Sexual Health Care Attitudes and Practices of Nurses Caring for Patients with Cancer

PURPOSE: The purpose of this study was to examine nurses' sexual health care attitude and practice while caring for cancer patients. METHODS: Data were collected using a structured questionnaire from 236 nurses caring for patients with cancer from June 30, 2014 to July 6, 2014 at a University Hospital in Daegu, Korea. RESULTS: The mean score for sexual health care attitude of nurses caring for patients with cancer was 27.75+/-6.45 of a possible range 17 to 51 and the mean score for a sexual health care practice of nurses was 3.67+/-3.30 of a possible range 0 to 21. The scores of a sexual health care attitude and practice were significantly different by age, education, department, experience in gynecology or urology departments, and position. Sexual health care attitude and practice had a significantly positive correlation (r=.16, p=.015). CONCLUSION: The nurses caring for patients with cancer recognize the importance of sexual health care, but their sexual health care practice rate was very low. Therefore specific and differentiated nurse education programs designed to increase sexual health care practice are required for young nurses and staff nurses that are not practicing sexual health care often.

The Mediating Effect of Attitudes Towards Senility and Death on the Relationship Between Marital Satisfaction and Depression in Presenile Postmenopausal Women

BACKGROUND: Background: Depression is the most common medical and psychological affliction in presenile postmenopausal women. The aim of the present study was twofold: first, to investigate whether attitudes towards senility mediate the effect of marital satisfaction on depression in presenile postmenopausal women; second, to investigate whether attitudes towards death mediate the effect of marital satisfaction on depression in presenile postmenopausal women. METHODS: One hundred thirty physically active, married female participants in their 50s, who were receiving postmenopausal hormone replacement therapy at Senile Women's Clinic, Jeju National University Hospital, were recruited. To assess the women's mental health and outlooks on life, the Korean version of Beck's Depression Inventory, the Korean version of the attitudes towards ageing questionnaire, the Korean version of the attitudes towards death questionnaire, and the Korean marital satisfaction scale were used. RESULTS: The effect of marital satisfaction on depression in presenile postmenopausal women was partially mediated by attitudes towards senility. Conversely, the effect of marital satisfaction on depression in presenile postmenopausal women was not mediated by attitudes towards death. CONCLUSION: In presenile postmenopausal women, apprehensions concerning senility are more influential than those concerning death in the onset of depression. Therefore, medical management and/or psychological counseling for presenile postmenopausal women with depression, should take into account their attitudes towards senility.

Medicolegal understandings on the protection of maternity / 대한산부인과학회지

Maternity has the concept of woman who can be a mother having the reproductive function. It is not only an important factor for making the family, but also socially an important duty for producing the members of nation. The protection for maternity means the woman as a mother with reproduction and also means widely and comprehensively protecting for the psychological function as well as the physiological function including the pregnancy and procreation. The methods for maternity protection are various on the social, economic, and cultural factors by the individual nations. Recently the concept of the reproductive health in maternity protection is introduced and it is expanded to the whole woman's life from the period related with the pregnancy. The maternity in women is socially very important and needs for the deliberate concern and the long term proper care. I reviewed the various medicolegal aspects for the maternity protection. And from it, I pointed out the direction for protection. In the level of the maternity protection, it must be firstly considered that the completeness of maternity is preserved. Maternity is the natural process completed by pregnancy and procreation. Maternity is gained from the continuing process of 'from the mother' and 'in the mother', and two factors are essential and inseparable for preserving the completeness of maternity which is a basic premise forming the human beings. The protection of maternity is the right of the person who will be born, and it is also a duty of the social members. The related legal system needs to be prepared by the systemic process for the special protection of the right. It is important to focus at the preservation of the maternal completeness for the maternity protection and the maternal health with women's reproductive health. In the future, it is necessary to make the field of the discussion and the communication with the related person in the various studies.

