Seungmi Park; Keum-Soon Kim

doi:10.4040/jkan.2009.39.4.539

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Original Article
Model Construction of Sexual Satisfaction in Patients with a Colostomy: Seungmi Park, Keum-Soon Kim; Journal of Korean Academy of Nursing 2009;39(4):539-548.
DOI: https://doi.org/10.4040/jkan.2009.39.4.539
Published online: August 31, 2009

¹Full-time Lecturer, Department of Nursing, Hoseo University, Asan, Korea.

²Professor, College of Nursing, Seoul National University, Seoul, Korea.

Address reprint requests to: Park, Seungmi. Department of Nursing, Hoseo University, 165 Sechul-ri, Baebang-eup, Asan 336-795, Korea. Tel: 82-41-540-9533, Fax: 82-41-540-9558, seungmipark@hoseo.edu

• Received: May 27, 2009 • Accepted: July 21, 2009

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This study was designed to construct and test the structural equation model on sexual satisfaction in patients with a colostomy.
Methods
The model construction was based upon Roy's adaptation model. Stoma-related discomfort (SRD), age, frequency of sexual intercourse, treatment modality, and gender affect sexual satisfaction and are mediated by physical, psychosocial, and interdependence modes. Each mode was conceptualized as sexual function, body image/depression, and marital intimacy. The patients were 112 colostomates with colorectal cancer who were asked to complete a mail-back survey on their demographic data, SRD, body image, depression, marital intimacy, sexual function, and sexual satisfaction. Data were analyzed using SPSS WIN 15.0 and AMOS WIN 7.0.
Results
Significant variables for sexual satisfaction in the final model were body image affected by SRD, depression affected by body image and SRD, marital intimacy affected by depression, and sexual function affected by marital intimacy.
Conclusion
The results of this study suggest that specific guidelines for SRD are necessary to improve sexual satisfaction among colostomates. Nurses should be vigilant in monitoring depression and body image disturbance, and providing appropriate interventions to increase marital intimacy. Treatment modality, gender, and age should be considered in developing education programs pertaining to sexuality.
Keywords: Colostomy; Sexual behavior; Structural model

This article is based on a part of the first author's doctoral thesis from Seoul National University.

REFERENCES

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Figure 1

Conceptual framework based on Roy's adaptation model.

Figure 2

The hypothetical model.

x1=physical stoma-related discomfort (SRD); x2=psychological SRD; x3=management-related SRD; x4=age; x5=frequency of sexual intercourse; x6=treatment modality; x7=gender; y1=body image; y2=depression; y3=intimacy; y4=sexual function; y5=sexual satisfaction.

Figure 3

Path diagram for the modified model.

^*p<.05; ^**<.01.

Table 1

Descriptive Statistics of the Measured Variables

Table 2

Correlations among the Measured Variables (N=112)

x1=physical stoma-related discomfort; x2=psychological stoma-related discomfort; x3=management-related stoma-related discomfort; x4=age; x5=frequency of sexual intercourse; x6=treatment modality; x7=gender; y1=body image; y2=depression; y3=intimacy; y4=sexual function; y5=sexual satisfaction.

Figure & Data

REFERENCES

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Model Construction of Sexual Satisfaction in Patients with a Colostomy

J Korean Acad Nurs. 2009;39(4):539-548. Published online August 31, 2009

DOI: https://doi.org/10.4040/jkan.2009.39.4.539

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Model Construction of Sexual Satisfaction in Patients with a Colostomy

Figure 1 Conceptual framework based on Roy's adaptation model.

Figure 2 The hypothetical model. x1=physical stoma-related discomfort (SRD); x2=psychological SRD; x3=management-related SRD; x4=age; x5=frequency of sexual intercourse; x6=treatment modality; x7=gender; y1=body image; y2=depression; y3=intimacy; y4=sexual function; y5=sexual satisfaction.

Figure 3 Path diagram for the modified model. *p<.05; **<.01. x1=physical stoma-related discomfort (SRD); x2=psychological SRD; x3=management-related SRD; x4=age; x5=frequency of sexual intercourse; x6=treatment modality; x7=gender; y1=body image; y2=depression; y3=intimacy; y4=sexual function; y5=sexual satisfaction.

Figure 1

Figure 2

Figure 3

Model Construction of Sexual Satisfaction in Patients with a Colostomy

Table 1

Descriptive Statistics of the Measured Variables

Table 2

Correlations among the Measured Variables (N=112)

Table 1 Descriptive Statistics of the Measured Variables

Table 2 Correlations among the Measured Variables (N=112)