黃正宜HUANG,CHENG-YI謝佩吟HSIEH,PEI-YINHSIEH護理學系碩士班2026-10-282030-01-1920252025-01-09https://handle.ncl.edu.tw/11296/79vgkwhttps://scholars.csmu.edu.tw/handle/123456789/34762背景:性的滿足是人類的基本生理需求，但腎功能衰竭常會損害性健康，對病人的生活品質造成嚴重影響，甚至引發恐懼、害怕等負面情緒，雖然護理師可能瞭解性健康對病人的重要性，但往往選擇避而不談，這種矛盾的態度與行為，顯示了性健康議題的複雜性，也突顯出深入瞭解護理師對末期腎臟病患者性健康議題之態度與行為意向的重要性。目的：探討影響護理師對末期腎臟病病患性健康照護的態度及行為意向之預測因子。方法：本研究採用橫斷性研究設計，並以方便取樣，針對中部某醫學中心及區域醫院之腎臟科病房及血液透析室護理師進行資料收集，共收案118名護理師，使用結構式問卷收集基本資料，並調查護理師對性健康照護的態度與行為意向，最後運用SPSS 22.0軟體進行統計分析。結果：研究發現，腎臟科病房及血液透析室護理師在提供末期腎臟病病患的「性健康照護態度」平均得分為48.31分；「性健康照護行為意向」平均得分83.9分。此外，根據多元線性迴歸分析結果發現，性健康照護態度是影響護理師提供性健康照護行為意向的最主要預測因子；但在護理師基本屬性中「年齡」、「伴侶狀態」、「工作年資」及「宗教信仰」皆不是性健康照護態度與行為意向的預測因子。結論：本研究顯示，腎臟科護理師的性健康照護態度與行為意向之間存在統計上顯著正相關，即護理師的態度越正向，其提供性健康照護的行為意向也越強。因此，如何介入並強化護理師的正向態度顯得尤為重要。累積實務經驗並持續參與完整的性教育相關訓練課程，將有助於護理師建立正向的性健康照護觀念，使其能夠自在的面對性相關議題，擁有充分的性知識和應對能力，從而提供適切的性健康照護。Background: Background: Sexual satisfaction is an essential physiological requirement for humans, but renal failure often undermines sexual health, causing severe adverse reactions such as anxiety and fear in patients. Although health care providers recognize the importance of sexual health for patients, they often choose not to address it. These contradictory attitudes and behavioral intentions highlight the complexity of sexual health issues and underscore the need to better understand the attitudes and behavioral intentions of health care providers regarding sexual health in patients with end-stage renal disease.Objective: To explore the predictors of nurses’ attitudes and behavioral intentions towards sexual health care for patients with end-stage renal disease.Methods: The study used a cross-sectional research design and convenience sampling to collect data from nurses in nephrology and hemodialysis units at medical centers and regional hospitals in central Taiwan. A total of 118 nurses were included in the study. Structured questionnaires were used to collect basic demographic information and evaluate nurses' attitudes and behaviors towards sexual health care. Finally, statistical analysis was carried out using SPSS 22.0 software.Results: The study found that the average score for nurses' attitudes towards sexual health care in kidneys and hemodialysis units for end-stage renal patients was 48.31, while the average score for nurses' sexual health care with behavioral intentions was 83.9. In addition, multiple linear regression analyses have shown that attitudes towards sexual health care are the most important predictors of nurses' behavioral intentions towards sexual health care. However, among the demographic characteristics of nurses, age, partner status, experience, and religious beliefs were not important predictors of sexual health attitudes and behavior intentions.Conclusion: The study found a statistically significant positive correlation between nephrology nurses' attitudes toward sexual health and their behavioral intentions. In other words, nurses with more positive attitudes were more likely to intend to provide sexual health care. This highlights the importance of interventions aimed at fostering positive attitudes among nurses. By gaining practical experience and actively participating in comprehensive sexual health education programs, nurses can develop a stronger understanding of sexual health care. This, in turn, enables them to address sexual health concerns with confidence, adequate knowledge, and effective communication skills, ensuring they provide appropriate care.末期腎臟病性健康照護態度行為意向End-stage Renal DiseaseSexual Health CareAttitudeBehavioral intentionthesis