The Necessity and Direction of revising Article 14 of the Mother and Child Health Law / 대한산부인과학회지

According to the social development, women's participation of social work is increased, and it is argued that artificial abortion of fetus can be accepted freely and easily as the respect of the women's right of self-decision on reproduction. This is the conflicts of view in prolife and prochoice. In Korea, there is the strong forbidden clause of criminal law about abortion. But in reality, a lot of illegal abortion are performed despite of the permissible clause in the Mother and Child Health Law. So I reviewed and recommended the revision of Article 14 in the Mother and Child Health Law to the active direction. I am basically opposed to abortion for human dignity especially the right to life of fetus and the prevention of the mother's health from the complication of abortion procedure. The permissible period of abortion must be shortened from gestation 28 weeks to gestation 24 weeks. The reason of severe fetal abnormality need not to be inserted to the permissible clause to abortion, but it is desirable that the meaning of that reason should be included. The socioeconomic reason of the permissible clause to abortion could mean the permission of abortion. So I object to adding the socioeconomic reason for artificial abortion to the revised the Mother and Child Health Law. But if needed, it is necessary to prepare for the effective procedure on consultation before abortion. I agree to the revision of the penalty provision against illegal abortion for the purpose of protecting life and preventing the illegal abortion. It is rightful to prevent human life and keep the value, and in addition, we must concern to the prevention of embryos who have the potential to the individual in the future. So I think that it is necessary to prepare the ethical guidelines or the regulations for the protection of embryos.

The Necessity and Direction of revising Article 14 of the Mother and Child Health Law / 대한산부인과학회지

According to the social development, women's participation of social work is increased, and it is argued that artificial abortion of fetus can be accepted freely and easily as the respect of the women's right of self-decision on reproduction. This is the conflicts of view in prolife and prochoice. In Korea, there is the strong forbidden clause of criminal law about abortion. But in reality, a lot of illegal abortion are performed despite of the permissible clause in the Mother and Child Health Law. So I reviewed and recommended the revision of Article 14 in the Mother and Child Health Law to the active direction. I am basically opposed to abortion for human dignity especially the right to life of fetus and the prevention of the mother's health from the complication of abortion procedure. The permissible period of abortion must be shortened from gestation 28 weeks to gestation 24 weeks. The reason of severe fetal abnormality need not to be inserted to the permissible clause to abortion, but it is desirable that the meaning of that reason should be included. The socioeconomic reason of the permissible clause to abortion could mean the permission of abortion. So I object to adding the socioeconomic reason for artificial abortion to the revised the Mother and Child Health Law. But if needed, it is necessary to prepare for the effective procedure on consultation before abortion. I agree to the revision of the penalty provision against illegal abortion for the purpose of protecting life and preventing the illegal abortion. It is rightful to prevent human life and keep the value, and in addition, we must concern to the prevention of embryos who have the potential to the individual in the future. So I think that it is necessary to prepare the ethical guidelines or the regulations for the protection of embryos.

The legal understandings on the obligatory explanation of medical practice / 대한산부인과학회지

Judging the medical disputes which has been rapidly increasing recently, doctors' neglecting the obligatory explanation of medical practice has been the hot issues. Accordingly, medical practitioners are to have a growing concern about the Obligatory Explanation of Medical Practice. The key point of legal judgement on the Obligatory Explanation of Medical Practice is whether or not it would be enough in contents and appropriate in nature. As the patients have got more and more taken interest in the right to know and right of self determination in the practice of medicine, the importance of obligatory explanation of the diseases and the medical treatments, particularly invasive operations, which would be given to the patients could not be overemphasized in the present society. By the reflections of the present medical environment, trend of adjudicating the medical dispute in the court of justice shows that the doctors should give the detailed explanations of medical practice which would be given to the patients lest the right to know and right of self determination of the patients should not be violated. The Obligatory Explanation of Medical Practice is not only the way of protecting the right to know and right of self determination of the patients but also, in a way, the best means of mutual understanding and communication between patients and doctors which could guarantee the necessary environment for the good medical practices. In addition, satisfiable human relationship between patients and doctors which would be formed through the process of The Obligatory Explanation of Medical Practice could work as the excellent methods of the preparation for preventing and solving the medical disputes during or after the medical practices.

