背　景:睡眠困擾及疲憊感是更年期婦女常見的主訴。目　的:了解婦科門診之更年期婦女的睡眠品質、疲憊感及相關因素，以期作為協助更年期婦女健康睡眠品質之重要參考資料。方　法:採橫斷式相關性研究，以立意取樣方式，於台北市某區域教學醫院之婦科門診進行問卷資料收集。結果:共收集85位平均年齡52.73歲之更年期婦女，整體睡眠品質得分為7.71 ± 4.66分，有62.4%的婦女為睡眠品質不佳。更年期疲憊分數平均為3.02 ± 2.41分，表示有輕度疲憊。長期服藥、服用荷爾蒙、服用營養補充品、停經狀態、有焦慮或憂鬱傾向與睡眠品質達顯著性差異（t = 5.43, p < .01; t = -3.15, p < .01, t = -3.33, p < .001, F = 4.33, p <.05, F = 20.20, 12.73, p < .001.）；更年期疲憊與更年期症狀困擾與睡眠品質達顯著性相關（r = .63, .61, p < .01）；更年期疲憊與憂鬱對睡眠品質可解釋總變異量為43%。結　論／實務應用:對於有「疲憊」及「憂鬱傾向」之更年期婦女，宜注意其睡眠品質之評估。同時，當評估更年期婦女之睡眠品質時，宜統合其他因素，例如：疲憊、長期服藥、服用荷爾蒙、服用營養補充品、停經狀態、有焦慮或憂鬱傾向。

Background: The prevalence of asthma and associated mortality
is higher among adults than among children, as are associated
morbidity and hospital readmission rates. The literature shows that promoting patient self-care behaviors and selfefficacy helps reduce recurrence and hospital readmission rates.Therefore, self-care behaviors and self-efficacy represent critical issues in successful asthma management.Purpose: This study was developed to investigate the effects
of a self-efficacy intervention on (a) the self-care behaviors of adult asthma patients and (b) the self-efficacy of adult asthmatic
patients. The study used a pretestYposttest experimental design.
Methods: A total of 60 asthma outpatients who visited the chest medicine division of a medical center in Kaohsiung City between March 2, 2009, and January 31, 2010, were assessed. Patients were randomly divided into two groups(experimental and control), with 30 patients assigned to each. Experimental group participants received the selfefficacy intervention program, which included watching a 15- to 20-minute DVD, received a healthcare booklet on selfefficacy for adult asthmatic patients, were asked to share their illness experience with support groups, and received
medical follow-ups by telephone. Control group patients received conventional health education administered by the outpatient department. Study instruments included a selfcare behavior scale for adult asthmatic patients (content validity index = .95, Cronbach’s ! = .82) and a self-efficacy scale for adult asthmatic patients (content validity index = .98,
Cronbach’s ! = .82).Results: The two key findings of this study were as follows:(a) There was a significant improvement in the self-care
behaviors of patients who received self-efficacy intervention
in terms of medication adherence (p = .008), self-monitoring (p = .000), avoidance of antigens (p = .001), regular follow-up visits (p = .000), and regular exercise (p = .016); and (b) the program improved participant self-efficacy in terms of both asthma attack prevention (p = .030) and management during asthma attacks (p = .017).Conclusions: On the basis of these results, self-efficacy intervention has been demonstrated a beneficial addition to adult asthmatic patient self-care regimens.