Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2011 Aug;41(4):471-480. Korean.
    Published online Aug 31, 2011.
    https://doi.org/10.4040/jkan.2011.41.4.471
    © 2011 Korean Society of Nursing Science
    Original Article

    Effectiveness of PLISSIT Model Sexual Program on Female Sexual Function for Women with Gynecologic Cancer

    Nami Chun
      • Assistant Professor, College of Nursing, Sungshin Women's University, Seoul, Korea.
    • Address reprint requests to: Chun, Nami. College of Nursing, Sungshin Women's University, Dongseon-dong 3-ga, Seongbuk-gu, Seoul 136-742, Korea. Tel: +82-2-920-7523, Fax: +82-2-920-2091, Email: nmchun@sungshin.ac.kr
    Received January 25, 2011; Accepted August 04, 2011.

    Abstract

    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.

    Keywords
    Gynecologic neoplasms; Sexual dysfunction; Program effectiveness

    Figures

    Figure 1
    Research design.

    Tables

    Table 1
    Program Outline

    Table 2
    General and Medical Characteristics and Homogeneity between Experimental and Control Group (N=61)

    Table 3
    Differences in Pre-Post Female Sexual Function, Psychosocial and Physical Variables Between Experimental and Control Groups (N=61)

    Table 4
    Changes of Sexual Function Over Time in Women who Received the PLISSIT Model Sexual Program (N=29)

    Notes

    This study was supported by Sungshin Women's University research grant of 2009.

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    MeSH Terms
    Program Evaluation*
    Sexuality*
    Adult
    Analysis of Variance
    Arousal
    Female
    Genital Neoplasms, Female/psychology*
    Humans
    Libido
    Middle Aged
    Orgasm
    Patient Education as Topic
    Personal Satisfaction
    Questionnaires
    Women/psychology
    Metrics
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