探討中醫師對針灸治療病人安全之認知、態度及預防措施

Investigating the Factors Related to Perception, Attitude, and Prevention Mehtods of Acupuncture Patients’ Safety among Traditional Chinese Medical Doctors

顏素美(Suh-May Yen) ； 龔佩珍(Pei-Tseng Kun) ； 葉麗月(Li-Yueh Yeh) ； 黃宣穎(Hsuan-Ying Huang) ； 蔡文正(Wen-Chen Tsai)

《醫學與健康期刊》 5卷1期 (2016/03) Pp. 35-51

摘要

目的：暸解中醫師對針灸治療病人安全的認知、態度、預防措施及其相關因素。方法：以台灣所有執業中醫師(N=5,099)為研究對象。藉結構式問卷進行橫斷面研究。除描述性分析與變異數分析外，並運用複迴歸分析影響中醫師對針灸治療病人安全之認知、態度與預防措施之相關因素。結果：共回收有效問卷1,424份(回收率27.9%)。中醫師平均年齡48.7歲，男女比率3:1，認知平均答對95.8%。態度和預防措施平均得分皆為4.72(滿分為5分)，複迴歸分析顯示影響認知的因素為「取得資格方式」和「平均每診看診人次」。影響態度的因素為「年齡」、「執業年資」、「職稱」、「本身曾遭遇醫療異常經驗」、「參與病人安全教育時數」和「對病人安全之認知」。影響預防措施的因素為「機構位置」和「對病人安全之態度」。結論中醫師對針灸治療病人安全具高程度的認知，中上程度的態度和預防措施。中醫師年齡越大及參與安全教育時數越多，針灸治療病人安全態度越正面。認知會正向影響態度，態度會正向影響對異常事件之預防措施。

關鍵字

中醫師 ； 病人安全 ； 認知 ； 態度 ； 預防措施

並列摘要

Objectives. The aim of this study was to clarify factors related to traditional Chinese doctors' perception, attitude, and prevention methods for better safety in the care of patients receiving acupuncture therapy. Methods. The target subjects were all Taiwanese doctors practicing traditional Chinese medicine (N=5,099). A cross-sectional analysis was performed using structured questionnaire. In addition to descriptive and variant analyses, multiple regression analysis was used to evaluate the possible factors influencing traditional Chinese doctors’ perception, attitude, and prevention activities related to patient safety. Results. Total 1,424 valid questionnaires were collected (the participation rate was 27.9%). The average age of the enrolled traditional Chinese doctors was 48.7 years old. The ratio of male to female was three to one. 95.8% of the questions related to perception were answered correctly. The mean attitude score was 4.72 (the total score was 5). The mean their precaution score was 4.72 (the total score was 5). The multiple regression analysis revealed that the factors affecting perception were “the way they were certified＂ and ＂the mean outpatient number per visit＂. The factors influencing attitude included ＂age＂, ＂seniority＂, ＂professional title＂, ＂personal experience of abnormal medical events＂, ＂number of hours of attending patient safety education program＂ and ＂perception of patient safety＂. The factors impacting prevention methods included ＂location of the institute＂ and ＂attitude toward patient safety＂. Conclusion. Generally, the older the traditional Chinese doctors and the more hours of safety education programs they attended, the more positive the doctor’s attitude toward acupuncture patient safety. Their perceptions positively affected their attitudes toward methods of preventing abnormal events.

並列關鍵字

Traditional Chinese medical doctors ； Patients' safety ； Perception ； Attitude ； Prevention methods

參考文獻

Leape, LL,Brennan, TA,Laird, N,(1991).The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II.N Engl J Med.324,377-84.

Thomas, EJ,Studdert, DM,Burstin, HR(2000).Incidence and types of adverse events and negligent care in Utah and Colorado.Med Care.38,261-71.

Brennan, TA,Leape, LL,Laird, NM(1991).Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I..N Engl J Med.324,370-6.

Schiøler, T,Lipczak, H,Pedersen, BL(2001).Incidence of adverse events in hospitals. A retrospective study of medical records.Ugeskr Laeger.163,5370-8.

Vincent, C,Neale, G,Woloshynowych, M(2001).Adverse events in British hospitals: preliminary retrospective record review.BMJ.322,517-9.