高中健康與護理課程避孕主題不同教學方法之成效探討
Effects of peer Contraceptive Education to the Female Student in Vocational

Senior High School students on Contraceptive, Knowledge, Attitude, Self-efficacy,

and  Intenation

he purpose of this study is to explore the design of contraceptive education for female students of the first in senior high school. It also examines how the intervention of peer contraceptive education affects contraceptive knowledge, contraceptive attitude, contraceptive self-efficacy and contraceptive behavior intention. For the study, the preliminary research method adopted was the “Unequal Group Pre-Test/Post-Test Design”. A purposive sampling method was used to select two private high schools in central Taiwan, with two classes of first year female students each for experimental and control groups. A total of 141 subjects were involved in the study, with 64 in the experimental group and 77 in the control group. The research tools include Basic Personal Information, Contraceptive Knowledge, Contraceptive Attitude, Contraceptive Self-Efficacy and Contraceptive Behavior Intention. The questionnaire’s reliability was tested with Kuder-Richardson reliability and internal reliability. The data was analyzed using statistical methods such as frequency distribution, mean, standard deviation, t-test, chi-square tests, paired t-test and analysis of covariance (ANCOVA). 
       The key results from the study were as follows: 1.The score index of contraceptive knowledge in the experimental group increased from 56.77 in the pre-test to 84.85 in the post-test. The score index of the experimental group improved by 28.08 while the control group only improved by 17.53. This indicated that the pre-test/post-test results for the experimental group and control groups after intervention achieved statistical significance. The score index of contraceptive attitude in the experimental group increased from 82.58 in the pre-test to 87.77 in the post-test. The score index of the experimental group improved by 4.53 while the control group only improved by 1.10. This indicated that the pre-test/post-test results for the experimental group after intervention achieved statistical significance but not the results for the control group. The score index of contraceptive self-efficacy in the experimental group increased from 69.53 in the pre-test to 72.66 in the post-test. The experimental group’s score index of the experimental group improved by 3.13 while the control group only improved by 3.03. This indicated that the pre-test/post-test results for the experimental and control groups after intervention achieved statistical significance. The score index of contraceptive behavior intention in the experimental group increased from 79.88 in the pre-test to 85.33 in the post-test. The score index of the experimental group improved by 5.45 while the control group only improved by 2.50. This indicated that the pre-test/post-test results for the experimental group after intervention achieved statistical significance but not the results for the control group. 2.After carrying out ANCOVA with the pre-test results of the two groups as the covariate, the post-test scores of “contraceptive knowledge”, “contraceptive attitude” and “contraceptive behavior intention” in the experimental group were significantly higher than the post-test results for the same items in the control group, but the scores of “contraceptive self-efficacy” in the experimental group showed no significant difference to the same item from the control group. 
       Based on the above conclusions, introducing peer contraceptive control education into the high school curriculum resulted in a clear improvement with first year high school female students’ contraceptive knowledge, contraceptive attitude, contraceptive self-efficacy and contraceptive behavior intention. Contraceptive knowledge, contraceptive attitude and contraceptive behavior intention in particular scored better than general contraceptive education, so the peer contraceptive education is well worth recommending for use in high school health and nursing curriculums.