Title

「性議題與護理專業成長課程」對護理學生在性健康照護相關知識、態度與自我效能之成效研究

Translated Titles

The effectiveness of "Sexual Issues and Nursing Profession Development Program" in nursing students’ knowledge, attitudes, and self-efficacy on sexual healthcare

DOI

10.6829/STU.2011.00021

Authors

宋素卿

Key Words

態度 ; 知識 ; 護理學生 ; 自我效能 ; 性健康照護 ; Attitude ; Knowledge ; Nursing Student ; Self-Efficacy ; Sexual Healthcare

PublicationName

樹德科技大學人類性學研究所學位論文

Volume or Term/Year and Month of Publication

2011年

Academic Degree Category

博士

Advisor

林燕卿

Content Language

繁體中文

Chinese Abstract

本研究旨在評價「性議題與護理專業成長課程」對護理學生在「性健康照護知識」、「性健康照護態度」與「性健康照護自我效能」的成效。研究對象以立意取樣方式選取北部某技職院校護理系二技二年級護理學生,並將研究對象依據是否選修「性議題與護理專業之應用」課程分為實驗組(有選課,共95位)與控制組(無選課,共95位),研究設計採類實驗設計之「前後測設計法」,兩組學生皆在教育介入前一週內進行前測,十二週課程結束後一週內進行後測,課程結束後六週再進行一次後後測,以瞭解教育介入的效果。 一、實驗組學生在性健康照護知識、性健康照護態度與性健康照護自我效能的教育效果皆顯著高於控制組學生。 二、實驗組學生在教育介入後,其性健康照護知識、性健康照護態度與性健康照護自我效能有顯著進步。 三、「教學內容之整體評量」:約88.7%的學生對教師所提供之教學內容呈現同意或非常同意,學生最肯定「教學內容範圍適當」與「能夠聽懂上課內容」。 四、「教學方法之整體評量」:約92.5%的學生對教師所提供之教學方法呈現同意或非常同意,學生最肯定「教師對學生提出的問題能耐心澄清及解說」與「教師授課表達清晰易於瞭解」。在對課程作業範圍與主題安排上,只有71.6%的學生同意或非常同意作業的安排。 五、「各教學單元目標之達成」:約89.65%學生同意或非常同意各單元教學目標有達成。其中,學生對「生殖與性」單元的教學目標之達成最為肯定,其次為「性的多層面觀點」、「生命週期的性」與「臨床職場性騷擾」。 六、整體而言,實驗組學生對於本課程的教學單元設計給予高度肯定,也肯定本研究透過不同教學活動設計以促進其探索自我的性態度及與病人討論性問題的自信能力。對於未來從事性健康照護不再害怕與排斥,多數人也肯定自己經過課程的洗禮已踏出性健康照護障礙的第一步。

English Abstract

The aim of the study was to evaluate the effectiveness of "Sexual Issues and Nursing Profession Development Program" for nursing students on knowledge of sexual healthcare, attitude to sexual healthcare, and self-efficacy for sexual healthcare. The samples were senior nursing students of 2-year senior college program from Department of Nursing, Chang Gung Institute of Technology in northern Taiwan. There were 95 participants in the experimental group who received the 12-week "Sexual Issues and Nursing Profession Development Program" taught by the author, and there were 95 participants in the control group who didn’t participate in the program. The study was based on the quasi-experimental research with pre-post test design. The longitudinal changes from the week right before starting the program (the baseline) to the follow-ups at the 1st week (post-test) and the 6th week (final test) right after receiving the program were estimated using the hierarchical linear models for evaluating the educational effectiveness. 1.The results showed that sexual healthcare education program had significantly positive changes on the students in the experimental group on knowledge of sexual healthcare, attitude to sexual healthcare, and self-efficacy for sexual healthcare. 2.The results revealed that the students in the experimental group showed significant improvements over those in the control group on knowledge of sexual healthcare, attitude to sexual healthcare, and self-efficacy for sexual healthcare. 3.“The holistic evaluation of teaching contents”: 88.7% of the students expressed ‘agree’ or ‘very agree’ to the content, and student’s most satisfactory items were “The content and range of teaching are proper” and “The class content can be understood”. 4.“The holistic evaluation of teaching methods”: 92.5% of the students revealed ‘agree’ or ‘very agree’ to the teaching methods, and student’s most satisfactory items were “The teacher was patient to explain and clarify students’ questions” and “The teaching was very clear and easy to be understood”. On homework design and assignment, 71.6% students showed ‘agree’ or ‘very agree’. 5.“Achievement of the goals on all teaching units”: 89.65% of the students expressed ‘agree’ or ‘very agree’ to the achievement of the goals. The teaching unit of “reproduction and sex” was the most satisfactory, followed by the units of “the multiple dimensions of sexuality”, “sexuality throughout the life cycle”, and “the sexual harassment in clinical practice”. 6.In general, the students in the experimental group were highly positive to the program, and appreciated the program to help them explore their sexual attitude, and improve their self-efficacy for discussing and communicating sexual concerns with patients. Most also expressed that the program help them overcome the barrier of the sexual healthcare and they won’t be afraid and reject to approach sexual healthcare issues in the future.

