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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.
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)
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Citations
Citations to this article as recorded by 
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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)
