某醫學中心內科慢性病住院病人之就醫安全認知.態度及自我效能探討

王梅

指導教授 ： 胡益進

國立臺灣師範大學/教育學院/衛生教育學系在職進修碩士班/碩士(2005年)

摘要

本論文旨在了解民眾就醫安全認知、態度、自我效能的現況及相關因素，藉以做為民眾參與病人安全衛生教育之參考。研究方法使用問卷調查法，針對某醫學中心內科慢性病住院病人及出院一個月內返診之病人，採立意取樣取得有效問卷232份。結果顯示：
1.研究對象整體之就醫安全認知偏高、就醫安全態度偏向正向、就醫安全自我效能表現屬中上。
2.影響研究對象之「一般就醫安全認知」相關因素呈現：35-44歲高於65歲以上、中高社經地位高於低社經地位。
3.影響研究對象之「對藥袋的認知」相關因素呈現：社經地位越高者認知越高。
4.影響研究對象之「就醫安全態度」相關因素呈現：女性較男性正向、35-44歲較65歲以上正向、社經地位越高者態度越正向、出院病人較住院病人正向。
5.研究對象之「就醫安全自我效能」則不因人口學特質的不同而有顯著差異。
6.研究對象之「一般就醫安全認知」的主要預測變項為「年齡」、「住院疾病發病時間」、「對藥袋的認知」。
7.研究對象之「對藥袋的認知」的主要預測變項為「社經地位」、「一般就醫安全認知」。
8.研究對象之「就醫安全態度」的主要預測變項為「性別」、「一般就醫安全認知」、「對藥袋的認知」。
9.研究對象之「就醫安全自我效能」的主要預測變項則為「就醫安全態度」。

關鍵字

慢性病 ； 就醫安全認知 ； 就醫安全態度 ； 就醫安全自我效能

並列摘要

The purpose of this research is to study the situations and relevant factors of cognitive, attitude and self- efficacy of Medical Seeking Safety of patients. The results will be the references of attending later health education. By using questionnaire analysis, this study focused on the chronic disease inpatients and outpatients discharged from a medical center within a month, proceeding purposive sampling. Total 232 effective questionnaires were completed. The results indicate:
1. Overall the cognition of medical seeking safety of the patients in this study leans toward sufficient. The results of attitude of medical seeking safety leans to be positive. However the results of self- efficiency of medical seeking safety are towards the middle and up values.
2.The general cognition of medical seeking safety: patients in age 35-44 years old have the higher cognition than the ones over 65 years old. Also the upper and middle class patients have the higher cognition than the lower middle class ones.
3.The cognition of drug bag: the upper class patients have the higher cognition than the lower middle class ones.
4.The attitude of medical seeking safety: women have the better attitude than men. Patients in age of 35-44 years old have the better attitude than the ones over 65 years old. The upper class patients have the better attitude than the lower middle class ones. Outpatients have the better attitude than inpatients.
5.The self-efficiency of medical seeking safety: no obvious differences have been found from the different demographics characteristic.
6.The variables of the general cognition of medical seeking safety
are age’, ‘timing of hospitalize and pathogenesis’ and ’the
cognition of drug bag’.
7.The variables of the general cognition of medical seeking safety are age’, ‘timing of pathogenesis of this dieases’ and ’the cognition of drug bag’.
8.The variables of the attitude of medical seeking safety are ‘sex’,
‘the general cognition of medical seeking safety’ and ‘the
cognition of drug bag’.
9.The variable of the self-efficiency of medical seeking safety is ‘the
attitude of medical seeking safety’.

Key word: chronic disease, the cognitive of medical seeking safety, the attitude of medical seeking safety, the self- efficacy medical seeking safety

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