進階搜尋


下載電子全文  
系統識別號 U0026-2912201122323800
論文名稱(中文) 護理學生對老年性生活的知識與態度探討
論文名稱(英文) Nursing Students’ Knowledge and Attitude Regarding Sexuality in the Aged
校院名稱 成功大學
系所名稱(中) 老年學研究所
系所名稱(英) Institute of Gerontology
學年度 100
學期 1
出版年 101
研究生(中文) 朱啟瑋
研究生(英文) Chi-Wei Chu
電子信箱 juekawi.tw@gmail.com
學號 tc697401
學位類別 碩士
語文別 中文
論文頁數 108頁
口試委員 指導教授-王靜枝
口試委員-王琪珍
口試委員-林麗惠
中文關鍵字 護理學生  老年的性  知識與態度 
英文關鍵字 nursing students  aging sexuality  knowledge and attitude 
學科別分類
中文摘要 隨著台灣老年人口的快速成長,透過健康照護以提升老年的生活品質越顯重要。「性」在我們的文化裡是非常隱私的議題,可能源自於性教育偏頗與社會充斥許多老年性生活的迷思,而忽略性在人終其一生所扮演的重要角色,導致老年時期性生活的發展充滿障礙。有鑑於建立最直接與頻繁提供老年人健康照護的護理專業對老年性的正確認知與態度,本研究欲藉由探討護理學生對老年性生活的知識與態度及其影響因素來了解未來護理養成教育在老年性教育上的重點與需求。

本研究為一描述相關性研究,研究者以分層取樣獲取南台灣已完成護理養成教育之大學高年級學生,以結構性問卷調查方式收集資料。研究工具包含個人基本資料與老年性生活知識量表與老年性生活態度量表。所收集之資料以描述性統計及推論統計,包含獨立樣本t檢定與變異數分析不同學生個人背景變項在老年性知識與老年性態度之差異,和皮爾遜積差相關檢測老年性知識與老年性態度之間的相關性。

研究結果顯示護理學生的老年性生活知識得分不甚佳,但對老年性生活態度偏正向。且不同性別、不同宗教信仰、家中是否有65歲以上年長家庭成員、和65歲以上老年人相處頻率、就讀不同護理學制的、和接受不同老年性相關課程總時數之護理學生在老年性生活知識與態度的得分有顯著差異( p< .05 )。此外,護理學生的老年性生活知識與老年性生活態度得分上呈現正向顯著相關(r=.317,p<.01),顯示當護理學生的老年性生活知識越正確,其對老年性生活態度越正向。

本研究不僅讓護理教育者瞭解目前護理學生對老年性生活的知識與態度的現況,更可作為未來護理教育訓練課程發展之參考依據,使護理學生瞭解「性」的重要性與多元性,藉以協助健康專業、家屬、老年人明白老年人的性需求,打破老年無性的社會規範進而發展出個別化的性生活模式,使老年生活受到更完整的照護朝向高生活品質邁進。
英文摘要 Along with the aging population, to improve the quality of life through health care for this group of people became critical. Sexuality is a very private issue in Taiwanese culture. Due to biased sexual education and societal myths, people tend to ignore the importance of sexuality for older people, which in turn leads to impaired aging development. Nurses are in the most frequent contact with older people. In order to establish proper sexual knowledge and attitude toward older people for nurses, the study aimed to explore nursing students’ sexual knowledge, attitude and other influencing factors toward older people. Findings can provide references for future nursing curriculum development.

This was a descriptive-correlational study; data were collected by structured questionnaires. Stratified sampling was used to recruit nursing students at the higher grade level who had finished the foundation of nursing education in universities of southern Taiwan. Instruments included basic demographic sheet and Aging Sexual Knowledge and Attitude Scale. Data were analyzed by descriptive and interferential statistics. Independent-sample t test and ANOVA were used to compare the differences of sexual knowledge and attitude toward older people as to different personal background variables in nursing students while Pearson correlation was used to analyze the relationship between aging sexual knowledge and attitude.

