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| 題 名 | 停經後女性尋求性交疼痛症治療之預測因子=Predictors of Sexual Therapy for Genito-Pelvic Pain/Penetration Disorder among Postmenopausal Women |
|---|---|
| 作 者 | 周晏如; 施俊名; | 書刊名 | 樹德人文社會電子學報 |
| 卷 期 | 14:2 2018.09[民107.09] |
| 頁 次 | 頁54-63 |
| 分類號 | 417.127 |
| 關鍵詞 | 停經後; 性交疼痛症; 治療之預測因子; Postmenopausal; Genito-pelvic pain/penetration disorder; Treatment intention; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本研究採用健康信念模式來探討停經後女性尋求性交疼痛症治療之預測因子。以南 部某教學醫院婦產科門診、病房的病患、某醫院婦產科門診的病患、院內員工做為收案 研究對象。藉由訪談,具有性交疼痛的停經後婦女,採橫斷性分析,以結構式問卷進行 資料收集,研究工具包含:收集在社會人口學變項、生理狀況、心理狀況及健康信念模式 變項是否有顯著差異之情形。 研究結果共有 58 位完成調查,發現:1) 針對於社會人口統計學變項,與不願意接受 治療的組相比,願意接受治療組的意願數量明顯減少(p=.023) 。2)對於生理和心理變 項,願意接受治療組的意願數量明顯較少,醫學疾病(p=.013)身體形象的性吸引力較高 (p=.041)。3)關於健康信念模式變項,願意被治療的群體更加認同接受性治療法可以改 善身體健康(p=.010),更多來自伴侶的愛和請求的行動(p=.040 和p=.019),以及其他成功 的治療經驗p=.001),對性功能檢查的自我效能更高(p=.002)。 結果顯示:健康信念模式顯然更可以預測臨床停經後女性尋求性交疼痛症的治療意 願,因此未來可以著重性交疼痛症知識的推廣和訓練相關治療師予以相關治療的技能, 促進罹患性交疼痛症停經後女性的治療意願。 |
| 英文摘要 | The most common subtype of sexual dysfunction in postmenopausal women is Genito – pelvic pain / penetration disorder (GPPPD), for which women presented much lower treatment intention than those for other medical diseases. The aim of this study to investigate the associate factors of sexual therapy for GPPPD in postmenopausal women. The prevalence of GPPPD was 62.3% (only or combined with GPPPD, n=58; other sexual dysfunction, n=4; normal sexual function, n=31). The results were: 1) As to sociodemographic variables, comparing with unwillingness to be treated group, willingness to be treated group had less children numbers (p=.023). 2) As to physical and psychologic variables, willingness to be treated group had less medical diseases (p=.013), and higher sexual attraction of body image (p=.041). 3) As to health belief model variables, Willingness to be treated group presented greater agreement that sexual therapy could improve physical health (p=.010), more cues to action from partner’s love and request (p=.040 and p=.019), and other’s successful treatment experience (p=.001), higher self-efficacy on examination of sexual function (p=.002). The treatment intention of GPPPD among postmenopausal women was associated with less children numbers, less medical diseases, higher physical attraction, higher agreement with benefit of treatment, more cues to action, and higher self-efficacy. |
本系統中英文摘要資訊取自各篇刊載內容。