本研究目的係以徑路分析法測試尿失禁婦女執行骨盆底肌運動遵從度及其相關因素之模式。樣本來源為2000年4月至2003年3月在兩所教學醫院婦產科鬥診，被診斷尿失禁並獲醫師處方以骨盆底肌運動者，在執行骨盆底肌運動滿六週後填寫問卷，共106人完成。測量變項包括骨盆底肌運動之知識、態度、效益、自我效能、遵從度，以及配對凝聚和尿失禁嚴重度。結果發現骨盆底肌運動自我效能直接影響骨盆底肌運動遵從度;尿失禁嚴重度直接影響骨盆底肌運動遵從度;骨盆底肌運動態度、效益，配對凝聚等透過骨盆底肌運動自我效能間接影響骨盆底肌運動遵從度;骨盆底肌運動知識既不影響骨盆底肌運動自我效能，也不影響骨盆底肌運動遵從度。此模式對影響骨盆底肌運動之遵從度解釋了409忘，本研究結果確認骨盆底肌運動自我效能是影響骨盆底肌運動遵從之重要因子。護理人員除可依此發現設計適當之運動訓練課程以提高骨盆底肌運動之遵從度，也可藉由提高骨盆底肌運動自我效能，以增進骨盆底肌運動之遵從度。

This study developed and tested the accuracy of a model designed to predict adherence to a pelvic floor muscle exercise regimen by Taiwanese women with urinary incontinence. The sample was composed of 106 women treated for urinary incontinence at urban hospitals in central and northem Taiwan from April 2000 to March 2003. All participants had practiced prescribed pelvic floor muscle exercises for at least 6 weeks at the time they completed study measures， which included adherence to pelvic floor muscle exercise， self-efficacy for the exercise， knowledge of the exercise， attitudes toward the exercise， dyadic cohesion， perceived benefits of the exercise， and severity of urine loss. After stepwise multiple regression analysis， a path analysis was conducted， with significant paths retained as modifiers. Self-efficacy for pelvic floor muscle exercise strongly and directly affected adherence to the exercise regimen. Attitudes toward the exercise， dyadic cohesion， and perceived benefits of the exercise affected adherence when mediated by self-efficacy for pelvic floor muscle exercise. Severity of urine loss also directly affected adherence. Exercise knowledge affected neither self-efficacy nor adherence. The model fit the data and accounted for 40% of adherence variance. Findings affirm the significant role of selfefficacy in predicting adherence to pelvic floor muscle exercise Thus， self-efficacy for exercise can be an indicator for nurses to tailor exercise-training programs for women with urinary incontinence. Nurses can use the study findings to develop interventions to increase women's adherence to the exercise.