Topic Category 人文學 > 人類學及族群研究
應用社會學院 > 人類性學研究所
Reference
  1. 王麗蘭(2003)。照顧一位性侵害被害人的護理經驗。護理雜誌,50(5),91-96。
    連結:
  2. 李玉嬋(2008)。護生健康諮商技巧訓練之成效研究。教育心理學報,39(3),473-489。
    連結:
  3. 李玉蟬(1999)。內科護理實習學生健康諮商技巧訓練之成效研究。(博士論文,國立台灣師範大學教育心理與輔導研究所,1999)。全國博碩士論文資訊網,088NTNU0328009。
    連結:
  4. 宋素卿、林燕卿、洪綺梅、卓珮珮(2007)。精神病患對性諮商需求與護理人員執行現況之初探。護理雜誌,54(1),43-52。
    連結:
  5. 宋素卿、葉美玉、林燕卿(2010)。護理人員提供性諮詢的觀點與現況之探討。台灣性學學刊,16(1),1-16。
    連結:
  6. 李絳桃(2003)。產後性生活衛生教育模式發展與介入成效研究。(博士論文,國立台灣師範大學衛生教育學系,2003)。全國博碩士論文資訊網,091NTNU0483034。
    連結:
  7. 李絳桃、晏涵文(2005a)。產婦產後性生活現況調查。台灣性學學刊,11(1),1-18。
    連結:
  8. 李絳桃、晏涵文(2005b)。產婦對產後性生活之關注。實證護理,1(1),52-61。
    連結:
  9. 李選、盧瑛琪、顏文娟、林淑琴(2004)。由邁入全球化,談台灣護理教育之衝擊與未來發展。護理雜誌,51(4),27-32。
    連結:
  10. 李選、徐麗華、黃曉黎(1997)。性諮商的應用及展望。護理雜誌,44(3),61-67。
    連結:
  11. 李麗燕(2001)。化學治療後乳癌婦女的性功能影響因素探討。(碩士論文,台北醫學院護理研究所,2001)。全國博碩士論文資訊網,090TMC00563023。
    連結:
  12. 林秀美、陳陹堃、莊世杰(2006)。護理人員在職場遭遇性騷擾之研究。中華職業醫學雜誌,13(1),21-28。
    連結:
  13. 林淑芬、蔡芸芳、郭漢崇、葉淑惠(2000)。花蓮地區男性脊髓損傷患者功能之探討。慈濟醫學,12(1),59-64。
    連結:
  14. 林燕卿、陳羿君、白瑞聰(2000)。大學生同儕性教育介入效果研究。學校衛生,37,45-62。
    連結:
  15. 武靜蕙、高松景、白瑞聰、晏涵文、虞順光(2005)。台北市高中(職)學生婚前性行為意向之研究:理性行動論之應用。台灣性學學刊,11(2),1-24。
    連結:
  16. 高松景(2005)。「生活技能」為主的高中生性教育介入研究。(博士論文,國立台灣師範大學衛生教育學系,2005)。全國博碩士論文資訊網,094NTNU5483017。
    連結:
  17. 徐畢卿、謝素真、趙文杏(2001)。認識性侵害。護理雜誌,48(2),18-26。
    連結:
  18. 晏涵文、林美瑜(2005)。「真愛密碼」性教育教學效果研究—針對高中職二年級學生安全性行為的課程實施。衛生教育學報,23,105-120。
    連結:
  19. 莊玟玲(2002)。心肌梗塞恢復期男性患者的性知識、性態度與性生活。(碩士論文,高雄醫學大學護理學研究所,2002)。全國博碩士論文資訊網,091KMC00563015。
    連結:
  20. 陸振芳、李選(2005)。新興司法護理學—性侵害護理檢驗師之介紹與啟示。護理雜誌,52(6),57-62。
    連結:
  21. 陳德馨、晏涵文(2004)。大四學生持續使用保險套之影響。台灣性學學刊,10(1),53-70。
    連結:
  22. 陳曉佩(2002)。大專生性教育介入效果研究—以某二專新生為例。(碩士論文,臺灣師範大學衛生教育研究所,2002)。全國博碩士論文資訊網,091NTNU0483015。
    連結:
  23. 陳暁佩、晏涵文(2003)。大專生性教育介入效果研究。台灣性學學刊,9(2),77-94。
    連結:
  24. 黃秀娥、簡邦平(2006)。脊髓損傷患者植入人工陰痙之性復健:個案報告。台灣性學學刊,12(1),55-64。
    連結:
  25. 黃美凰、邱愛芳、宋玉貞、宋永光(2008)。同儕教導對護理科學生性教育之成效研究。人文社會科學研究,2(2),82-100。
    連結:
  26. 溫美蓉(2006)。女性脊髓損傷病人性功能障礙之照護。榮總護理,23(2),136-141。
    連結:
  27. 廖梨伶、晏涵文(2005)。原住民性教育教材之設計與發展:以「原住民青少年性教育教學輔導媒體」為例。台灣性學學刊,12(2),25-39。
    連結:
  28. 鄧慶華(2002)。脊髓損傷者的性諮商。護理雜誌,49(1),66-70。
    連結:
  29. 蔣立琦、郭雅雯、林綽娟(2004)。自我效能之概念分析。護理雜誌,51(2),67-72。
    連結:
  30. 蔡芸芳(2003)。精神衛生護理人員在愛滋病照護之角色拓展。護理雜誌, 50(6),17-21。
    連結:
  31. 蔡芸芳、熊秉荃(2001)。護理系在職進修生對性史詢問之態度與行為。醫學教育,5(1):33-39。
    連結:
  32. 蔡麗雅、姚開屏、許淑蓮、黃秀梨(2005)。護理人員提供病患性衛教時面臨的問題及其頻率、困擾與需要協助程度之探討。護理雜誌, 52(5),41-50。
    連結:
  33. 鍾聿琳(2004)。現今台灣技職護理教育的關鍵課題。護理雜誌,51(4),18-21。
    連結:
  34. 歐淑玲、李絳桃(2006)。「產婦性自我效能」之概念分析。台灣性學學刊,12(2),75-81。
    連結:
  35. 歐淑玲、李絳桃、陳美伶、曾旭民(2008)。產婦性健康自我效能量表之發展。實證護理,4(2),138-148。
    連結:
  36. Aiken, L.R. (1980). Content validity and reliability of single items or questionnaire. Educational and Psychological measurement, 40(4), 955-959.
    連結:
  37. American Nurses’ Association (1974). Standards of medical surgical nursing practice. Kansan City, MI: ANA.