Findings demonstrated that sexual knowledge towards older people among nursing students was not good, but sexual attitude towards older people was good. The study also showed that students with different gender, different religion, who have elderly family members aged over 65, who are in frequent contact with elders, who are enrolling in different education programs, and had received different number of aging sexuality related education hours demonstrated different knowledge and attitude scores toward older people (p < .05 ). In addition, nursing students’ sexual knowledge and attitude toward older people were positively correlated (r =.317, p < .01), indicating that the better the sexual knowledge towards older people nursing students have, the more positive their sexual attitude toward older people are.

This study not only provides nursing educators with better knowledge of nursing students’ sexual knowledge and attitude toward older people, but also serves as a reference for the development of future nursing curriculum which will facilitate nursing students’ understanding of the importance and multiplicity of aging sexuality. Moreover, it could also help health care professionals, family members and elders to understand aging sexual desire, and break the social norm of elders without sexuality to develop individual sexual life. Through it, elders’ life could be cared more completely, and elders could have a high quality of life.
論文目次 中文摘要…………………………………………………….……………….I
ABSTRACT…………………………………………………………………………...III
致謝…………………………………………………………………………V
內文目錄…………………………………………………………………..VI
表目錄…………………………………………………………………...VIII
圖目錄………………………………………………………………………..IX
第一章 緒論………………………………………….…..……………1
第一節 研究背景……………………………………………………………..1
第二節 研究動機…..……………………………………………..3
第三節 研究目的…..………………………………………………..6
第四節 名詞界定…..…………………………………………………..6
第五節 研究架構…..…………………………………………………..7
第二章 文獻回顧…………………………………………………………..8
第一節 性與老年人…………………………………………...……….8
第二節 社會文化與老年性生活………………………………………..16
第三節 護理教育與老年性生活………………………………………..20
小結…………………………………………..……………...……….24
第三章 研究方法…………………………………………..25
第一節 研究設計……………………………………………..25
第二節 研究對象與地點…………………………………………..25
第三節 研究工具………………………………………..27
第四節 研究過程………………………………………………..34
第五節 研究倫理……………………………………………..35
第六節 統計分析……………………………………………..35
第四章 研究結果…………………………………………………..37
第一節 護理學生個人基本資料、護理教育相關資料、及對老年性生活的知識與態度現況分析……………..….…………………..37
第二節 不同背景變項之護理學生對老年性生活知識與態度現況分析…….48
第三節 護理學生的老年性生活知識與老年性生活態度的相關性…………75
第五章 討論……………………………………………………………..77
第一節 受訪學生個人背景資料……………………………………..77
第二節 受訪學生個人護理背景資料………………….....…..78
第三節 老年性生活知識…………………………………………..80
第四節 老年性生活態度…………………………………………..82
小結…………………………………………………………………..85
