Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2013 Oct;43(5):681-689. Korean.
    Published online Oct 31, 2013.
    https://doi.org/10.4040/jkan.2013.43.5.681
    © 2013 Korean Society of Nursing Science
    Original Article

    Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands

    Ju-Hee Nho
      • Department of Nursing, University of Ulsan, Ulsan, Korea.
    • Address reprint requests to: Nho, Ju-Hee. Department of Nursing, University of Ulsan, 93 Daehakro, Nam-gu, Ulsan 680-749, Korea. Tel: +82-10-9703-7092, Fax: +82-259-1236, Email: jhnho@ulsan.ac.kr
    Received July 17, 2013; Accepted September 24, 2013.

    Abstract

    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.

    Keywords
    Gynecologic neoplasm; Couples therapy; Sexual dysfunction; Program evaluation

    Figures

    Figure 1
    Conceptual framework of sexual health enhancement program.

    Tables

    Table 1
    Sexual Health Enhancement Program

    Table 2
    Baseline Characteristics of Participants (N=43)

    Table 3
    Homogeneity Test for FSFI, Sexual Distress, Marital Intimacy and Subjective Happiness (N=43)

    Table 4
    Effectiveness of Sexual Health Enhancement Program (N=43)

    Notes

    This manuscript is a revision of the first author's doctoral dissertation from Seoul National University.

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    MeSH Terms
    Program Evaluation*
    Adult
    Cognition
    Couples Therapy
    Emotions
    Female
    Genital Neoplasms, Female/psychology*
    Happiness
    Humans
    Marital Therapy
    Middle Aged
    Sexual Behavior
    Spouses/psychology*
    Women/psychology*
    Metrics
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