Prevalence and Correlates of Substance Use Among Clinical Nurses in Kaohsiung City

高雄市臨床護理人員物質使用盛行率及相關因素研究

楊美賞(Mei-Sang Yang) ； 楊明仁(Ming-Jen Yang) ； 潘純媚(Shung-Mei Pan)

《The Kaohsiung Journal of Medical Sciences》 17卷5期 (2001/05) Pp. 261-269

https://doi.org/10.6452/KJMS.200105.0261

摘要

物質濫用造成的健康危害是台灣地區重要的健康問題，由於擔負助人角色的護理人員物質使用情況之研究仍相當稀少，故本研究仍以在高雄市之綜合醫院就職的護理為對象，探討其物質使用的盛行率及其相關因素。先以醫院的級別做分層，再隨機抽取病房單位，並以單位內所有護理人員為對象，共得研究樣本907人，以自填式結構問卷調查研究對象過去一年各類物質使用的盛行率，結果發現經常飲酒（3.8％），經常喝咖啡（44.7％），經常吸菸（0.2％），經常使用止痛劑（21.1％），經常使用?靜安眠劑（1.8％），曾經使用麻醉藥（0.7％），顯著影響護理人員經常飲酒的因素為對物質使用之正向態度；對數複迴歸分析發現：使用?靜安眠劑的顯著相關因素為對使用之正向態度，心理健康狀況不佳者，止痛劑使用者以及未婚者；影響經常使用止痛劑的顯著因素為在非重症單位工作者，自覺身體健康狀況欠佳者以及使用?靜安眠劑者。護理人員自行使用上列藥物的目的為自我治療，故建議醫院管理部門應發展及推動促進臨床人員身心健康的活動。

並列摘要

Though substance abuse and its deleterious health sequelae are a serious problem in Taiwan, licit and illicit substance use patterns among nurses are understudied. The purpose of this study was to investigate the prevalence of substance use and to identify its related factors among clinical nurses. A total of 907 registered nurses were recruited for this study via stratified-random sampling from hospitals in Kaohsiung city. Each participant was requested to reply to a structured questionnaire anonymously and a 98.1 % response rate was achieved. Prevalence of substance use during the past year was estimated as follows: alcohol drinking (regular use-3.8%); coffee drinking (regular use-44.7%); cigarette smoking (regular use-0.2%); regular use of analgesics 21.1 %; regular use of benzodiazepines 1.8%; use of narcotics (ever use-0.7%). Significant factors related to substance use were analyzed by logistic regression. This revealed that for regular alcohol use, the significant factor was a positive attitude toward substance use; for BZD drug use, they were poor mental health, positive attitude toward substance use, being unmarried, and used analgesics; for regular analgesics use, they were work in non-critical care unit, self-perceived poor health status, and BZD drug use. Results generated from this study may act as reference for nursing administration to develop an effective health promotion program of physical and mental health for the clinical nurses.

並列關鍵字

substance use ； nurse