第六章 結論與建議…………....………………………………..86
第一節 研究限制……………………………………………………..86
第二節 結論………………………………………………….87
第三節 建議…………………………………………………..89
參考資料………………………………………………………………..92
附件一IRB同意書………………………………………………………………102
附件二護理學生對老年性生活知識與態度量表……………………………103
附件三南台灣護理學校資料表………………………………………………108
參考文獻 王素女(2004)‧台灣南部地區大專進修部女學生自慰態度、性生活狀況與性生活滿意度之相關研究‧未發表碩士論文,高雄:樹德科技大學。
台灣搜吧網路資訊(2009,11月4日)‧老年人性心理特徵表現‧2010年10月21日取自http://www.sobar.com.tw/News/Show.asp?id=129256
阮芳賦(無日期)‧老年與性和“老年性教育”‧2010年8月22日取自http://www.oxygen.stu.edu.tw/file/1/sex-2-4-6.doc
阮芳賦、王榕芝、王素女(2004)‧試論sexuality概念及其漢譯和「性」與「性別」的分野‧高雄:教育部兩性平等教育學術研討會。
阮芳賦(2008)‧老年性生理學和老年的性生活‧台北:五南。
行政院衛生署國民健康局(2009,1月5日)‧2007國民健康局年報‧2010年12月12日取自http://www.health99.doh.gov.tw/
行政院經濟建設委員會(2010,9月6日)‧2010年至2060年台灣人口推計‧2010年12月12日取自http://www.cepd.gov.tw/m1.aspx?sNo=0000455
李選、徐麗華、黃曉黎(1997)‧性諮商的應用與展望‧護理雜誌,44(3),61-67。
李選(1998)‧性教育課程於改善護理養成教育各學制應屆畢業生於性知識、性態度和性角色行為之成效探討‧(國科會專題研究計畫成果報告,NSC87-2314-B241-006)‧台中:弘光科技大學。
吳茲皓、陳秀熙、黃先傑、李悌愷(1998)‧台灣地區65歲以上老人之性活力與生理疾病相關性之研究‧中華家醫誌,8(2),72-79。
邱皓政(2000)‧社會與行為科學的量化研究與統計分析‧台北:五南。
李婉萍、黃玉、謝春滿、曾雀芬(2004)‧南台灣老年人性知識與性態度及其相關因素之探討‧慈濟醫學,16(5),317-324。
李金泉(2007)‧精通SPSS應用統計分析實務‧台北:全華。
林英豪(2006)‧大專生性知識、性態度、性行為相關研究--以嘉義以南五專三至五年級為例‧未發表碩士論文,高雄:樹德科技大學。
林麗惠(2006)‧台灣高齡學習者成功老化之研究‧人口學刊,33,133-170。
林進益(2007)‧解讀雜誌廣告中的老人迷思‧未發表碩士論文,高雄:國立中山大學。
姜德珍(2000)‧當個快樂的老人:我就是這麼生活著‧台北:正中。
陳錫琦(1997)‧佛教的性教育觀初探‧華梵學報,44(1),55-60。
陳曉佩、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。
張麗雲、吳璧如(2007)‧國內性教育教學介入成效之後設分析‧台灣性學學刊,13(2),1-20。
張春興(2009)‧現代心理學(重修版)‧台北:東華。
教育部(2010)‧大專校院概況表(80~98學年度)‧2010年5月8日取自http://www.edu.tw/files/site_content/b0013/u.xls
黃定妹(1993)‧中老年人的性知識及性態度調查研究‧成人教育,15,40-46。
曾春典、黃瑞雄、李悌愷(1994)‧台灣地區65歲以上老之性活力調查報告‧內科學誌,5,217-222。
黃定妹(1995)‧對老年人的性知識及性態度調查報告‧台灣性學學刊,1(1),104-113。
曾瀝儀、張金鶚、陳淑美(2006)‧老人居住安排選擇-代間關係之探討‧住宅學報,15(2),45-64。
覃毅貞(2004)‧機構護理人員對老人從事性行為之態度暨相關影響因素研究‧未發表碩士論文,高雄:樹德科技大學。
楊素蘋(2005)‧護理人員性知識、性態度與處理性問題的自信程度之探討-以南部某醫學中心為例‧未發表碩士論文,高雄:樹德科技大學。
楊聰財(2009,5月4日)‧「老人性事誰知」七旬老婦患體化症‧2010年8月18日取自http://health.chinatimes.com/
熊賢芝(2000)‧一窺女性自慰‧媽媽寶寶,165(11),195-198。
廖培珊(2009,5月11日)‧臺灣民眾對婚姻生活的滿意度‧2011年7月18日取自http://www.ios.sinica.edu.tw/TSCpedia/index.php/%E8%87%BA%E7%81%A3%E6%B0%91%E7%9C%BE%E5%B0%8D%E5%A9%9A%E5%A7%BB%E7%94%9F%E6%B4%BB%E7%9A%84%E6%BB%BF%E6%84%8F%E5%BA%A6
鄧明昱(2007,9月22日)‧美國的學校性教育(四):性的意義與正確的性觀念‧華人心理健康報‧2010年8月18日取自http://iacmsp.mysinablog.com/index.php?op=ViewArticle&articleId=779564
維基百科(2011,10月6日)‧台灣宗教‧2011年12月15日取自http://zh.wikipedia.org/wiki/%E5%8F%B0%E7%81%A3%E5%AE%97%E6%95%99
蔡美瑛(2004)‧年齡與媒體再現‧載於成露、羅曉南(主編),媒體識讀:一個批判的開始‧台北:正中。
蔡德甫、林茂榮、黃一勝(2004)‧老人對性生活品質問題回答意願之分析‧台北:台灣泌尿科醫學會九十三年度年會。
蔡文輝(2007)‧婚姻與家庭(四版)‧台北:五南。
劉芹芳、黃玉雰(2008)‧老年人的性問題‧老年護理學(五版)‧台北:華杏。
