某醫專五年制護理科學生實施糖尿病病人教育之壓力、態度、自我效能、意圖及其相關因素之研究

The pressure, attitude, self-efficiency and implementation intention of nursing students in diabetes patient education

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.