影響民眾參與病人安全工作的因素

Exploring the Factors Influencing the Public’s Participation in Patient Safety Work

孫沛君(Pei-Chun Sun)

指導教授 ： 黃國哲

臺北醫學大學/公共衛生暨營養學院/醫務管理學研究所/碩士(2011年)

摘要

近年來有愈來愈多的研究結果顯示，病患在醫療安全上扮演著重要的角色。儘管有許多學者曾探討病人安全此議題，但只有很少的研究針對病患參與病人安全工作的情形進行瞭解。
本研究旨在探討影響民眾參與病人安全工作的相關因素為何，研究對象則為223位臺北市某區域醫院年滿18歲的慢性病門診病患。本研究係採便利抽樣，研究調查期間則為2011年5月26日至年6月7日。統計分析方法包括描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森積差相關性分析以及複迴歸分析等。
研究結果顯示，影響民眾參與病人安全工作的重要預測變項包含：性別、健康知能的基本訊息及健康資訊的來源，其解釋力為34.8%。在性別變項中，女性的參與程度高於男性，而健康知能的基本訊息及健康資訊的來源，皆為分數高的研究對象其參與病人安全工作的程度高於分數低的研究對象。
本研究發現，人口學特質中的性別與健康知能等因素會影響民眾參與病人安全工作的程度，因此根據研究結果提出下列建議：(1).衛生主管機關可以針對參與程度較低的民眾提供一些促進參與的活動，以提升民眾的參與意願。(2).醫護人員儘量使用病人容易聽懂的方式進行溝通，以助於提升病人安全，降低醫療傷害。(3).日後進行相關研究的學者可以擴大研究區域與樣本數，以及針對其他的病人安全工作議題進行探討。

關鍵字

病人安全 ； 用藥安全 ； 民眾參與 ； 健康知能

並列摘要

It’s becoming increasingly recognized that patients could make valuable contributions to their own health. Despite growing recognition that patients can help safeguard, little evidence exists regarding how patients participate in patient safety work.
The current study aimed to explore the factors in influencing the public’s participation in patient safety work. A convenience sample of 223 patients who had chronic diseases were surveyed at one regional hospital in Taipei.The survey period were from statistical May 26, 2011 to June 7, 2011. Methods included descriptive statistics, Independent-samples t-test, one-way ANOVA, Pearson correlation analysis, and multiple regression analysis.
Results indicated that significant predictors of public’s participation in patient safety work included gender, the basic message of health literacy and the health information sources. Total variances explained were 34.8%. In the gender variable, the participation in patient safety work of women is higher than men. In the basic message of health literacy, the participation in patient safety work of the subjects who had the higher scores is higher than the lower scores. And in the health information sources, the participation in patient safety work of the subjects who had the higher scores is higher than the lower scores.
In sum, the study showed that gender, the basic message of health literacy and health information sources had impact on the public’s participation in patient safety work. Based on research findings, the study proposed the following suggestions: (1). Health authorities should encourage the public to participate in patient safety work. (2). Medical staff should work to communication with patients with the the aim of in proving patient safety. (3). In the future, researchers can involve more hospital and patients in order to understand the issue of patient safety work better.

並列關鍵字

Patient safety ； Medication safety ； Public’s participation ； Health literacy

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