蔡馥如、許淑蓮、朱素鳳、林昆輝(2009)‧護理學生性教育課程需求之先導性探討‧高雄:第一屆世界華人性學研討會暨海峽兩岸性學學術大會。
劉秋姮(2010)‧臺灣各族群宗教信仰態度與行為之研究‧未發表碩士論文,苗栗:國立聯合大學。
劉家駒(2010)‧中老年男性也可「性」福健康嗎‧高醫醫訊月刊,30,9。
輝瑞藥廠(無日期)‧最新亞太性福調查大公開‧2010年11月15日取自http://www.pfizer.com.tw/focus/announcementdetail.asp?ID=000090
謝瀛華(1995)‧性老化與老人性問題‧台灣性學學刊,1(1),99-103。
薛承泰(2008)‧台灣家庭變遷與老人居住型態:現況與未來‧社區發展季刊,121,47-56。
魏玲玲(1995)‧護生老化知識及對老人態度之調查‧護理研究,3(2),171-180。
Allport, G. (1935). Handbook of social psychology attitudes Worchester (vol.2, pp. 798-844). MA: Clark University press.
Branco, K. J., & Williamson, J. B. (1982). Stereotyping and the life cycle: Views of aging and the aged. In A. G. Miller (Ed.), In the eye of the beholder: Contemporary issues in stereotyping (pp. 364–410). New York: Praeger.
Bretschneider, J. G., & McCoy, N. L. (1988). Sexual interest and behavior in healthy 80 to 102-year-olds. Archives of Sexual Behavior, 17, 109-129.
Baltes, P. B., & Baltes, M. M. (1990). Successful aging: Perspectives from the behavioral sciences. New York: Cambridge University press.
Butler, R. N., Lewis, M. I., Hoffman, E., & Whitehad, E. D. (1994). Love and sex after 60: How physical changes affect intimate expression. Geriatrics, 49, 20-27.
Brubaker, T. H. (1997)‧老年家庭(劉秀娟譯)‧臺北:揚智文化。(原著出版年:1985年)
Bortz II, W. M., Wallace, D. H., & Wiley, D. (1999). Sexual function in 1202 aging males: Differentiating aspects. Journal of Gerontology, 54(5), 237-241.
Binstock, R. H. (2005). Old-age policies, politics, and ageism. Generations, 29, 73-78.
Bancroft, J. H. J. (2007). Sex and aging. The New England Journal of Medicine, 357(8), 820.
Bouman, W. P., Arcelus, J., & Benshow, S. M. (2007). Nottingham study of sexuality and ageing (NoSSA I). Attitudes regarding sexuality and older people: A review of the literature. Sexual and Relationship Therapy, 21(2), 149-161.
Beckman, N., Waern, M., Gustafson, D., & Skoog, I. (2008). Secular trends in self reported sexual activity and satisfaction in Swedish 70 year olds: Cross sectional survey of four populations, 1971-2001. British Medical Journal, 337, a279.
Cooley, S., Deitch, I. M., Harper, M. S., Hinrichsen, G., Lopez, M. A., & Molinari, V.A. (1998). What practitioners should know about working with older adults. Professional Psychology: Research and Practice, 29, 413–427.
Coleman, E. (2002). Promoting sexual health and responsible sexual behavior: An introduction. The Journal of Sex Research, 39(1), 3-6.
Damrosch, S. P. (1982). Nursing students’ attitudes toward sexually active older persons. Nursing Research, 31(4), 252-255.
Damrosch, S. P. (1984). Graduate nursing students’ attitudes toward sexually active older persons. The Gerontologist, 24, 299-302.
