Hsiao Ya-Chu, Chen Mei-Yen, Gau Yueh-Mei, Hung Li-Ling, Chang Shu-Hung, Tsai Hsia-Min
Chang Gung Institute of Technology, Tao-Yuan, Taiwan, ROC.
Public Health Nurs. 2005 Jan-Feb;22(1):74-81. doi: 10.1111/j.0737-1209.2005.22111.x.
The purposes of this study were to (a) develop a teaching course on health promotion for nursing students in Taiwan, (b) evaluate the effects of this teaching course, and (c) understand students' appraisals of its effectiveness in helping them to change unhealthy behavior. A sample of 65 randomly selected female nursing students took an 18-week course developed by the investigators, which included 30 h of classroom lectures and 4 weeks of written reports by students chronicling the changes in their behavior. Health promotion questionnaires administered before and after the course and content analysis of the students' reports were used to evaluate the effects of the course. Students' questionnaire scores after course completion indicated significantly increased intent to adopt healthy lifestyles. Content analysis of students' reports on their personal behavior-changing experiences showed that they accepted the potential value of curriculum aspects such as experiencing the struggle, suffering, and even abandonment of the process, experiencing the benefits of change, increasing self-confidence, and empathizing with how difficult it is for clients to change behavior. These results support the value of teaching courses on health promotion to nursing students. The authors recommend including such a course as part of a regular nursing education.
(a) 为台湾的护理专业学生开发一门健康促进教学课程；(b) 评估该教学课程的效果；(c) 了解学生对其在帮助他们改变不健康行为方面有效性的评价。65名随机挑选的女护理专业学生组成的样本参加了由研究人员开发的为期18周的课程，该课程包括30小时的课堂讲座以及学生撰写的4周关于其行为变化的书面报告。通过课程前后发放的健康促进问卷以及对学生报告的内容分析来评估课程效果。课程结束后学生的问卷得分表明他们采取健康生活方式的意愿显著提高。对学生关于个人行为改变经历的报告进行内容分析发现，他们认可课程内容的潜在价值，比如体验过程中的挣扎、痛苦甚至被抛弃，体验改变带来的益处，增强自信心，以及体会到服务对象改变行为有多困难。这些结果支持了向护理专业学生开展健康促进教学课程的价值。作者建议将这样的课程纳入常规护理教育。
