護生健康諮商技巧訓練之成效研究

Effects of Health Counseling Skill Training on Nursing College Students

本研究目的在檢測護理學生健康諮商訓練方案成效。以準實驗設計對三組大學四年級護理學生進行比較：實驗組在諮商原理與技術課程中接受健康諮商訓練方案，不同處理對照組在人際關係課程中接受人際關係訓練方案，不處理對照組未接受前兩項訓練。成效評估工具有兩種，都在實驗進行前後一週內施測：1.「護病互動經驗問卷」，讓護生自評其執行健康諮商技巧之自我效能感是否提昇；2.「健康諮商技巧實作量表」，讓護生、模擬病人和諮商專家三者，分別評估護生諮商實作技巧表現是否提昇。所得資料的分析是以前測為共變項，後測為依變項，進行單因子共變數分析，結果四個研究假設部分獲得支持：就護生自評其護病互動中自我效能感而言，接受「健康諮商訓練方案」的護生比接受「人際關係訓練方案」或未接受訓練方案的護生更有進步；而由模擬病人和諮商專家對護生在模擬情境的健康諮商技巧實作表現評分上，接受「健康諮商訓練方案」的護生也優於接受「人際關係訓練方案」或未受訓練者。

The purpose of the study was to evaluate the effectiveness of the Health Counseling Skill Training Program ( HCSTP) for nursing students in college. Three groups were formed in the research. In the experimental group， HCSTP was implemented in a Counseling Theories and Skill Course. In the second comparison group， the Interpersonal Relationship Training Program (IRRP) was implemented in an Interpersonal Relationship course. In the control group， students received no training programs as the first two groups. Two instruments were used to assess the effects of HCSTP and IRTP on students’ health counseling skills: (1) Nurse-Patient Interaction Scale， and (2) Health Counseling Skill Practice Scale. Both instruments were administered one week before and after the course. Health counseling skills were evaluated by nursing students， mock patients， and professional counselors. A one-way analysis of covariance was conducted. Results found that: (1) HCSTP was significantly effective than IRTP on improvement of self-efficacy in nurse-patient interactions. (2) By assessing students， mock patients， and counselors’ evaluation， HCSTP-trained students got higher ratings on health counseling skills than IRTP-trained and non-trained students.