Exploring the Effect of Sexual Empowerment on Sexual Decision Making in Female Adolescents

性賦權介入對青少女“性決定”影響之探討

許秀月(Hsiu-Yueh Hsu) ； 連雅棻(Yu-Fen Lien) ； 駱俊宏(Jiunn-Horng Lou) ； 陳勝皇(Sheng-Hwang Chen) ； 王瑞霞(Ruey-Hsia Wang)

《The Journal of Nursing Research》 18卷1期 (2010/03) Pp. 44-52

摘要

背景　傳統健康教育可能無法提供青少女對「性」充分的相關訊息。護理人員對青少女增加賦權教育可以提供另一種性教育的方式，並協助青少女對「性」有適當的態度及作法。
目的　本研究目的旨在了解性賦權介入後對青少女「性決定」的影響。
方法　針對29位有固定男朋友的女學生，進行性賦權介入，並於活動過程中利用錄音方式記錄研究對象的對話，將對話內容進行內容分析。在每一個研究過程中所獲得的資料皆由研究對象再確認，達到內容的可信度與嚴謹度，以了解整個賦權介入過程中研究對象「性決定」的影響。
結果　性賦權介入後，青少女對「性決定」有下列的改變：(1)會積極主動尋求性知識；(2)重新檢驗與男朋友之間關係；(3)對於「性」勇於說「不」與自我保護；(4)察覺需要改變性態度與性行為。
結論　經由同儕團體的性賦權介入，對青少女於「性決定」方面可能有正面的影響。同儕團體的性賦權介入可作為護理人員性健康照護之參考。

關鍵字

性賦權介入 ； 性決定 ； 青少女 ； 性健康照護

並列摘要

Background: Traditional health education may not provide adequate sexual information to female adolescents. Sexual health education for female adolescents broadens opportunities for nurses to help female adolescents adopt appropriate sexual attitudes and make appropriate decisions.
Purpose: The purpose of this study was to understand the effect of sexual empowerment on sexual decision making in female adolescents.
Methods: Twenty-nine female students with steady boyfriends were invited to participate in a sexual empowerment course. Course activities specifically related to sexual empowerment were audio-tape-recorded. Dialogue content was analyzed, and content provided by each study participant was reconfirmed in face-to-face interviews to understand the entire empowerment process in terms of how such may affect responses and to assess the possibility of correctly reinterpreting findings during the member check process. This study also took into consideration degrees of reliability and rigorousness.
Results: The four themes found to underlie participant perceptions of their sexual empowerment to make sex-related decisions were as follows: (a) proactively seeking sexual knowledge, (b) reexamining relationships with boyfriends, (c) the right to say ”no” and to engage in self-protection, and (d) the need to change sexual attitudes and behaviors.
Conclusions and Implications for Practice: Using the peer group intervention in sexual empowerment may positively impact sexual health decision making in adolescent girls. Nursing professionals may consider peer group intervention as a sexual empowering method in healthcare.

並列關鍵字

sexual empowerment ； sexual decision making ； female adolescents ； sexual healthcare

參考文獻

Asbury, J. E.(1995).Overview of focus group research.Qualitative Health Research.5(4),414-420.

Aujoulat, I.,d''Hoore, W.,Deccache, A.(2007).Patient empowerment in theory and practice: Polysemy or cacophony?.Patient Education and Counseling.66(1),13-20.

Bandura, A.(1986).Social foundations of thought and action: A social cognitive theory.Englewood Cliffs, NJ:Prentice-Hall.

Berkeley, D.,Ross, D.(2003).Strategies for improving the sexual health of young people.Culture, Health & Sexuality.5(1),71-86.

Brown, M. L.,Gilligan, C. C.(1992).Meeting at the crossroads: Women's psychology and girls' development.New York:Ballantine Books.