    連結:
  38. Avis, N.E., Crawford, S., Manuel, J. (2004). Psychosocial problems among younger women with breast cancer. Psycho-Oncology, 13(5), 295-308.
    連結:
  39. Bandura, A. (2001). Social cognitive theory: An agentive perspective. Annual Review of Psychology, 52, 1-26.
    連結:
  40. Bassalone, M.L. (1991). A social learning model of adolescent contraceptive behavior. Journal of Youth and Adolescence, 20, 593-616.
    連結:
  41. Cox, A., Bull, E., Cockle-Hearne, J., Knibb, W., Potter, C., Faithful., S. (2008). Nurse led telephone follow up in ovarian cancer: a psychological perspective. European Journal of Oncology Nursing, 12(5), 412-417.
    連結:
  42. Crouch, S.(1999). Sexual heath 2: An overt approach to sexual health education. British Journal of Nursing, 8(10), 669-675.
    連結:
  43. Dattilo, J., & Brewer, M.K. (2005). Assessing clients’ sexual health as a component of holistic nursing practice: Senior nursing students share their experiences. Journal of Holistic Nursing, 23(2), 208-219.
    連結:
  44. Davila, Y.R. (2005). Teaching nursing students to assess and intervene for domestic violence. International Journal of Nursing Education Scholarship, 2(1), article 4, 13p.
    連結:
  45. Denny, G., & Young, M. (2006). An evaluation of an abstinence-only sex education curriculum: An 18 months follow-up. The Journal of School Health, 76(8), 414-422.
    連結:
  46. Duldt, W.B., & Pokorny, M.E. (1999). Teaching communication about human sexuality to nurses and other healthcare providers. Nurse Educator, 24(5), 27-32.
    連結:
  47. Enzlin, P., Mathieu, C., Bruel, A.V., Bosteels, J., Vanderschueren, D., & Demyttenaere, K. (2002). Sexual dysfunction in women with type I diabetes. Diabetes Care, 25(4), 672-677.
    連結:
  48. Fobair, P., Stewart, S.L., Chang, S., D’Onofrio, C., Banks, P.J., & Bloom, J.R. (2006). Body image and sexual problems in young women with breast cancer. Psycho-Oncology, 15(7), 579-594.
    連結:
  49. Gillespie, M. (2002). Issues and innovations in nursing education: Student-teacher connection in clinical nursing education. Journal of Advanced Nursing, 37(6), 566-576.
    連結:
  50. Goodson, P. (2002). Predictors of intention to promote family planning: A survey of protestant seminarian in the United States. Health Education & Behavior, 29(5), 521-541.
    連結:
  51. Haist, S.A., Griffith, C.H., Hoellein, A.R., Talente, G., Montgomery, T., & Wilson, J.F. (2004). Improving students’ sexual history inquiry and HIV counseling with an interactive workshop using standardized patients. Journal of General Internal Medicine, 19, 549-553.
    連結:
  52. Hayter, M., Piercy, H., Massey, M.T., & Gregory, T. (2008). School nurses and sex education: surveillance and disciplinary practices in primary schools. Journal of Advanced Nursing, 61(3), 273-281.
    連結:
