摘要
摘 要 本研究旨在發展並評價適合於產婦需求與符合實務現況之產後性生活教學模式，以解決因產後衛教人力與時間短缺導致產婦接受性教育不足之問題，並期使產婦提升產後性生活知識，具備面對產後性生活之正向態度，並藉由提供產後性健康技能與信心之促進，增進其產後性自我效能與採行有效避孕行為。 本研究採「對等控制組前後測設計」，與「對等控制組後測設計」。立意選取北部某一級大型教學醫院婦產科病房之產婦，共166位為研究對象，將研究對象依隨機方式分派為實驗組及對照組兩組。實驗組接受「互動式產後性生活衛教模式」，對照組則接受「傳統產後性生活衛教」。實驗組介入之「互動式產後性生活衛教模式」，乃以產婦衛教需求評估為基礎，並運用「跨理論模式」、「自我效能理論」與「說服傳播理論」等健康行為科學理論發展而成，教學模式包含互動式平面媒體「媽媽性福手冊與媽媽幸福寶典」及10-15分鐘「互動式個別衛教」。在教學介入前，兩組分別進行前測，並於出院前完成衛教介入與立即後測，再於產後6-8星期進行後後測。 研究結果發現，「互動式產後性生活衛教模式」，確能有效地在「產後性知識」、「產後性態度」、「性自我效能」等變項反應其成效，並能在「有效避孕行為)」上顯出成效。此外，基於有限之衛教介入時間與產婦特殊的身體狀況，本研究運用「跨理論模式」區隔產婦學習階段特質，並掌握不同階段之介入策略，以強化個別衛教能因應產婦個別衛教之需求，並讓產婦有機會對產後性生活學習主題，重新設定學習單元之優先順序，期使在有限時間與資源內，發揮教學介入之成效，而研究成效評量結果亦肯定本教學模式在「產後性知識之提升」「產後性態度正向之轉變」、「性自我效能之增進」與採行「有效避孕行為」上之成效，值得臨床推廣。
並列摘要
Development and Evaluation of Interactive Postpartum Sexual Health Education Program Abstract The purpose of this research is to establish and evaluate postpartum sexual health education program that would meet the postpartum women’s necessity, while it is also well suited to the current status. Aiming to resolve problems on sexual health education incompetence due to the shortage of teaching force and time, we expect to enhance postpartum women’s sexual health knowledge, so they would hold a positive attitude on postpartum sexual life. With the promotion of such issue, postpartum women would feel more readily and confident, while increasing sexual self-efficacy and effective contraception. This research utilizes “pretest-post-test control group design” and “post-test only control group design.” A total of 166 samples were recruited at a large-scale medical center in northern Taiwan, and then were randomly assigned to either experiment or control groups. The experiment group has taken the intervention of “interactive postpartum sexual health education program,” whilst the control group was assigned to “postpartum routine teaching.” The approach of intervention for experimental group with “interactive postpartum sexual health education program” utilized the need assessment for foundation, also with the application of Transtheoretical Model, Self-Efficacy Theory, and Persuasive Communication Theory. The “Interactive Postpartum Sexual Health Education Program” included an interactive printed media of a pamphlet titled “Happy Mother’s Sex” and 10-15 minutes of interactive individual health education. Before the intervention of health education, the two groups were given pre-test, and an impact evaluation before they left hospital. By the time they left for about 6 to 8 weeks, post-post-test is being done. From the research we have discovered, that an “interactive postpartum sexual health education program” is capable to see the effectiveness of “postpartum sexual knowledge,” “postpartum sexual attitude,” and “postpartum sexual self-efficacy”, while effective contraceptive behavior has also proved to be effective. Furthermore, this research used Transtheoretical model to separate the condition for learning, while approaching with different intervention at different stages, in order to meet mother’s individual sexual health educational needs, and the interactive health program will allows the postpartum women to set their own teaching agenda. Thus even within limited amount of time and sources in patient education, the intervention has proven to be effective. The result of this research has demonstrated that method of health education has a positive impact on “postpartum women’s sexual knowledge,” “postpartum women’s sexual attitude,” “sexual self-efficacy” and “effective contraceptive,” which are worthwhile to be applied clinically.
參考文獻
李絳桃、夏萍絅（1997）。孕婦性滿足經驗初探。護理研究，5（3）, 247-258。
李絳桃（2000）。產婦與護理人員對產後性生活衛教需求評估初探：質性研究。未發表手稿。
吳佩蓉、許淑蓮、蔡敦仁、黃秀梨（1997）個別衛教對慢性腎衰竭患者疾病認知、態度、自我照顧之成效。台灣醫學，1（1）, 23-34。
張淑紅、黃璉華、李源德（1996）。個別衛生教育介入對高脂血個案知識、健康信念、自我效能、行為的影響。中華衛誌， 15（3）, 188-196。
鄭弘美（1999）。從健康促進的PRECEDE-PROCEED模式談糖尿病的衛教策略。中華民國內分泌暨糖尿病學會會訊，3（1）,7-13。