臺灣教保服務人員在幼兒用藥安全行為之調查研究

Survey Study on the Behavior of Preschool Educators toward Children's Medication Safety in Taiwan

駱明潔(Ming-Jae Lo) ； 黃偲雯(Szu-Wen Huang)

《醫學與健康期刊》 8卷2期 (2019/09) Pp. 41-55

摘要

目的：本研究旨在探討臺灣地區教保服務人員在幼兒用藥安全行為表現之現況與差異情形。方法：採問卷調查法，以自編之調查問卷為研究工具，採分層隨機抽樣方式抽取臺灣本島地區1,000位之教保服務人員，回收樣本數969份，有效問卷963份。以描述性統計、獨立樣本t考驗及單因子變異數分析進行資料分析。結果：臺灣地區教保服務人員在幼兒用藥安全行為正確執行率達92.44%，其中以「用藥處理」分量表之執行率最高（95.14%），其次依序為「相關法規」（92.10%）、「用藥知能」（87.97%）。年齡、教育程度、畢業科系、任教年資、幼兒園性質、任教地區及職稱不同之教保服務人員，其在幼兒用藥安全行為量表，達顯著差異。結論：教保服務人員可以主動詢問幼兒園內專業護理師或透過平日的園務或教保會議，進行相關經驗傳承、分享及討論，落實幼兒用藥安全行為。教育主管機關或衛生單位，應將幼兒用藥安全相關議題納入研習課程內容，以提升教保服務人員正確的幼兒用藥安全行為。

關鍵字

臺灣 ； 教保服務人員 ； 幼兒用藥安全

並列摘要

Objectives. The purpose of this study was to investigate the current situation and difference of preschool educators' behavior toward children's medication safety in Taiwan. Methods. A self-administered questionnaire was used as a research tool to obtain data from 1,000 preschool educators in Taiwan using stratified random sampling. Of the 969 samples collected, 963 were valid questionnaires. Data were analyzed using descriptive statistics, independent sample t-test and one-way ANOVA. Results. The correct implementation rate of preschool educators' behavior toward children's medication safety in Taiwan was 92.44%. The subscale with the highest implementation rate was ＂medication treatment＂ (95.14%), followed by ＂relevant laws and regulations＂ (92.10%) and ＂medication knowledge and skills＂ (87.97%). Preschool educators with different ＂ages＂, ＂educational backgrounds＂, ＂majors＂, ＂years of service＂, ＂nature of preschool＂, ＂teaching locations＂ and ＂titles＂ had significantly different scores on the children's medication safety behavior scale. Conclusion. Preschool educators may use regular preschool administrative or teaching staff meetings to share and discuss experiences relevant to consolidating medication safety behavior for children. Alternatively, they may proactively ask professional nurses employed at preschools for relevant information. Competent authoritative personnel working for education or health units should include topics related to medication safety for children into workshops to improve medication safety behaviors for children among preschool educators.

並列關鍵字

Taiwan ； Preschool educator ； Children's medication safety

參考文獻

張美娟、陳月枝、章淑娟：某醫學中心小兒科門診病患照顧者對小兒用藥的理解度探討。台灣醫學 2009；13：433-40。Chang MC, Chen YC, Chang SC: The comprehension of medication among caregivers at pediatric clinics in a medical center. Formos J Med 2009;13:433-40. [In Chinese]

陳嘉民、陳秋媛、陳學漪、辜美安：對感冒糖漿之認知與用藥五大核心能力。醫學與健康期刊 2017；6：61-73。Chen CM, Chen CY, Chen HY, Koo M: Knowledge of cold syrup and the five core competencies of medication use. J Med and Health 2017;6:61-73. [In Chinese]

陳德鉦：基層家庭醫師診所對民眾用藥知能與用藥安全、用藥服務行為之滿意度研究。臺中：中臺科技大學健康產業管理研究所碩士論文，2010。Chen TC: The study on the medicine literature, safety and serve behavior satisfaction among people in basic family physician. Taichung: Central Taiwan University of Science and Technology, 2010. [In Chinese: English abstract]

史麗珠、黃怡樺、涂慧慈、林娜翎、連恆榮、陳鳳珠：臺灣民眾的用藥安全及購買保健產品：行為與影響因子。醫療品質雜誌 2010；4：54-63。See LC, Huang YH, Tu HT, Lin NL, Lien HJ, Chen FC: Medication safety and purchase of health products in Taiwan: behavior and effect factors. J Healthc Qual 2010; 4:54-63. [In Chinese]

林仁興：大學生對保健用藥安全認知、行為及態度之探討。臺南：南台科技大學生物科技系碩士論文，2011。Lin JH: Examination of the knowledge, attitude and practice of the college student toward the drug safety. Tainan: Southern Taiwan University of Science and Technology, 2011. [In Chinese: English abstract]