  53. Hibino, Y., Ogino, K., & Inagaki, M. (2006). Sexual harassment of female nurses by patients in Japan. Journal of Nursing Scholarship, 38(4), 400-405.
    連結:
  54. Higgins, A., Barker, P., & Begley, C.M. (2006). Sexual health education for people with mental health problems: What can we learn from the literature? Journal of Psychiatric and Mental Health Nursing, 13(6), 687-697.
    連結:
  55. Hjelm, K., & Nambozi, G. (2008). Beliefs about health and illness: A comparison between Ugandan men and women living with diabetes mellitus. International Nursing Review, 55(4), 434-441.
    連結:
  56. Ho, T.M., & Fernandez, M. (2006). Patient’s sexual health: Do we care enough? Journal of Renal Care, 32(4), 183-186.
    連結:
  57. Hogan, R.M. (1985). Human sexuality: A nursing perspective. East Norwalk, CT: Appleton-Century-Crofts.
    連結:
  58. Hogben, M., & Byrne, D. (1998). Using social learning theory to explain individual differences in human sexuality. The Journal of Sex Research, 35(1), 58-71.
    連結:
  59. Howlett, K., Koetters, T., Edrington, J., West, C., Paul, S., Lee, K., Aouizerat, B.E., Wara, W., Swift, P., & Miaskowski, C. (2010). Changes in sexual function on mood and quality of life in patients undergoing radiation therapy for prostate cancer. Oncology Nursing Forum, 37(1), 58-66.
    連結:
  60. Johnson (1999). Self-regulation theory and coping with physical illness. Research in Nursing & Health, 22, 435-448.
    連結:
  61. Johnston, J.H. (2009). The preparation of child health nurses in sexual health education: An exploratory study. Nurse Education Today, 29(8), 845-849.
    連結:
  62. Jou, M.H., Chen, P.L., Lee, S., & Yin, T.J.C. (2003). A study of sexuality education performance and associated factors among elementary school nurses in Taipei. Journal of Nursing Research, 11(1), 47-56.
    連結:
  63. Julien, J.O., Thom, B., & Kline, N.E. (2010). Identification of barriers to sexual health assessment in oncology nursing practice. Oncology Nursing Forum, 37(3), 186-190.
    連結:
  64. Kaiser, H.F. (1974). An index of factorial simplicity. Psychometrika, 39, 31-36.
    連結:
  65. Katzman, E.M. (1990). Education for sexual health care. The Journal of Nursing Education, 29(3), 141-142.
    連結:
  66. Karaoz, B., Aksu, H., & Kucuk, M. (2010). A qualitative study of the information needs of premenopausal women with breast cancer in terms of contraception, sexuality, early menopause, and fertility. International Journal of Gynecology and Obstetrics, 109(2), 118-120.
    連結:
  67. Karlowicz, K.A., & King, L.S. (2009). The healing power of reflective writing for a student victim of sexual assault. Journal of Forensic Nursing, 5, 64-69.
    連結:
  68. Kisa, A., Dziegielewski, S., & Ates, M. (2002). Sexual harassment and its consequences: A study within Turkish hospitals. Journal of Health & Social Policy, 15(1), 77-94.
