醫護人員對肺結核之感染風險認知研究

Cognitional study on the infection risk of the pulmonary tuberculosis for the medical personnel

陳佳銘(Chia-Ming Chen)

指導教授 ： 謝賢書

長榮大學/健康科學學院/職業安全與衛生研究所/碩士(2009年)

https://doi.org/10.6833/CJCU.2009.00031

摘要

由於結核病的防疫體系近年來有些轉變，使得結核病患流入一般醫療院所接受治療，醫療院所之醫護人員暴露於生物危害的職場環境中，其罹患結核病之風險遠高於其他人。若醫護人員能對結核病的認知有更深的瞭解，可以大大降低自身受結核病感染的機率。
本研究目的在於分析探討結核病照護醫院之員工受結核病感染風險等相關問題。本研究以問卷調查方式，其調查內容包含結核病傳染途徑、檢查方式、細菌學、防護措施等共計26題，計回收14家結核病照護醫院共408問卷。探討的內容為瞭解結核病照護醫院之員工對結核病認知的狀況，進而建議結核病照護醫院之醫療院所對員工的訓練指標。
研究結果發現結核病照護醫院之醫護人員，其中以醫師助理的認知得分最高，其次為醫師，再者為醫檢師。然而，醫護人員中以放射師的認知得分最低。此外，結核專責醫院員工對結核病的認知高於非結核專責醫院員工，且在結核病的認知上彼此間有明顯的差異。

關鍵字

結核病 ； 醫護人員 ； 感染風險

並列摘要

The contagious prevention system of tuberculosis has been changed in the recent years. Tuberculosis patients are admitted to the general hospital for treatment. Therefore the medical personnel in the general hospital, exposing in the environment of biological harm high risk of committing tuberculosis infection. If staffs in the hospitals have enough knowledge and are fully aware of tuberculosis, they can minimize the risk of being infected.
The objective of this research is to study the risk of tuberculosis infection among staffs in the process of caring the patients. The present phase of the research is conducting questionnaire survey. 408 copies of questionnaires were collected from 14 hospitals that provided treatment to tuberculosis infected patients. The main subject of the questionnaire is the fundamental knowledge of tuberculosis, its infection path, treatment methods etc.The survey results can illustrate a general picture regarding with effectiveness of the present training program provided for the medical personnel in the hospital.
The results of survey show the following picture: The order of different ranks from high to low is physician assistants, doctors, technologist, and radiologist. In addition, the cognition of tuberculosis for staffs in tuberculosis specialized hospital is higher than staffs in non tuberculosis specialized hospital in term of statistical significance.

並列關鍵字

tuberculosis ； the medical personnel ； infection risk

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