College of Nursing, Nursing Policy Research Institute, Yonsei University, 250 Seongsanno, Seodaemun-gu, Seoul 120-752, Republic of Korea.
Int J Nurs Stud. 2011 Dec;48(12):1522-32. doi: 10.1016/j.ijnurstu.2011.06.008. Epub 2011 Aug 19.
Oncology nurses should possess a high level of sensitivity while dealing with patients' sexual health needs. However, sexual health care is still inadequately addressed because of barriers such as conservative beliefs and incorrect assumptions regarding sexual issues. Most scales for measuring attitude toward sexual health care were insufficient to establish the instrument's validity and did not focus on oncology nurses.
The purpose of this study was to develop a scale considering cultural contexts to investigate nurses' attitude toward sexual health care in patients suffering from cancer.
This study was designed for scale development.
A preliminary version of the instrument was developed through a literature review and interviews with 10 oncology nurses; this version consisted of 42 items rated on a 3-point scale. Eight experts reviewed the questionnaire for content validity and consolidated 36 items. Data were collected from 342 oncology nurses in Korea. Exploratory factor analysis was performed, and reliability was assessed using Cronbach α values. Pearson correlation coefficients were used to test the concurrent validity.
Exploratory factor analysis revealed 17 items (4 factors), which account for 70.49% of the total variance. The 4 factors were (1) discomfort in providing sexual health care (7 items), (2) feeling uncertain about patient's acceptance (4 items), (3) afraid of colleagues' negative response (3 items), and (4) lack of environmental support (3 items). Correlation of the sub-factors ranged from 0.35 to 0.63. The Cronbach α value was 0.92. Significant negative correlations were found between the attitude toward sexual health care and the Sexuality Attitudes and Belief Survey (r=-0.57, p<0.001).
The scale of attitude toward sexual health care showed validity and reliability in evaluating the attitude of oncology nurses toward sexual health care and can be used to identify attitudinal barriers in nurses as well as to develop and test educational interventions for the improvement of sexual health care.
肿瘤护士在处理患者的性健康需求时应具备高度的敏感性。然而，由于保守观念和对性问题的错误假设等障碍，性保健仍然得不到充分关注。大多数衡量性保健态度的量表都不足以确定工具的有效性，也没有关注肿瘤护士。
本研究旨在开发一种考虑文化背景的量表，以调查癌症患者的护士对性保健的态度。
本研究旨在开发量表。
通过文献回顾和对 10 名肿瘤护士的访谈，初步制定了仪器的版本；该版本包含 42 个项目，评分采用 3 点量表。8 位专家对问卷进行了内容有效性审查，并整合了 36 个项目。数据来自韩国的 342 名肿瘤护士。进行了探索性因素分析，并使用 Cronbach α 值评估信度。使用 Pearson 相关系数检验同时效度。
探索性因素分析显示有 17 个项目（4 个因素），占总方差的 70.49%。这 4 个因素分别为：（1）提供性健康护理时感到不适（7 项）；（2）对患者接受程度不确定（4 项）；（3）害怕同事的负面反应（3 项）；（4）缺乏环境支持（3 项）。亚因素之间的相关性在 0.35 到 0.63 之间。Cronbach α 值为 0.92。性健康护理态度与性态度和信念调查呈显著负相关（r=-0.57，p<0.001）。
性健康护理态度量表在评估肿瘤护士对性健康护理的态度方面具有有效性和可靠性，可用于识别护士的态度障碍，并为改善性健康护理制定和测试教育干预措施。
