影響醫學中心護理人員參與SARS防治意願因素之探討

Effects on the Nurse’s Will to Participate the Caring for the Patients of Sever Acute Respiratory Syndrome in a Medical Center

周裕銓(Yu-Chyuan Chou)

指導教授 ： 周希諴

中山醫學大學/醫學院/醫學研究所/碩士(2005年)

https://doi.org/10.6834/CSMU.2005.00035

摘要

背景與目的：
嚴重急性呼吸道症候群（Severe Acute Respiratory Syndrome；以下簡稱SARS）在西元2003年3月15日被世界衛生組織（World Health Organization, WHO）正名的新興傳染性疾病，從2002年11月開始在全球26個國家爆發開來。.在2003年SARS發生期間，國內有護理人員提出請長假或辭職的現象，導致防疫人力的不足。因此，作者希望藉由本研究瞭解影響護理人員參與SARS防制的因素與意願。

材料與方法：
本研究以中部某醫學中心所有護理人員為研究對象，以結構式問卷進行資料收集，問卷內容包括個人基本資料、對SARS的認知、對SARS的態度、自覺疾病威脅及參與SARS防制意願等五部分。共計發出772份問卷，回收687份問卷（回收率89.0％）。

研究結果：
有效問卷537份，性別以女性為主（98.1％），平均年齡28.6，大多未婚（71.7％）。對SARS的認知平均得分16.5（答對率82.5％），對SARS的態度平均得分43.9，達態度總分的52.7％，自覺疾病威脅平均得分23.2，達自覺疾病威脅總分的82.6％。在參與SARS防制意願上，87.7％的人考慮後才願意參與SARS防制，其考量的主要因素依序為：擁有標準合格的負壓隔離病房、提供充足的訓練教育、提供充足的防護衣、提供充足的口罩、擁有健全的防治動線及流程、良好的隔離居住環境，以免感染家人、健全的輪�排班制度、足夠的津貼。

結論與建議：
1. 當醫療院所能提供完善的軟硬體設備時，93.7％的護理人員願意參與SARS防制工作。
2. 面對現今新興的傳染病病SARS，國家衛生主管單位及醫院應共同制定一套健全的保護及自救制度，讓在前線的醫療團隊人員無後顧之憂的盡心工作。

關鍵字

護理人員 ； 嚴重急性呼吸道症候群 ； 參與意願

並列摘要

Purpose:
Severe Acute Respiratory Syndrome（SARS）, the emerging communicable disease which renamed by the World Health Organization on March 15, 2003, starts to erupt from November, 2002 in the global 26 countries. During this period, many nurses in our country wanted to have a long vocation or resign from their work. This phenomenon made the insufficient nursing manpower even worse. Therefore, we hoped to find out, by this research, the factors that affected the nurses’ willing to participate in the fight against SARS.

Materials and Methods:
This research took all the nursing staff in a medical center at middle Taiwan as the research object. The nurses were asked to answer a structural questionnaire. The questionnaire including questions of the basic data of the respondents, the cognition of SARS, the attitude to SARS, the answer ness to the threat of SARS, and the willing to participate in the fight against SARS. A total of 772 individuals were surveyed for our research with a response rate of 89.0%（687 respondents）.

Results:
There were 537 effective questionnaires. Their gender was mostly female (98.1%). The average age was 28.6 years. Most of the respondents were unmarried (71.7%). The average score of SARS cognition was 16.5 (82.5% correctness). The average score of attitude to SARS was 43.9 (The score minimum was 17 and the maximum was 68). The average score of awareness to the threat of SARS was 23.2 (The score minimum was 7 and the maximum was 28). With regard to the willing to participate in the fight against SARS, 87.7% of respondents said yes after contemplation.
The factors that the nurses concerned arranged orderly were: standard qualified negative pressure isolation ward, adequate training or education programs, sufficient mouthpiece and protective equipment, enough and comfortable isolation environment, and documented standard operation procedure against SARS. In order to avoid infects the family member, provides the sufficient protective suits, has the perfect preventing and controlling generator and the flow, the well scheduled shift system and compensation payment, and the perfect wheel/arranges in groups the system.

Conclusion:
1.If hospitals can provide adequate software and hardware equipment, 93.7% nurses were willing to participate in SARS prevention activities.
2.Facing nowadays, infectious diseases (ex. Avian strains, mad cow disease, SARS), the national health institutes and hospitals should formulate a whole set of protections and self-regulating system tighter, let the medical staff in the first line can work without worrying.

並列關鍵字

Nurse ； Severe Acute Respiratory Syndrome(SARS) ； Willingness

參考文獻

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