護理人員對婚姻暴力知識、態度及處理行為及其相關因素探討

Nurses’ knowledge, attitude, and practice toward intimate partner violence and related factor

李秀現(Hsiu-Hsien Lee)

指導教授 ： 周傳姜

長榮大學/健康科學學院/護理學研究所/碩士(2008年)

https://doi.org/10.6833/CJCU.2008.00012

摘要

現今社會家庭暴力事件頻傳其中又以婚姻暴力為最多，家庭暴力防治法將醫療系統納入救援網絡中，護理人員是醫療系統的一員，在照護婚姻暴力受虐婦女時，其對婚姻暴力的知識、所持的態度及處理行為將影響對婚姻暴力受虐婦女的照護品質。本研究的目的乃在於了解護理人員對婚姻暴力知識、態度及處理行為之情形及其相關因素。
本研究為橫斷式描述性相關研究，採方便取樣，以問卷調查方式進行，研究對象為南部某醫學中心執業之基層護理人員。取樣方式為分層隨機抽樣，共發出553份，回收390份，回收率70.5%。研究工具包括護理人員基本資料、婚姻暴力知識問卷、婚姻暴力態度問卷、婚姻暴力處理行為問卷。研究資料以次數、百分比、平均值、標準差，呈現描述統計資料，再以曼-惠特尼U檢定(Mann-Whitney U test)、克-瓦二氏單因子等級變異數分析(Kruskal-Wallis test)、斯皮爾曼等級(Spearman correlation)相關進行推論統計。
研究結果發現護理人員在婚姻暴力知識屬於中等程度，以婚姻暴力社會層面的知識正確率最高87.6%，其次為醫療層面65.3%，法律層面的知識正確率最低，僅57.6%。護理人員在婚姻暴力態度平均得分為75.2分(滿分96分)。婚姻暴力處理行為平均得分17.05分(滿分28分)。

在相關因素方面，本研究以護理人員的性別、年齡、宗教信仰、教育程度、婚姻狀態、年資、工作科別、進階層級、在學及工作中接受過相關教育與否等10項因素為變數。其中護理人員教育程度不同在婚姻暴力的知識得分有顯著差異，教育程度愈高其知識得分愈高。而護理人員的各項基本人口學資料在婚姻暴力態度上均無顯著差異。年齡、教育程度、婚姻狀態、年資、工作科別、進階層級、工作中接受過相關教育與否等在婚姻暴力處理行為上有顯著差異。護理人員的婚姻暴力知識、婚姻暴力態度及婚姻暴力處理行為三者間呈現正相關。
本研究結果可為護理實務、護理行政、護理教育等方面之參考，協助臨床護理人員面對婚姻暴力受虐婦女的照護能力之提升而藉此提高護理照護品質。

關鍵字

婚姻暴力 ； 家庭暴力 ； 知識 ； 態度 ； 行為

並列摘要

Domestic violence is not uncommon in Taiwanese society and marital violence is top on the list. In the Domestic Violence Prevention Act, the medical system is included in the rescue network and nurses play an important role as team members in the care system. How nurses deal with issue of intimate partner violence (IPV), their knowledge, attitudes, and practice toward IPV will much influence the quality of care. The purpose of this study was to investigate nurses’ knowledge, attitudes, and practice toward IPV and related factors.
This is a cross sectional descriptive study, subjects were selected by convenient sampling from a medical center in south Taiwan. Stratified random sampling was used to recruit 553 participants, and response rate was 70.5%.
Four domains of instrument as “characteristic of nurses”, “Knowledge toward intimate partner violence”, “Attitudes toward intimate partner violence “and “Nursing practice of intimate partner violence” formulate the study. Data were analyzed using descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test, and Spearman Correlation.
Results of the study showed that nurses’ knowledge of intimate partner violence demonstrated a middle level. Among the three domains, the highest correct response rate is social domain, 87.6％, medical domain is the second one, 65.3％, and the lowest is legal domain, 57.6％.
The average score for nurses’ attitude was 72.5(total=96). The results on average score for nurses’ practice was 17.05 points (total=28). In addition, various levels of nursing education will impact on their knowledge of marital violence.
There are no significant differences among nurses’ gender, age, religion, seniority, specialties. It explained that the background characters of nurses had no influence on their attitude of martial violence. In terms of handling of marital violence, age, level of education, marital status, seniority, specialties and receiving pertinent training on the job all showed significant difference. Knowledge, attitude and handling of marital violence are positively inter-correlated.
Conclusions：This study’s results can be used as a reference for the future on education of nurses’ clinical training, nursing administration, and nursing education. This can also enhance the ability for nurses to care of domestic violence women, thus improve the quality of nursing care.

並列關鍵字

intimate partner violence, marital violence ； domestic violence ； knowledge ； attitudes ； practice

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