    連結:
  69. Kong, S.K., Wu, L.H., & Loke, A.Y. (2009). Nursing students’ knowledge, attitude and readiness to work for clients with sexual health concerns. Journal of Clinical Nursing, 18(16), 2372-2382.
    連結:
  70. Kotronoulas, G., Papadopoulou, C., & Patiraki, E. (2009). Nurses’ knowledge, attitudes, and practices regarding provision of sexual health care in patients with cancer: Critical review of the evidence. Supportive Care in Cancer, 17(5), 479-501.
    連結:
  71. Krebs, L.U. (2007). Sexual assessment: research and clinical. The Nursing Clinics of North America, 42(4), 515-529.
    連結:
  72. Lysberg, K., & Severinsson, E. (2003). Spinal cord injury women’s views of sexuality: A Norwegian survey. Rehabilitation Nursing, 28(1), 23-26.
    連結:
  73. Marriner-Tomey, A. (1994). Nursing theoriests and their work. St. Louis, MO: Mosby.
    連結:
  74. Matkins, P.P., & Jordan, K.S. (2009). Pediatric sexual abuse: emergency department evaluation and management. Advanced Emergency Nursing Journal, 31(2), 140-152.
    連結:
  75. McCann, E. (2000). The expression of sexuality in people with psychosis: Breaking the taboos. Journal of Advanced Nursing, 32(1), 132-138.
    連結:
  76. McCann, E. (2003). Exploring sexual and relationship possibilities for people with psychosis: A
    連結:
  77. review of the literature. Journal of Psychiatric and Mental Health Nursing, 10, 640-649.
    連結:
  78. Mcfadyen, J. (2004). Teaching sex education: Are Scottish school nurses prepared for the challenge? Nurse Education Today, 24(2), 113-120.
    連結:
  79. Miles, M.B., & Huberman, A.M. (2005). Qualitative data analysis: An expanded sourcebook.Thousand Oaks, CA: Sage.
    連結:
  80. Mosack, V., & Steinke, E.E. (2009). Trends in sexual concerns after myocardial infarction. The Journal of Cardiovascular Nursing, 24(2), 162-170.
    連結:
  81. Muir, A. (2000). Counseling patients who have sexual difficulties. Professional Nurse, 15(11), 723-726.
    連結:
  82. Peate, I. (2010). Privacy please, taking a sexual health history. British Journal of Healthcare Assistants, 4(2), 71-74.
    連結:
  83. Perez, M., Liu, Y., Schootman, M., Aft, R.L., Schechtman, K.B., Gillanders, W.E., & Jeffe, D.B. (2010). Changes in sexual problems over time in women with and without early stage breast cancer. Menopause, 17(5), 924-937.
    連結:
  84. Quinn., C., & Browne, G. (2009). Sexuality of people living with a mental illness: A collaborative challenge for mental health nurses. International Journal of Mental Health Nursing, 18, 195-203.
    連結:
  85. Raudenbush, S., & Bryk, A. (2002). Hierarchical linear models: Applications and data analysis models (2nd ed.). Thousand Oaks, CA: Sage.
    連結:
  86. Rosenstock, I.M., Strecher, V.J., & Becker, M.H.(1988). Social learning theory and the health belief model. Health Education Quarterly, 15,175-183.
    連結:
