 (48.4) | |||
| Left | 16 (51.6) | ||||||
| Dysarthria | Yes | 5 (16.1) | |||||
| No | 26 (83.9) | ||||||
| Disease | Hypertension | Yes | 18 (58.1) | ||||
| No | 13 (41.9) | ||||||
| Diabetic mellitus | Yes | 6 (19.4) | |||||
| No | 25 (80.6) | ||||||
| Years since diagnosis | <1 | 5 (16.1) | 67.84±48.61 | 10-228 | |||
| 1-3 | 11 (35.5) | ||||||
| Mean blood pressure | ≥3 | 15 (48.4) | 110.20±9.98 | 96.50-136.00 | |||
| Activities of daily living | 20.00±0.00 | 0-20 | |||||
| Cognitive function | 27.94±1.65 | 25-30 | 0-30 | ||||
| Spouses | Disease | Hypertension | Yes | 6 (19.4) | |||
| No | 25 (80.6) | ||||||
| Diabetic mellitus | Yes | 3 (9.7) | |||||
| No | 28 (90.3) | ||||||
| Urinary incontinence | Yes | 2 (6.5) | |||||
| No | 29 (93.5) | ||||||
| No disease | Yes | 15 (48.4) | |||||
| No | 16 (51.6) | ||||||
| Menopause | Yes | 18 (58.1) | |||||
| No | 13 (41.9) | ||||||
| Years since menopause | <3 | 5 (16.1) | 63.22±52.02 | 12-210 | |||
| 3-5 | 9 (29.0) | ||||||
| ≥5 | 4 (12.9) | ||||||
| Variables | Stroke survivors |
Spouses |
Possible range | t (p) | |||
|---|---|---|---|---|---|---|---|
| M±SD | Min- max | M±SD | Min- max | ||||
| Sexual knowledge | 9.29±3.13 | 5-15 | 5.45±3.88 | 0-12 | 0-19 | -5.163 (.000) | |
| Sexual frequency | 8.41±4.32 | 4-20 | 8.00±4.74 | 4-19 | 4-20 | -0.259 (.798) | |
| Sexual satisfaction | 3.10±2.49 | 0-8 | 2.00±1.70 | 0-6 | 0-8 | 1.680 (.106) | |
| Marital intimacy | Cognitive | 18.83±3.72 | 9-24 | 16.44±3.92 | 9-21 | 5-25 | -2.274 (.032) |
| Emotional | 18.32±3.53 | 12-24 | 15.56±4.23 | 9-23 | 5-25 | -2.828 (.009) | |
| Sexual | 15.00±4.91 | 8-25 | 11.72±5.48 | 5-21 | 5-25 | -3.897 (.001) | |
| Total | 52.16±10.21 | 33-71 | 49.0±9.50 | 30-67 | 15-75 | -2.274 (.032) | |
| Depression | 18.96±8.39 | 6-37 | 17.96±4.19 | 9-28 | 0-60 | -0.689 (.497) | |
| Variables | Sexual frequency | Sexual satisfaction | Marital intimacy | Depression |
|---|---|---|---|---|
| r (p) | r (p) | r (p) | r (p) | |
| Sexual knowledge | .219 (.236) | -.059 (.752) | .201 (.297) | -.233 (.208) |
| Sexual frequency | .598 (.000) | .584 (.001) | -.339 (.062) | |
| Sexual satisfaction | .612 (.000) | -.500 (.004) | ||
| Marital intimacy | -.311 (.088) |
| Variables | Sexual frequency | Sexual satisfaction | Marital intimacy | Depression |
|---|---|---|---|---|
| r (p) | r (p) | r (p) | r (p) | |
| Sexual knowledge | .355 (.007) | .084 (.537) | .331 (.013) | -.219 (.105) |
| Sexual frequency | .524 (.000) | .647 (.000) | -.424 (.001) | |
| Sexua satisfaction | .556 (.000) | -.501 (.000) | ||
| Marital intimacy | -.408 (.002) |
Table 1. General Characteristics of Subjects (N=62)
Table 2. Health related Characteristics (N=62)
Table 3. Differences of Variables between Stroke Survivals and their Spouses (N=62)
Table 4. Correlations among Variables in Stroke Survivors (N=31)
Table 5. Correlations among Variables in Spouses (N=31)
