| Summary: | 博士 === 中山醫學大學 === 醫學研究所 === 101 === Sexuality is an essential component of health, which is a significant determinant of quality of life. Sexual health was defined as the integration of somatic, emotional and social aspects, which can be hampered by aging, accidents and disease processes. Most of nurses have recognized that sexual dysfunction is highly comorbid with many diseases and treatment, but they reluctance to address sexual health issues in clinical. Nursing practice course is the stone of nursing education, has profound effect on future. Exploring nursing students’ attitude and behavior intension on sexual health is helpful to understand the reality of sexual health care in clinical.
The aim of this study was to construct the nursing intervention based on the Permission, Limited Information, Specific Suggestion, and Intensive Therapy (PLISSIT) model, and validation the model on attitudes and intension of nursing intervention among students on sexual health care. This is a cross-sectional study, a purposeful convenience sample of 160 senior nursing students from two central Taiwan medical universities was enrolled in the study. The instruments used in this study included the 「Nursing Attitudes in Sexual Health Care」(NASHC)、「Nursing Interventions on Sexual Health」(NISH). All scales were examined for content and construct validity as well as for reliability, including test-retest reliability, internal consistency, and construct validity. We conducted structural equation modeling to examine the proposed conceptual model, using SPSS 18.0 statistical software.
The results indicated three factors (permission, limited information, and specific suggestion) were retained after exploratory factor analysis of NISH, and Cronbach’s alpha for the subscales were .83, .89, .90. There were four factors (permission, limited information, and specific suggestion, intensive therapy) were extracted after exploratory factor analysis of NASH, the Cronbach’s alpha for the subscales were .70, .80, .71, .70. The hypothesized model provided a good fit with the data (X2/df = 1.509; RMSEA = 0.057). Within the behavioral intentions of sexual health care model, attitude of sexual health care and sexual activity level had a significant direct effect on intention of nursing intervention on sexual health (β = .34, p<.05; β= .27, p<.05). Overall, the study developed NISH and NASHC scales, which were useful and reliable scales for assessing the intention and attitude on sexual health care. The attitude of sexual health care and sexual activity level had a significant direct effect on intension on sexual health.
Further research should develop the longitudinal study, collecting the actual performance on sexual health care to construct model, evaluating the effectiveness of sexual health education and treatment-related intervention, or comparing the intention and actual performance. Analyzing variable should include clinical setting, years in nursing to strength the representativeness of finding.
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