  87. Seloilwe, E.S., & Thupayagale-Tshweneagae, G. (2009). Sexual abuse and violence among adolescent girls in Botswana: A mental health perspective. Issues in Mental Health Nursing, 30(7), 456-459.
    連結:
  88. Steinke, E. E., & Kansas, W. (2002). A videotape intervention for sexual counseling after myocardial infarction. Heart & Lung, 31(5), 348-354.
    連結:
  89. Steinke, E.E., Mosack, V., Wright, D.W., Chung, M.L., & Moser, D.K. (2009). Risk factors as predictors of sexual activity in heart failure. Dimensions of Critical Care Nursing, 28(3), 123-129.
    連結:
  90. Suominen, T., Koponen, N., Mockiene, V., Staniuliene, V., Istomina, N., Aro, I., Kisper-Hint, I.R., Raid, U., Vanska, M.L., & Valimaki, M. (2008). Nurses’ and nursing students’ perceptions of sexual risk behavior: A study in Finland, Estonia, and Lithuania. AIDS Patient Care and STDs, 22(10), 803-810.
    連結:
  91. Thompson, S.C., Kyle, D., Swan, J., Thomas, C., & Vrungos, S. (2002). Incresaing condom use by undermining perceived invulnerability to HIV. AIDS Education and Prevention, 14(6), 505-514.
    連結:
  92. Tsai, T.Y., Chen, S.Y., Tsai, M.H., Ho, C.M., & Su, Y.L. (2009). Factors related to sexual dysfunction in patients with cervical cancer. The Journal of Nursing, 56(2), 37-46.
    連結:
  93. Tsai, Y. F. (2004). Nurses’ facilitators and barriers for taking a sexual history in Taiwan. Applied Nursing Research, 17(4), 257-264.
    連結:
  94. Tsai, Y.F., & Hsiung, P.C. (2003). Aboriginal nurses’ perception of facilitators and barriers for taking a sexual history in Taiwan. Public Health Nursing, 20(4), 281-286.
    連結:
  95. Tsai, Y.F., Hsiung, P.C., & Hozelmer, L.W. (2002). Symptoms management in Taiwanese patients with HIV/AIDS. Journal of Pain and Symptoms Management, 23(4), 301-309.
    連結:
  96. Varcarolis, E.M. (1994). Foundations of Psychiatric Mental Health Nursing (2nd ed.). St. Louis, MO: Mosby.
    連結:
  97. Weingourt, R., Maruyama, T., Sawada, I., & Yoshino, J. (2001). Domestic violence and women’s mental health in Japan. International Nursing Review, 48(2), 102-108.
    連結:
  98. Westwood, J., & Mullan, B. (2006). Knowledge of school nurses in the U.K. regarding sexual health education. The Journal of School Nursing, 22(6), 352-357.
    連結:
  99. Wijesinghe, R.S., Wickremasinghe, A.R., Ekanayake, S., & Perera, M.S. (2007). Physical disability and psychosocial impact due to chronic filarial lymphedema in Sri Lanka. Filaria Journal, 6, 4-11.
    連結:
  100. 參考文獻
  101. 王為國(2009)。初步的資料分析。載於郭玉霞主編,質性研究資料分析:NVivo 8活用寶典(頁219-244)。台北:高等教育。
  102. 宋素卿、文榮光(2000)。產後性慾不足症之配對性治療:個案報告。台灣性學學刊,6(1),3-13。
  103. 邱皓政(2002)。量化研究與統計分析。台北:五南。
  104. 段藍媞(2002)。教學介入對高護女生愛滋病預防行為意向及護理意願之影響-以計畫行為理論應用為例。(碩士論文,靜宜大學青少年兒童福利學系,2002)。全國博碩士論文資訊網,091NTNU0483034。
  105. 晏涵文、林燕卿、劉潔心(2000)。青少年同儕愛滋病防治教育推廣效果研究。衛生教育學報,13,125-142。
