國小女生之女性親屬的月經知識、態度、經期不適與經期照護行為之調查   免費試閱

Study of Menstrual Knowledge, Attitudes, Distress and Health Care Behaviors among Female Relatives of Female Elementary Students

本研究之目的在瞭解花蓮地區國小高年級女學生之女性親屬的月經知識、月經態度、經期不適及經期照護行為。採分層、群集隨機抽樣法，共抽取12所學校，有效樣本共298人。研究工具包括個人基本資料、經期照護行為量表、月經知識量表、月經態度量表及經期不適量表。施測所得資料分別以描述性統計、單因子變異數分析、皮爾森積差相關、逐步迴歸分析等統計方法進行分析。
研究結果顯示：一、研究對象年齡介於19~77歲，39.3%具原住民身分，20.5%女性親屬並非女學生之母親；89.3%女性親屬在孩子初經來時會告知月經處理的訊息，89.9%希望孩子的月經知識來自母親；近三成個案經血量少時，4小時（含以上）才更換一次衛生棉。二、研究對象之月經知識答對率為67.53%；月經態度平均得分為2.16±0.40；經期不適平均得分為1.22±0.75。三、母親較其他女性親屬、非原住民較原住民、高中職及以上教育程度者較國中及以下教育程度者，有顯著較高之月經知識答對率及月經態度得分。四、女性親屬之月經態度與經期不適呈顯著負相關。此結果可提供學校、性教育工作者進行國小親職性教育之參考。

The purpose of this study was to investigate menstrual knowledge, attitude towards menstruation, menstrual distress and menstrual health care behaviors among female relatives of female elementary students. A stratified cluster random sampling method was adopted. A total of 298 female relatives of female elementary students from 12 elementary schools in Taiwan's Hualien County participated in this study. The questionnaires consisted of five sections: 1. personal information; 2. menstrual health care behavior; 3. menstrual knowledge; 4. menstrual attitude and 5. menstrual distress. The statistical methods included descriptive statistics, one-way ANOVA, Pearson's correlation, and stepwise regression analysis.
Study results showed that among the participants, the ages ranged from 19 to 77 years and 39.3% were indigenous. Education level of the participants was 61.8% for high school and above. Female relatives (89.3%) will first tell the child about menstrual management at menarche. Participants (89.9%) preferred that menstrual information for child came from the child's mother. Female relatives (29.8%) changed menstrual sanitary products every four hours or above when flow was light. Total correct response rate on the menstrual knowledge assessment was 67.53%; mean score on the menstrual attitude questionnaire was 2.16±0.40; mean score on the menstrual distress questionnaire was 1.22±0.75. Mothers, non indigenous females and females with high school and higher education, scored higher on menstrual knowledge and menstrual attitude questionnaire. There was a significant negative correlation between menstrual attitudes and menstrual distress.
Based on study results it is recommended that elementary schools and sexual-health care providers offer greater assistance to female relatives of female elementary students to improve their menstrual knowledge, establish positive menstrual attitudes, and deal with menstrual distress, thereby encouraging them in helping their children go through menarche.