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  • 學位論文

探討門、急診照護人員在H1N1流行期間之焦慮程度、防疫相關措施及其影響因素

A Study of Anxiety Levels, Preventive Strategies Used, and Impact Factors Among Outpatient and Emergency Healthcare Providers During H1N1 Pandemic

指導教授 : 張文英

摘要


研究所名稱:臺北醫學大學護理學研究所 研究生姓名:謝亞芸 畢業時間:九十九學年度第一學期 指導教授:張文英 臺北醫學大學護理學研究所教授 本研究之目的旨在(一)暸解門、急診照護人員對H1N1之認知程度、自覺H1N1感染管制防護裝備、設備及所採行之防護措施情形及因應H1N1之執業環境感受;(二)暸解門、急診照護人員在H1N1期間之特質與情境焦慮程度;(三)分析門、急診照護人員之基本屬性與特質及情境焦慮之差異性;(四)分析門、急診照護人員的基本屬性、H1N1之認知程度、自覺H1N1感染管制防護裝備、設備及措施情形及對因應H1N1之執業環境感受與特質及情境焦慮之相關性;(五)分析門、急診照護人員的基本屬性、H1N1之認知程度、自覺H1N1感染管制防護裝備、設備及措施情形及對因應H1N1之執業環境感受是否為特質及情境焦慮之重要預測因子。 本研究之設計採橫斷式(corss-sectional)問卷調查法,收集台灣北部醫學中心、區域教學及地區醫院門、急診照護人員之H1N1認知、焦慮程度及影響因素。本研究工具含H1N1認知量表、情境-特質焦慮量表及資料收集表。資料統計方法則包括描述性與推論性統計。 本研究共發出500份問卷,回收487份,有效問卷回收率為97.4%,結果顯示門、急照護人員於H1N1流行期間特質焦慮程度帄均得分為44分,情境焦慮程度帄均得分為46分,且顯示有近八成的門急診照護人員在H1N1期間正處於中、高度焦慮之情境。在門、急診照護人員中,地區醫院(44.80分)的照護人員之特質及情境焦慮高於醫學中心(44.55分)及區域醫院(43.86分),但未達統計上之顯著差異(P>.05)。而年齡及照護年資與特質及情境焦慮程度得分均達統計上之顯著負相關(P<.05),即表示門、急診照護人員年齡及照護年資越高,則其對面臨照護H1N1病人時之焦慮程度尌越低。而在門、急診照護人員自覺H1N1感染管制防護裝備、設備及措施情形及因應H1N1之執業環境感受程度與特質及情境焦慮程度得分亦均達統計上之顯著負相關(P<.05)。另在迴歸模式中,發現影響情境焦慮程度之預測因素為門、急診照護人員之特質焦慮程度及自覺醫院提供後續照護的支持程度,( P<.05),解釋力為38%。本研究結果盼能作為往後醫院在面臨類似新興傳染病時,提升第一線照護人員之自信與能力,並降低其焦慮程度之參考。

關鍵字

H1N1流感 照護人員 急診 門診 焦慮

並列摘要


Title of Thesis: A Study of Anxiety Levels, Preventive Strategies Used, and Impact Factors Among Outpatient and Emergency Healthcare Providers During H1N1 Pandemic Institution: Graduate Institute of Nursing, Taipei Medical University Author:Ya-Yun Hsieh Thesis directed by: Wen-Yin Chang, Professor The purposes of this study aimed at (1) understanding the first-line healthcare providers’ knowledge levels about H1N1, the belief in the protection devices, facilities and measures for H1N1 infection control, the perceptions about their working environment during H1N1 pandemic (2) understanding the degrees of state anxiety and trait anxiety of healthcare providers (3) analyzing the differences between the characteristics of healthcare providers and the degrees of state anxiety and trait anxiety (4) analyzing the association between the characteristics of healthcare providers and knowledge levels of H1N1, belief in the protection devices, facilities and measures for H1N1 infection control, perceptions of working environment during H1N1 pandemic, and the state anxiety and trait anxiety (5) determining if the characteristics of healthcare providers, knowledge level of H1N1, belief in the protection devices, facilities and measures for H1N1 infection control, and perceptions of working environment during H1N1 pandemic were important factors for predicting the state anxiety and trait anxiety. The study was conducted using cross-sectional questionnaire survey to investigate the healthcare providers’ knowledge about H1N1, degrees of anxiety and their affecting factors in the OPDs and EDs of the medical centers, regional teaching hospitals and district hospitals in northern of Taiwan. The instruments used in this study were H1N1 knowledge scale, the State-Trait Anxiety Inventory, and data collection tool. The statistical analysis includes descriptive and inferential statistics. Of the 500 questionnaires dispatched, 487 questionnaires were returned. The effective response rate was 97.4%. The average degree of trait anxiety was 44 points, whereas the average degree of state anxiety was 46 points for healthcare providers in the OPDs and EDs during H1N1 pandemic. About 80% healthcare providers in the OPDs and EDs were under moderate to high degrees of anxiety status during H1N1 pandemic. The state anxiety scores in district hospitals (44.80 points) were higher than that of in the medical centers (44.55 points) and regional teaching hospitals (43.86 points). However, no statistical significant difference was found (P>0.05). There was a negative correlation between the healthcare providers’ age and the state anxiety and trait anxiety (P<0.05) (i.e. the older the healthcare providers, the lower degree of anxiety while they had to care the infected patients by H1N1 viruses). There was also a negative correlation among the healthcare providers’ belief in the protection devices, facilities and measures for H1N1 infection control, perceptions of working environment during H1N1 pandemic, and the state anxiety and trait anxiety (P<0.05). In the regression model, the degree of healthcare providers’ trait anxiety and hospital subsequent medical support were significant predictors of state anxiety, collectively explaining 38.1% of the total variance (P<0.05). We hope that the study findings can serve as references for future hospitals to raise the first-line healthcare providers’ confidence and ability, to reduce the degree of anxiety when they face similar novel infectious diseases.

並列關鍵字

H1N1 Care providers Emergency department Outpatient

參考文獻


黃美鳳、羅希哲、唐潤洲(2004)〃保對人員技能檢定應詴者焦慮程度及其技能檢定結果之研究〃國立嘉義大學通識學報,2,201-236。
葉在庭 (2003)〃焦慮與憂鬱共病現象之理論探討〃馬偕護理專科學校學報,3,57-80。
蔡欣玲、陳梅麗、王瑋 (1996)〃醫學中心護理人員工作壓力相關因素之探討〃榮總護理,13(3),263-269。
許玉真、葉淑惠(2007)〃腦瘤患者手術前焦慮之照護〃長庚護理雜誌,18(3),379-386。
陳梅麗、林小玲、連金延、余先敏、蔡欣玲 (2000)〃醫學中心護理人員工作壓力、離職意願與離職行為之相關研究〃榮總護理,17(3),260-269。

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