  106. 晏涵文、劉潔心、林怡君(2002)。國民小學教師性教育專業知能與進修需求研究。台灣性學學刊,8(2),28-50。
  107. 夏萍絗、林文香(2001)。護生對病患性騷擾之態度與因應策略研究。公共衛生,28(1),61-75。
  108. 高新建(1999)。階層線性模式在教育縱貫研究上的應用:以數學學習機會為例。台北市立師範學院學報,30,127-148。
  109. 許凱鈞(2004)。同儕性教育方案實施成效之研究-以高雄縣某科技大學為例。(碩士論文,樹德科技大學人類型學研究所,2004)。全國博碩士論文資訊網,093STU00734006。
  110. 黃宣為(2003)。子宮切除婦女之性滿意度及其心理社會適應之相關研究。(碩士論文,樹德科技大學人類性學研究所,2003)。全國博碩士論文資訊網,092STU00734002。
  111. 葉明莉(2000)。性諮商於護理專業之應用。高雄醫學大學,未出版手稿。
  112. 趙淑員、徐瑩媺、劉杏元、吳秋燕、陳曉容(2004)。護生於實習場所遭受性騷擾經驗探討。長庚科技學刊,3,89-103。
  113. 趙飛英、嚴衛青、林細吟、萬麗紅(2006)。現代臨床護理,3,51-56。
  114. 歐素汝(譯)(1999)。焦點團體:理論與實務。台北市:弘智文化。(David W. Stewart & Prem N. Shamdasani, 1998)。
  115. 歐麗玲(2005)。精神科護理人員提供性健康照護實務經驗之探討。(碩士論文,國立台北護理學院護理研究所,2005)。全國博碩士論文資訊網,094NTCN0563019。
  116. 蕭昭君(2010)。職場性騷擾:不可小看的性別暴力。載於游美惠、楊幸真、楊巧玲(主編),性別教育(頁269-299)。台北:華都。
  117. 瞿馥苓、簡麗瑜(2005)。女性糖尿病患的性功能。長庚科技學刊,4,89-97。
  118. 蘇芊玲(2002)。兩性平等教育的本土發展與實踐。台北:女書文化。
  119. Amby, J. (2007, Winter). Human sexuality course syllabus for Central Washington University. Retrieved May 23, 2010, from the World Wide Web: http:// www.cwu.edu /~ectl/ ncate_wastate/syllabi/fcsf.337.pdf
  120. Arcement, S. (2010). Human sexuality. Retrieved May 23, 2010, from the World Wide Web: http://www.canyoncollege.edu/cc/psy~cnsl2/syllabus/py524.htm
  121. Backer, M.G., & Barth, R.P. (2000). Power through choices: the development of a sexuality education curriculum for youths in out-of-home care. Child Welfare, 79(3), 269-281.
  122. Bailey, J.M. (2005, winter). Human sexuality. Retrieved May 23, 2010, from the World Wide Web:http://aquavite.northwestern.edu/cdesc/course-desc.cgi?school_id=400&dept_id=451&course_id=2067&quarter=W05
  123. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W.H. Freeman and Company.
  124. Breslin, S.D.B. (2010). Human sexuality. Retrieved May 23, 2010, from the World Wide Web: http://www.zurinstitute.com/humansexualitycourse.html
  125. Bruess, C., & Greenberg, J. (2009). Sexuality education: Theory and practice. Sudbury, MA: Jones and Bartlett Publishers LLC.
  126. Danaci A. E., Oruc, S., Adiguzel, H., Yildirim, Y., Aydemir, O. (2003). Relationship of sexuality with psychological and hormonal features in the menopausal period. West Indian Medical Journal, 52 (1), 27-30.
  127. Ferraro, J.S. (2009, Fall). Reproduction and sexuality. Retrieved May 23, 2010, from the World Wide Web: http:// www.siumed.edu/ physiology/courses/ 320%20Syllabus%20Fall%20'09. doc
  128. FitzGerald, M., & Chapman, Y. (2000). Theoryies of reflection for learning. In S. Burns, & C. Bulman (Eds.), Reflective Practice in Nursing: The growth of the professional practitioner (pp.1-27). London: Blackwell.
  129. Fraley, A.M. (1992). Nursing and the disability: Across the life span. Boston: Jones and Bartlett.
  130. Gurevich, M. (2005, Fall). Psychology of human sexuality. Retrieved May 23, 2010, from the World Wide Web: http://www.ryerson.ca/~mgurevic/Pages/ PSY621-- PsychologyofHumanSexualityCourseOutline.htm
