社區篩檢婦女骨盆底肌力與骨盆底肌肉運動的知識、態度、行為之研究

Knowledge, Attitudes and Behavior of Women Participating in Community Screening towards Pelvic Floor Muscle Strength Exercises

本研究目的在瞭解參與社區篩檢婦女之骨盆底肌力與骨盆底肌肉運動之知識、態度與行為。採橫斷式調查研究法，以方便取樣方式，選取157位花蓮縣吉安鄉與秀林鄉參與社區篩檢之婦女為研究對象。使用結構式問卷與骨盆底肌力檢測收集資料。研究結果顯示：（1）社區篩檢婦女有 52% 陰道指診之骨盆底肌力偏弱情形；（2）社區篩檢婦女對骨盆底運動之知識較缺乏，態度較偏正向，以及於日常生活中僅 29.9% 婦女會執行骨盆底肌肉運動；（3）骨盆底肌肉運動知識、態度、行為彼此間呈顯著正向之相關性；（4）骨盆底肌力與知識、態度、行為間呈顯著正相關。本研究結果可提供相關衛生教育與介入之參考，以提昇婦女相關骨盆底肌肉運動認知與健康促進行為。

The purpose of this study was to explore the knowledge, attitude and behavior of women participating in a community screening program toward pelvic floor muscle (PFM) strength exercises. A cross-sectional convenience sampling method was used. One hundred and fifty seven women were selected from participants in a community health screening program in Jian and Xiulin Township, Hualian County, Taiwan. Structured questionnaires and PFM tests were used to collect the data. The results indicated that 52% of the participants performed weak PFM strength exercises, which were evaluated by vaginal palpation. Participants lacked knowledge but had a positive attitude toward PFM exercises. Furthermore, only 29.9% practiced PFM exercises during their daily life. Knowledge, attitude and behavior toward PFM exercises were significantly positively correlated. There was significant positive correlation between PFM strength and knowledge, attitude and behavior toward PFM exercises. These findings suggest that health education and PFM exercise intervention programs are needed to increase women’s understanding of PFM exercises and behavior that promotes health.