Sung Su-Ching, Jiang Huey-Hwa, Chen Ru-Rong, Chao Jian-Kang
Graduate Institute of Health Care, Chang Gung University of Science and Technology, Taoyuan City, Taiwan.
Department of Nursing, Taipei Veterans General Hospital Yuli Branch, Yuli Township, Hualian County, Taiwan.
J Clin Nurs. 2016 Oct;25(19-20):2989-3000. doi: 10.1111/jocn.13441. Epub 2016 Jul 14.
This study aimed to evaluate the effectiveness of a sexual healthcare training programme for clinical nurses, with respect to knowledge, attitudes and self-efficacy concerning sexual healthcare.
Inadequate sexual healthcare can result in poor treatment and quality of life for patients. Few studies have examined the development of sexual healthcare and related interventions from nurses' perspectives.
The study included two stages involving focus groups and a quasi-experimental design.
The first stage consisted of an exploratory, descriptive session to assess nurses' perceptions and educational needs concerning sexual healthcare via two focus groups (N = 16). The second stage involved a quasi-experimental session to evaluate the training programme, based on the results of the first stage. In total, 117 nurses were recruited from a Taiwanese hospital; the experimental group (n = 59) completed a four-week (16 hours) training programme, and the control group (n = 58) did not participate in a training programme. Data were collected at four time points over 17 weeks. Longitudinal changes that occurred over time were examined using hierarchical linear models.
The experimental group demonstrated significant improvements in knowledge (β = 0·16, p < 0·01), attitude (β = 0·18, p < 0·05), and self-efficacy (β = 0·73, p < 0·001) scores. Relative to that of the control group, the experimental group showed significantly greater improvement in knowledge (β = -0·12, p < 0·01) and attitudes regarding sexual healthcare (β = -0·25, p < 0·05), but their improvement in self-efficacy concerning sexual healthcare was limited (p = 0·179).
The training programme for sexual healthcare could exert positive and beneficial effects on nurses' development of knowledge regarding sexual healthcare and clarify their values and attitudes.
The training programme could reduce challenges related to sexual healthcare issues in nursing care.
本研究旨在评估一项针对临床护士的性健康护理培训计划在性健康护理知识、态度和自我效能方面的有效性。
性健康护理不足会导致患者治疗效果不佳和生活质量下降。很少有研究从护士的角度探讨性健康护理的发展及相关干预措施。
该研究包括两个阶段，涉及焦点小组和准实验设计。
第一阶段包括一次探索性、描述性会议，通过两个焦点小组（N = 16）评估护士对性健康护理的认知和教育需求。第二阶段基于第一阶段的结果进行准实验，以评估培训计划。总共从一家台湾医院招募了117名护士；实验组（n = 59）完成了为期四周（16小时）的培训计划，对照组（n = 58）未参加培训计划。在17周内的四个时间点收集数据。使用分层线性模型检查随时间发生的纵向变化。
实验组在知识（β = 0·16，p < 0·01）、态度（β = 0·18，p < 0·05）和自我效能（β = 0·73，p < 0·001）得分上有显著提高。相对于对照组，实验组在性健康护理知识（β = -0·12，p < 0·01）和态度（β = -0·25，p < 0·05）方面有显著更大的改善，但他们在性健康护理自我效能方面的改善有限（p = 0·179）。
性健康护理培训计划可以对护士性健康护理知识的发展产生积极有益的影响，并明确他们的价值观和态度。
该培训计划可以减少护理中与性健康护理问题相关的挑战。