  131. Haberman, Sunny, M.S. (1990). Evaluation of an AIDS Education Intervention (Doctoral Dissertation, California State University, 1990). (AAT 1341814)
  132. Hagenhoff, C., Lowe, A., Hovell, M.F., & Rugg, D. (1987). Prevention of the teenage pregnancy epidemic: A social learning theory approach. Education and Treatment of Children, 10, 67-83.
  133. Jaarsma, T., Stromberg, A., Fridlund, B., De Geest, S., Martensson, J., Moons, P., Norekval, T.M., Smith, K., Steinke, E., & Thompson, D.R. (2010). Sexual counseling of cardiac patients: Nurses’ perception of practice, responsibility and confidence. European Journal of Cardiovascular Nursing, 9(1), 24-29.
  134. Kear, M. (2000). Concept analysis of self-efficacy. Graduate Research Nursing, 2(2), 7.
  135. Krzystanek, M., & Krupka-Matuszczyk, I. (2003). Telepsychiatry- psychiatric advice on the internet. Psychiatria Polska, 37(6), 1073-1082.
  136. LeVay, S. (2003, Winter). Human sexuality. Retrieved May 23, 2010, from the World Wide Web: http://www.stanford.edu/class/humbio10/coursework/syllabus.html
  137. Lincoln, Y.S., & Guba, E.G. (1985). Naturalistic inquiry. Newbury Park, CA: Sage.
  138. Mallis, D., Moysidis, K., Nakopoulou, E., Papaharitou, S., hatzimouratidis, K., & Hatzichristou, D. (2005). The Journal of Urology, 174(5), 1913-1916.
  139. Peters, R.J., Kelder, S., Ross, M.W., McAlister, A., Meshack, A., Lewis, S., Baumler, E., & Shinn, E. (2000). Project Alpha: A culturally appropriate approach to adolescent male sex education. Venereology, 13(2), 57-62.
  140. Raritan Valley Community College (2007, Spring). Human sexuality. Retrieved May 23, 2010, from the World Wide Web: http://www.raritanval.edu/uploadedFiles/academics/course outlines/NURS291.pdf
  141. Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.
  142. Stenson, K., Heimer, G., Lundh, C., Nordstrom, M.L., Saarinen, H., & Wenker, A. (2003). Lifetime prevalence of sexual abuse in a Swedish pregnant population. Acta Obstetricia et Gynecologica Scandinavica, 82(6), 529-536.
  143. Stuart, G.W., & Laraia, M.T. (2005). Principles and practice of psychiatric nursing (8th ed.). St. Louis, MO: Mosby.
  144. Young, C., & Jackson, E. (2007). A learning activity for RN-to BSN students: The nurse’s role in child sexual abuse. Journal of Nursing Education, 46(4), 196.
Times Cited
  1. 蔡麗雅(2014)。護理系學生提供性健康照護的學習需求之研究。中山醫學大學醫學研究所學位論文。2014。1-119。 
  2. 王紫玲(2006)。私立大學院校稽核制度之研究。長榮大學經營管理研究所(博)學位論文。2006。1-132。 
  3. 李珣(2015)。諮商師性自在課程之成效。樹德科技大學人類性學研究所學位論文。2015。1-277。 
  4. 許丞毓(2013)。臺灣近十年性教育介入成效之後設分析研究。樹德科技大學人類性學研究所學位論文。2013。1-133。 
  5. 廖慧婷(2009)。會計師輪調與審計公費關聯性之研究。中原大學會計研究所學位論文。2009。1-77。
  6. 江宜珊(2016)。產業環境競爭程度、會計師選擇與審計品質之關聯性:以會計師輪調制度實施前後探討。淡江大學會計學系碩士班學位論文。2016。1-50。
  7. 蔡秀芳(2017)。精神障礙者性需求與情緒狀態之相關研究。樹德科技大學人類性學研究所學位論文。2017。1-100。