Damrosch, S. P., & Fischman, S. H. (1985). Medical students’ attitudes toward sexually active older persons. Journal of the American Geriatrics Society, 33(12), 852-855.
Dickey, R. M. (1989). Exploring nursing staff attitudes on sexuality. Nursing Homes and Senior Citizen Care, 38(3), 15-17.
DeVellis, R. F. (1991). Scale development theory and applications. Newbury, CA: Sage Publications.
Dychtwald, K. (2000). Age power. How the 21st century will be ruled by the new old. New York: Tarcher.
Erikson, E. H. (2000) ‧Erikson老年研究報告—新人生八大階段(周怜利譯)‧台北:張老師文化。(原著出版年:1997年)
Ellis, H. (2002)‧性心理學(潘光旦譯)‧台北:左岸文化。(原著出版年:1933年)
Ebersole, P., Hess, P. A., & Luggen, A.S. (2004). Toward healthy aging: Human needs and nursing response. (7th ed.). Philadelphia: Mosby/Elsevier.
Floyd, M., & Weiss, L. (2001). Sex and aging: A survey of young adults. Journal of Sex Education and Therapy, 26(2), 133-139.
Glass, J. C., Mustian, R. D., & Carter, L. R. (1986). Knowledge and attitudes of healthcare providers toward sexuality in the institutionalized elderly. Educational Gerontology, 12, 465-475.
Glass, J. C., & Webb, M. L. (1995). Health care educators’ knowledge and attitudes regarding sexuality in the aged. Educational Gerontology, 21(8), 713-733.
Graham, C. (1996). Themes relating to sexuality that emerged from a discourse analysis of the nursing time during 1980-1990. Journal of Advanced Nursing, 24(1), 196-212.
Gibson, M.C., Bol, N., Woodbury, M.G., Beaton, C., & Janke, C. (1999). Comparison of caregivers', residents', and community-dwelling spouses' opinions about expressing sexuality in an institutional setting. Journal of Gerontological Nursing, 25(4), 30-39.
Gelfand, M. M. (2000). Sexuality among older woman. Journal of Women's Health and Gender-Based Medicine, 9(1), 15-20.
Gott, M., & Hinchliff S. (2003). How important is sex in later life? The views of older people. Social Science and Medicine, 56, 1617-1628.
Hodson, D. S., & Skeen, P. (1994). Sexuality and aging: The hammerlock of myths. The Journal of Applied Gerontology, 13(3), 219-235.
Hillman, J. L., & Stricker, G. (1994). A linkage of knowledge and attitudes toward elderly sexuality: Not necessarily a uniform relationship. The Gerontologist, 34(2), 256-260.
Holmes, D., Reingold, J., & Teresi, J. (1997). Sexual expression and dementia views of caregivers: A pilot study. International journal of geriatric psychiatry, 12, 695-701.
Hooyman, N. R., & Kiyak, H. A. (2002). Social gerontology. Boston: AllynandBacon.
Kessel, B. (2001). Commentary sexuality in the older person. British Geriatrics Society, 30, 121-124.
Kite, M. E., Stockdale, G. D., Whitley, B. E., & Johnson, B. T. (2005). Attitudes toward younger and older adults: An updated eta-analytic review. Journal of Social Issues, 61(2), 241-266.
Luketich, G. F. (1991). Sex and the elderly: What do nurses know? Educational Gerontology, 17, 573-580.
Lindau, S. T., Schumm, L. P., Laumann, E. O., Levinson, W., O'Muircheartaigh, C.A., & Waite, L.J. (2007). A study of sexuality and health among older adults in the united states. The New England Journal of Medicine, 357(8), 762.
Masters, W. H., & Johnson, V. E. (1966). Human sexual response. Boston: Little, Brown and Company.
Marsiglio, W., & Donnelly, D. (1991). Sexual relations in later life: A national study of married persons. Journal of Gerontology, 46(6), 388-344.
Mulligan, T., & Moss, C. R. (1991). Sexuality and aging in male veterans: A cross-sectional study of interest, ability, and activity. Archives of Sexual Behavior, 20(2), 17-25.