A case of omental pregnancy / 대한산부인과학회지

Abdominal pregnancy is a rare variation of ectopic pregnancy, which has been classified as primary or secondary. The clinical characteristics of abdominal pregnancy are extremely variable, so early diagnosis is very difficult. Because of high maternal morbidity and mortality, the prompt surgical intervention is required. Omental pregnancy is a very rare form of abdominal pregnancy, which is hard to detect early. The diagnosis of omental pregnancy is hardly ever made prior to laparotomy. We have experienced a case of omental pregnancy in a 36-year-old woman and report this case with brief review of literature.

A case of ipsilateral cornual pregnancy after previous salpingectomy for tubal pregnancy / 대한산부인과학회지

Cornual pregnancy is a rare form of ectopic pregnancy and its diagnosis is difficult. Its incidence is 2-4% of all tubal pregnancies. Because greater vascularity and distensibility of implantation site lead to rupture at a later gestational age and cause the rapid intraperitoneal hemorrhage, cornual pregnancy causes serious maternal mortality and morbidity. Cornual pregnancy is relatively rare in the woman who has the history of ipsilateral salpingectomy. We have experienced a case of ipsilateral cornual pregnancy after previous salpingectomy in a 31-year-old woman and report this case with brief review of literature.

A Case of Variants of Turner syndrome Showing 46,X,inv(Y)/45,X Karyotype with Y Chromosome microdeletion / 대한산부인과학회지

46,X,inv(Y)/45,X mosaicism is a extremely rare sex chromosomal disorder. We experienced an unusual mosaic Turner syndrome case in a 29-years old Korean woman with a phenotypic female, primary amenorrhea and immature secondary sexual characteristics. Cytogenetic analysis including GTG banding revealed 46,X,inv(Y)(q11.2q12?)[15]/45,X[35] mosaicism, and X/Y chromosome Fluorescence in situ hybridization (FISH) analysis result was ish (SRY-,DYZ3-)[16]/ ish der(Y)del(Y)(q12)inv(Y)(p11.3q12)(SRY sp, DYZ3-)[4] and its meaning was coexistence of microdeletion and inversion of Y chromosome. To our knowledge, this karyotype may be a very rare variant of Turner syndrome, and we report this case with brief review of related literature.

Two Cases of Granulosa Cell Tumor of the Ovary / 대한산부인과학회지

Granulosa cell tumors are relatively low-grade malignancies accounting for about 1 to 2% of all primary ovarian neoplasms and have an indolent growth pattern. There are two types of tumors, adult type granulosa cell tumor (AGCT) and juvenile type granulosa cell tumor (JGCT), and each tumor reveals different clinical or histopathological features. The clinical manifestations are mostly associated with estrogen produced by tumor, which are vaginal bleeding or menstrual irregularity in AGCT and precocious puberty in JGCT. Although most patients are diagnosed in early stage with favorable prognosis, some recur after several years. So, continuous follow up is required. Recently, we experienced two cases of adult type granulosa cell tumor and report with a brief review of literatures.

A Case of Primary Peritoneal Serous Papillary Carcinoma / 대한산부인과학회지

Primary Peritoneal Serous Papillary Carcinoma has a diffuse involvement of peritoneum in the absence of an obvious primary site and is very rare. It is histologically identical to ovarian serous papillay carcinoma but involves the ovarian surface mimimally, or spare the ovaries. Clinically it is impossible to differentiate with other tumor originated from peritoneum and ovarian carcinoma because of the similarity of clinical presentation and course. Primary Peritoneal Serous Papillary Carcinoma was first described by Swerdlow in 1959 and then has been very rarely reported in literatures. A few cases were reported in Korea. We have experienced a case of Primary Peritoneal Serous Papillary Carcinoma and report this case with a brief review of concerned literatures.

