急診醫護人員工作傷害危險覺知之探究

Occupational Hazards as Perceived by Emergency Department Workers in a Medical Center

龔嘉德(Chia-Te Kung) ； 趙善如(Shan-Ru Chou) ； 蔡彥碩(Yen-Shuo Tsai) ； 蕭政廷(Cheng-Ting Hsiao) ； 周義(Ghee Chew)

《Journal of Emergency Medicine, Taiwan》 5卷3期 (2003/09) Pp. 132-140

摘要

背景：本研究主要目的在了解急診醫護人員對工作傷害之主觀性危險評估，以期做為醫院改善急診醫護人員執業環境危害之參考。
方法：以結構式問卷調查南部某醫學中心之急診醫護人員。
結果：本研究有效樣本115位，研究結果發現疾病傳染面向中，最擔心的是被感染愛滋病（91.3%）；在有毒物質接觸面向中，最擔心的是接觸農藥中毒病患（82.6%）；在人體工學性危害面向中，最擔心的是下背痛（88.7%）；在工作環境危害面向中，最擔心的是X光放射線下的輻射（81.7%）；在心理因素危害面向中，最擔心的是家屬的暴力傷害（81.7%）。另外，從事醫療年數、工作職稱、工作意義、婚姻狀況等四個變項，是在預測急診醫護人員工作傷害危險覺知之重要因素。
結論：為了提供良好的醫療品質，保障急診醫護人員的安全，醫院應重視及了解急診工作人員對工作傷害危險覺知之情形，給予安全之工作環境。

關鍵字

工作傷害 ； 危險覺知 ； 急診室

並列摘要

Background and objective. This study aimed to understand the subjective perceptions of occupational risk in emergency department workers in a medical center. The results may help to inform hospitals currently working to minimize occupational hazards for emergency department workers.
Method. A structured questionnaire was used to evaluate what emergency department workers in a medical center in Southern Taiwan perceived their occupational hazards to be.
Results. In total, 115 responses were valid and analyzed. In the infectious diseases dimension, workers were most worried by infection with AIDS (Acquired Immunodeficiency Syndrome)(91.3%); in the poisonous substances dimension, workers were most worried about contact with insecticide poisoned patients (82.6%); in the manual handling dimension, workers worried most about developing low back pain (88.7%); in the workplace environmental hazard dimension, workers worried most about X ray exposure (81.7%); in the mental stress dimension, workers were most worried about violent assault by the family of a patient (81.7%). The number of years spent working, occupational position, the meaning of the work to the worker and marital status were found to be important factors predicting perceived risk of occupational hazards confronting emergency department workers.
Conclusion. In order to improve the quality of care provided by emergency department workers and to minimize occupational hazards, hospitals must take the occupational hazards as perceived by emergency department workers into consideration.

並列關鍵字

occupationaln hazards ； emergency department ； risk perception