台灣地區國民小學校園緊急傷病處理現況與相關因素研究

the Current Practice of School Emergency Care Management and Its Relevant Factors of Primary Schools in Taiwan

彭秀英(Hsiu-Ying Peng) ； 陳政友(Cheng-Yu Chen)

《學校衛生》 40期 (2002/06) Pp. 22-49

https://doi.org/10.30026/CJSH.200206.0002

摘要

本研究旨在暸解台灣地區國民小學校園緊急傷病處理現況及其相關影響因素。研究工具為自擬結構式問卷，研究對象是八十九學年度台灣地區公私立國民小學。總計發出問卷360份，回收率為86.6 %，去除無效問卷後，共得有效問卷 309份。研究結果主要發現如下：校園緊急傷病處理事前規劃措施越周延，事發後處置表現越好，其中「組織運作」、「程序擬訂」、「支援聯絡網建置」、「急救訓練」、「職務代理人安排」等與事發後處置關係密切，而這些事前規劃措施又受到「學校所在地」、「工作主要執行人員」及「其最近一次接受急救訓練時間間隔」的影響。目前台灣地區校園緊急傷病事前規劃措施的實施缺乏整體性和協調性；學生發生緊急傷病時大部分學校有聯絡不到家長的現象，只有三成學校完成緊急傷病處理組織運作及程序擬訂；對緊急傷病記錄未善加應用；學校護理人員接受專業急救訓練的時數不足，且其差假期間未能指定特定職務代理人實質代理其職務。因此建議，教育單位應趕緊制定相關法令，落實事前規劃措施，整合學校附近醫療資源，以發展符合各校需求之緊急傷病救護系統。

關鍵字

國民小學 ； 校園緊急傷病處理

並列摘要

Objectives: The purpose of the study is to find out the current practice of the management of the school injuries and sickness in the campus of primary schools in Taiwan as well as its relevant influences and factors. Methods: A structural questionnaire was created as a tool for the study. Results: Targets for the study were the public and private primary schools of the academic year 2000 in Taiwan. 360 copies were issued; 309 effective ones were retrieved, with a successful retrieving rate of 86.6%. Schools with better planning and measures for emergency cares performed the better at the occurrence of emergencies. Among them, emergency care committee, written emergency care procedures, the establishment of supporting and connecting network, first aid training, and duty proxy system were all very consequential to the efficient management of the emergencies at the first time. However, these five measures were also highly influenced by the location of the school, the title of the job's main performers, and the time span lagging for receiving the latest first-aid training. The implementing of the measures for emergency preparedness in the campus around Taiwan lacked coordination and consistency. Most schools had trouble of contacting the parents at the critical moment of an emergency when a student is injured or sick and hadn't set up school emergency care committee and written emergency care procedures, less than 20% of them have really made good use of injuries and sickness records. When school nurses ask for leave, only 20% of them have arranged qualified substitutes. Suggestions: It's suggested that the authorities give more stress on the concerning laws and regulations, execute down-to-earth plans and procedures that should have set up beforehand, and to improve the quality and quantity of first-aid training. Moreover, coordinating the medical care resources nearby, and developing emergency care system fit for the characteristics of each school would all be very helpful.

並列關鍵字

the primary school ； the School Emergency Care Management

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馬惠明()。