Pain of Elderly Women with Osteoarthritis / 간호학회지

The purpose of this study was to determine the meaning of the pain and experiences of elderly women with osteoarthritis, by adopting Colaizzi's phenomenological method. The participants were 7 elderly women over the age of 65. They were selected using a theoretical sampling technique. The Data was collected by in-depth and open-ended interviews from Dec. 1. 1999. to Feb, 28. 2000. The length of the interviews varied from 120 minutes to 180 minutes. Data was recorded and analyzed by a constant comparative method. From the data, significant statements were extracted and then organized into 48 themes, which resulted in 15 clusters of themes and 6 categories. The final descriptions turned out to be valid through the interviewee' validation process. Essential themes of the pain experiences emerged : "physical discomfortness(disturbances)", "negative state of mind", "influence of the death", "positive change in life", "Cause of pain perceived", and "change of their personal relationships". From these results, it was found that elderly women need nursing care based on a deep understanding of pain, and a reflection on their past is imperative to overcome their given situations. In conclusion, it is suggested that the care givers provide more support to solve the problems experienced by the elderly. Thus the researchers expect to provide understanding of older people and give basic data of holistic care for them.

The Postoperative Analgesic Effect of Transdermal Fentanyl with Patch in Total Abdominal Hysterectomy / 대한마취과학회지

BACKGROUND: Compared with conventional routes of delivering potent analgesics to postoperative patients, transdermal administration of fentanyl offers the advantages of simplicity and noninvasiveness. The analgesic efficacy and safty of transdermal fentanyl patch (TDFP) were evaluated postoperatively. METHOD: TDFP releasing 25 mcg/hr (Group 1) or placebo (Group 2) were applied to 40 women 6 hours before total abdominal hysterectomy under the general anesthesia. Postoperatively, self-administered intravenous fentanyl was maintained with a 20-mcg incremental dose and a 10-min. locking interval. Each group was assessed following 48 hours with respects to vital signs, VAS pain scores, hourly-used fentanyl doses, satisfaction scores and side effects. RESULT: VAS observed 24 hours, 36 hours after operation were significantly lower in group 1 than group 2. Hourly-used fentanyl doses were significantly lower in group 1 than group 2 at 2 hours, 6 hours, 12 hours and 24 hours after operation. The incidence of side effects were similar between group 1 and group 2. CONCLUSION: TDFP-25 mcg applied 6 hours before operation provides supplementary analges-ia after the postoperative period without significant side effects such as respiratory depression.

Research Output Accuracies of Private Hospital Vaporizers / 대한마취과학회지

BACKGROUND: Vaporizers convert liquid anesthetics into measured amount of vapor that are added to the fresh gas mixture to produce known concentrations of anesthetics. As with anesthesia machines, mordern precision vaporizers require regular checks with respect to technical safety by experts. Some private hospitals in Korea do not have had a anesthesiologist belong exclusively to hospital. Therefore it is difficult to perform a regular checks of anesthesia machine especially vaporizers. We had a question about the accuracy of vaporizer output which used in the private hospitals. METHODS: We investigated outputs of 47 vaporizers which used in 23 private hospitals and 5 general hospitals around Kangdong Gu and Kangnam Gu in Seoul, Korea. Anesthetic agent monitor(Biochem anesthetic agent monitor 8100, Waukesha, Wisc, USA) was used and its analysis value was 0.1 vo1%. 50 vo1% O2 and 50 vol% N2O were used as a carrier gas. The flow rates of the carrier gas were 4 1/min. Dial settings were 0.5, 1, 1.5, 2, 3 vo1%. RESULTS: The result was that vaporizers which had the inaccuracy ranges of concentration less than +/-0.5 vo1% was 76.6% of 47 vaporizers, +/-1 vo1% was 93.6%. And above +/-1 vol% was 6.4% of all. CONCLUSIONS: This research concludes that great care needed when the anesthesiologist strange to the vaporizers in the private hospitals operates the vaporizers.

The efficiency of PGE2 vaginal suppository for induction of labor / 대한산부인과학회잡지

No abstract available.

Induction of ovulation with follicle-stimulation hormone human menopausal gonadotropin and human chorionic gonadotropin: Correlation of multiple follicular-oocytes development and serum E2 levels as well as fertilizability in ovulatory patients for in vit / 대한산부인과학회잡지

No abstract available.