Mulligan, T., & Palguta, R. F. (1991). Sexual interest, activity, and satisfaction among male nursing home residents. Archives of Sexual Behavior, 20(2), 199-204.
Masters, W. H., Johnson, V. E., & Kolodny, R. C. (1995). 馬斯特與瓊生性學報告(下):健康的性‧(王瑞琪與楊冬青譯)‧台北:張老師文化。(原著出版年:1988年)
Matthias, R. S., Lubben, J. E., Atchison, K. A., & Schweityer, S. O. (1997). Sexual activity and satisfaction among very old adults: Results from a community-dwelling medicare population survey. The Gerontologist, 37(1), 6-14.
Milline, C. (2007). Attitudes of nursing staff in a long term care facility regarding sexual expression in the elderly. (Master's thesis, University of Alaska Anchorage). Retrieved from http://www.uaa.alaska.edu/
Nelson, T. D. (2002). Ageism: Stereotyping and prejudice against older adults. Cambridge, MA: MIT Press.
Overall, C. (2006). Old age and ageism, impairment and ableism: Exploring the conceptual and material connections. NWSA Journal, 18, 126-137.
Persson, G. (1980). Sexuality in a 70-year-old urban population. Journal of Psychosomatic Research, 24, 335-342.
Quinn-Krach, P., & Hoozer, H. V. (1988). Sexuality of the aged and the attitudes and knowledge of nursing students. Journal of Nursing Education, 27(8), 359-363.
Royal College of Nursing. (1996). Sexual Health: Key issues within mental health services. Royal College of Nursing, London.
Swanson, J. C. (1972). Second thoughts on knowledge and attitude effects upon behavior. Journal of School Health, 42(6), 363-365.
Starr, B. D., & Weiner, M. B. (1981). The Starr-Weiner report on sex and sexuality in the mature years. New York: McGrath.
Stearns, P. J. (1986). Old age family conflict: The perspective of the past. In K. A. Pillemer & R. S. Wolf (Eds.), Elder abuse: Conflict in the family (pp. 3–24). Dover, MA: Auburn House Publishing.
Steinke, E. E. (1994). Knowledge and attitudes of older adults about sexuality in aging: A comparison of two studies. Journal of Advanced Nursing, 19, 477-485.
Schirrmacher, F.(2006). 瑪土撒拉的密謀:顛覆高齡化社會的迷思‧(吳信如譯)‧臺北:台灣商務印書館。(原著出版年:2004年)
Trudel, G., Turgeon, L., & Piche, L. (2000). Marital and sexual aspects of old age. Sexual and Relationship Therapy, 15(4), 381-406.
Thornton J. E. (2002). Myths of aging or ageist stereotypes. Educational Gerontology, 28, 301-312.
United Nations Department of Economic and Social Affairs, World population ageing 2009 (UN Publication No. ESA/P/WP/212). Retrieved from http://www.un.org/esa/population/publications/
White, C. B. (1982). Sexual interest, attitudes, knowledge, and sexual history in relation to sexual behavior in the institutionalized aged. Archives of Sexual Behavior, 11(1), 11-21.
Winn, R. L., & Newton, N. (1982). Sexuality in aging: A study of 106 cultures. Archives of sexual Behavior, 11, 283-298.
Whitbourne, S. K., & Hulicka, I. M. (1990). Ageism in undergraduate psychology texts. American Psychologist, 45(10),1127–1136.
Wu, C.H., Chang, M.F., Yang, Y.C., Wu, J.S., Lu, F.H., & Chang CJ. (1997). Self-report of sexual activity in the aged male at a medical center. Taiwan Association of Gerontology and Geriatrics, 60.
Willert, A., & Semans, M. (2000). Knowledge and attitudes about later life sexuality: What clinicians need to know about helping the elderly. Contemporary Family Therapy, 22 (4), 415–435.
論文全文使用權限
  • 同意授權校內瀏覽/列印電子全文服務,於2015-02-06起公開。
  • 同意授權校外瀏覽/列印電子全文服務,於2015-02-06起公開。


  • 如您有疑問,請聯絡圖書館
    聯絡電話:(06)2757575#65773
    聯絡E-mail:etds@email.ncku.edu.tw