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題名:護理人員提供性諮詢的觀點與現況之探討
書刊名:臺灣性學學刊
作者:宋素卿葉美玉林燕卿 引用關係
作者(外文):Sung, Su-chingYeh, Mei-yuLin, Yen-chin
出版日期:2010
卷期:16:1
頁次:頁1-15
主題關鍵詞:護理性困擾性諮詢NursingSex consultationSexual difficulties
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:18
  • 點閱點閱:51
本研究目的在調查護理人員提供性諮詢的觀點與現況。研究採調查性研究設計,以立意取樣選取北部某醫院共290位護理人員爲研究對象。研究發現:77.9%護理人員對病人提供性健康護理評估比例爲「很少」或「沒有」;與病人討論其性困擾的比例以「很少」(43.1%)最多。護理人員在面對病人討論其性困擾態度上,有74.8%認爲當病人提出時再與之討論最好,但只有58.3%實際有被病人提出討論其性困擾的經驗。以單因子變異數分析發現年齡、護理年資較資深、教育程度較高及曾經修習相關性學教育者呈現較高的自在感、責任感與專業角色合適性之認同度,以共變數分析發現不同性價值觀對自在感有顯著差異。本研究建議護理教育應將性議題納入護理基礎與在職教育課程,提供一系列之疾病、性議題與性諮詢概念與技巧課程,並建立跨領域專業合作模式,藉由護理專業連結不同專業領域的人,傳達性的多層面與整體性概念的健康照護,以降低對性諮詢的不自在感與專業角色衝突,提升護理的競爭力與完整性。
The purpose of this study was to investigate the nurses' perspectives and their current practice on sexual consultation. A total of 290 nurses were purposely selected from a medical system hospital in northern Taiwan. The results found that 77.9% of the nurses seldom had or never provided nursing assessment on sexual health, and 43.1% seldom discussed patients' sexual difficulties with them. Regarding the nurses' attitudes discussing sexual difficulties, about 74.8% of nurses would talk with the patients only when the patients proposed to do so but only about 58.3% of nurses experienced patients' requests for discussion of sexual difficulties. By using ANOVA, the result indicated that nurses with older ages, more clinical experiences, higher education, or relevant sexuality courses training showed more comfortableness, higher responsibility, and professional role appropriateness on sex consultation. Moreover, through the use of ANCOVA, the study revealed that nurses' sexual values had significant impacts on their comfortableness. Therefore, nursing education should (1) provide more sexuality curricula on the subjects of diseases, sex issues, and the concepts and skills of sexual consultation, and (2) build the cross-disciplinary collaborations with experts in related fields to convey the holistic concept of multidimensional and integrated health care. This can reduce nurses' uncomfortable feelings and their professional conflicts on sex consultation practice, and further enhance their competitiveness and integrality.
期刊論文
1.宋素卿、林燕卿、洪綺梅、卓珮珮(20070200)。精神病患對性諮商需求與護理人員執行現況之初探。護理雜誌,54(1),43-52。new window  延伸查詢new window
2.蔡麗雅、姚開屏、許淑蓮、黃秀梨(20051000)。護理人員提供病患性衛教時面臨的問題及其頻率、困擾與需要協助程度之探討。護理雜誌,52(5),41-50。new window  延伸查詢new window
3.Steinke, E. E.、Patterson-Midgley, P. E.(1998)。Perspectives of nurses and patients on the need for sexual counseling of MI patients。Rehabilitation Nursing,23(2),64-70。  new window
4.蔡芸芳、熊秉荃(20010300)。護理系在職進修生對性史詢問之態度與行為。醫學教育,5(1),33-39。new window  延伸查詢new window
5.Danaci A. E.、Oruc, S.、Adiguzel, H.、Yildirim, Y.、Aydemir, O.(2003)。Relationship of sexuality with psychological and hormonal features in the menopausal period。West Indian Medical Journal,52(1),27-30。  new window
6.李選、徐麗華、黃曉黎(19970600)。性諮商的應用及展望。護理雜誌,44(3),61-67。new window  延伸查詢new window
7.Kaiser, Henry F.(1974)。An index of factorial simplicity。Psychometrika,39(1),31-36。  new window
8.宋素卿、文榮光(2000)。產後性慾不足症之配對性治療:個案報告。台灣性學學刊,6(1),3-13。  延伸查詢new window
9.宋素卿、陳秀芳、陳淑卿(2003)。性諮商於婦癌病患之應用。腫瘤護理雜誌,3(1),31-39。  延伸查詢new window
10.宋素卿、楊幸真(2009)。青少女在婚前性行為互動中的權力展現與意義。台灣性學學刊,15(1),81-98。  延伸查詢new window
11.林淑芬、蔡芸芳、郭漢崇、葉淑惠(2000)。花蓮地區男性脊髓損傷患者功能之探討。慈濟醫學,12(1),59-64。  延伸查詢new window
12.黃秀娥、簡邦平(2006)。脊髓損傷患者植入人工陰莖之性復健:個案報告。台灣性學學刊,12(1),55-64。new window  延伸查詢new window
13.鄧慶華(2002)。脊髓損傷者的性諮商。護理雜誌,49(1),66-70。new window  延伸查詢new window
14.Guthrie, C.(1999)。Nurses’ perceptions of sexuality relating to patient care。Journal of Clinical Nursing,313-321。  new window
15.Katz, A.(2000)。Birds do it, Bees do it, let’s talk about it. The Nurse’s role in sexuality counseling。AWHONN Lifelines,4(5),40-41。  new window
16.Kingsberg, S. A.(2002)。The impact of aging on sexual function in women and their partners。Archives of Sexual Behavior,31(5),431-437。  new window
17.McCann, E.(2000)。The expression of sexuality in people with psychosis: Breaking the taboos。Journal of Advanced Nursing,32(1),132-138。  new window
18.Palmer, H.(1998)。Exploring sexuality and sexual health in nursing。Professional Nurse,14(1),15-17。  new window
19.Steinke, E. E.,、Kansas, W.(2002)。A videotape intervention for sexual counseling after myocardial infarction。Heart & Lung,31(5),348-354。  new window
20.Steinke, E. E.、Patterson-Midgley, P. E.(1996)。Sexual counseling of MI patients: nurses' comfort, responsibility, and practice。Dimensions of Critical Care Nursing,15(4),216-223。  new window
21.Tsai, Y. F.(2004)。Nurses’ facilitators and barriers for taking a sexual history in Taiwan。Applied Nursing Research,17(4),257-264。  new window
學位論文
1.湯美霞(1997)。精神科護理人員性知識、態度及處理病患性問題方式與自信程度之探討(碩士論文)。國立台灣大學,台北。  延伸查詢new window
2.湯昭容(2002)。精神分裂症患者之高危險性行為及其相關因素之探討(碩士論文)。國立臺灣大學。  延伸查詢new window
3.黃宣為(2004)。子宮切除婦女之性滿意度及其心理社會適應之相關研究(碩士論文)。樹德科技大學。  延伸查詢new window
4.李麗燕(2001)。化學治療後乳癌婦女的性功能影響因素探討,台北市。  延伸查詢new window
5.莊玟玲(2002)。心肌梗塞恢復期男性患者的性知識、性態度與性生活,高雄市。  延伸查詢new window
圖書
1.吳明隆(2001)。SPSS統計應用實務。臺北市:松崗電腦圖書有限公司。  延伸查詢new window
2.American Nurses' Association(1974)。Standards of Medical Surgical Nursing Practice。Kansan City, MO:American Nurses' Association。  new window
 
 
 
 
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