護生實施糖尿病病人教育之相關研究

The Pressure, Attitude, self-efficiency and Implementation Intention of Nursing Students in Diabetes Patient Education

10.7022/JHPHE.200712.0043

李彩歆(Tsai-Shin Lee)；胡益進(Yih-Jin Hu)

自我效能 ； 病人教育 ； 意圖 ； 護生 ； intention ； nursing student ； patient education ； self-efficiency

健康促進與衛生教育學報

28期（2007 / 12 / 01）

43 - 65

繁體中文

本研究目的在於探討護生實施糖尿病病人教育之意圖及其相關因素，以苗栗縣某醫專五年制三年級護理科640位基本護理實習學生為抽樣母群體，採立意取樣法抽出研究樣本，採用結構式問卷，以受訪者自填的方式進行資料收集，共得181份有效樣本。研究結果如下： 一、在學校與在實習醫院，未曾接受過病人教育相關課程者佔較多數。 二、實習期間實施糖尿病病人教育的壓力為中上程度等，壓力最大為「擔心自己不知用什麼方法實施糖尿病病人教育」。 三、研究對象在未來實習期間，對實施糖尿病病人教育的態度大多數為正向。 四、研究對象在未來實習期間，對實施糖尿病病人教育的自我效能為中等程度，僅有少數顯示有信心。 五、研究對象在未來實習期間，對實施糖尿病病人教育有意願的佔大多數，其中以被指定負責執行糖尿病病人教育的意願最高。 六、研究對象實習期間，對實施糖尿病病人教育的態度、自我效能與意圖成正相關。態度愈正向、自我效能愈高，對實施糖尿病病人教育的意願則愈高。 七、研究對象對於實施糖尿病病人教育的態度與自我效能二者可以有效地解釋本研究對象實施糖尿病病人教育的意圖，解釋量為31.0%。其中又以「態度」解釋力最大。

The purpose of this study was to investigate the pressure, attitude, self-efficiency and implementation intention of nursing students in diabetes patient education. The six hundred forty students from the Jen-Teh Junior College of Medicine, Nursing and management were included in the population. There were one hundred eighty-one students in the sample. The main findings of the study were as follows. 1. Most of these students never took any courses related to patient education neither in school nor in hospitals. 2. During the practical training, the pressures for students to implement diabetic patient instructions were moderate to high levels. The greatest difficulty which students encounter was that they don't know how to apply the right instruction methods to diabetics. 3. Most of these students took a positive attitude toward implementing patient education in their future practice. 4. Only a small portion of the students were confident of the self-efficiency of implementing patient education in their future practice. 5. These students who were assigned to execute the health education for diabetes patients demonstrate the highest intention to implement patient education in their future practice. 6. The attitude, self-efficiency, and intention of the students demonstrate a positive correlation in this study. 7. The attitude and self-efficiency could explain efficiently the intention of these students to implement patient education. The attitude was the main factor. The results of study were discussed, and recommendation future researches and applications were proposed.

1. 許淑蓮、林惠賢、黃秀梨(2001)。護生初次實習壓力、身心社會狀況、因應行爲與人特質關係之探討。護理研究，9(3)，233-246。
   連結：
2. Admi, H.(1997).Nursing students` stress during the initial clinical experience.Journal of Nursing Education,36(7),323-327.
3. Bandura, A.(1995).Self- efficacy: Toward a unifying theory of behavioral change.Psycholgical Review,84(2),191-215.
4. Bernard, L. C.,Krupat, E.(1994).Biopsychosocial factor in health & illiness.New York:Harcourt Brau College.
5. Bjork, S.(2001).The cost of diabetes and diabetes care.Diabetes Research and Clinical Practice,54,13-18.
6. Bonnet, C.,Gagnayre, R.,Ivernois, J. F.(1998).Learning difficulties of diabetes patient: A survey of educators.Patient Education And Counseling,35,139-147.
7. Jones, M. C.,Johnston, D. W.(1997).Distress, stress and coping in first-year student nurse.Journal of Advanced Nursing,26(3),475-481.
8. Kelly, B.(1992).The professional self-concepts of nursing undergraduates and their perceptions of influential forces.Journal of Nursing Education,31(3),121-125.
9. Kiger, A. M.(1995).Teaching for health.New York:Praeger.
10. Lundop, E.(1991).Individual stress among nurses in training: Why some leave while others stay.Nurse Education Today,11(2),110-120.
11. Mahat, G.(1998).Stress and coping: Junior baccalaureate nursing students in clinical settings.Nursing Forum,33(1),11-18.
12. Martyn, C. J.(2000).Reducing distress in first level and student nurses: A review of the applied stress management literature.Journal of Advanced Nursing,32(1),66-74.
13. Mazzuca, S.(1982).Does patient education in chronic disease have therapeutic value?.Journal of Chroric Disease,35,521-529.
14. Rhead, M. M.(1995).Stress among student nurses: Is it practical or academic?.Journal of Clinical Nursing,4(6),369-376.
15. Rob, S. S.(1979).Attitudes and intentions of baccalaureate nursing students toward he elderly.Nursing Research,28(1),43-50.
16. Stewart, M.,Rotter, D.(1989).Communicating with medical patients.New Delhi:Sage.
17. 全民健保糖尿病人2001-2003年醫療資源利用分析
18. 白玉珠、陳怡乃、陳茲玲(2003)。提升加護中心病人及家屬對護理指導之滿意度。榮總護理，20(2)，200-208。
19. 台灣地區主要死亡原因
20. 何瓊華(1994)。護專學生實習壓力知覺度與因應行爲之相關因素探討。德育學報，10，51-73。
21. 呂昌明(1994)。以健康信念模式分析公共衛生護理人員執行乳房自我檢查之意圖。衛生教育論文集刊，7，142-153。
22. 李玉嬋(2000)。博士論文(博士論文)。台北，國立台灣師範大學衛生教育學系。
23. 林貴滿(2000)。碩士論文(碩士論文)。台中，台中中山醫學院醫學研究所。
24. 柯乃熒(1996)。護理人員有沒有權利拒絕照顧愛滋病病人？一個倫理困境的議題。護理雜誌，43(1)，46-51。
25. 唐福瑩(1994)。護理人員如何協助臨床教學。護理雜誌，41(2)，38-41。
26. 雷若莉、陳曉玫、林京芬、劉雪娥、許淑蓮(2000)。Y世代護生實習壓力源、學習幫助與因應行爲。長庚護理，11(4)，11-23。
27. 鍾聿琳(1994)。專科護生產科實習之壓力源。護理研究，2(4)，315-325。
28. 鍾春櫻(1997)。護專學生對老人態度、行爲意向和影響因素之研究。大仁學報，15，75-92。
29. 譚文海(1986)。碩士論文(碩士論文)。台北，國立台灣師範大學衛生教育學系。
30. 蘇麗智、郭憲文(1993)。某醫專實習壓力之評估－初期階段實習。護理研究，1(2)，166-173。