探討醫護人員對遵循負壓隔離病房工作安全行為之影響因素

Safe work practices of nurses and doctors in negative pressure rooms and related factors

鄧喬鳳(Chiao-Feng Teng)

指導教授 ： 尹裕君

中山醫學大學/護理學院/護理研究所/碩士(2009年)

https://doi.org/10.6834/CSMU.2009.00038

摘要

本研究目的爲瞭解工作於負壓隔離病房的醫護同仁遵循工作安全行為之現況及其影響因素，以描述性研究，採橫斷式調查法，立意取樣以結構式問卷收集資料，研究對象為中部某醫學中心工作於負壓隔離病室的護理人員及住院醫師，以自擬『探討醫護人員對遵循負壓隔離病房工作安全行為之影響因素』結構式問卷，共發出問卷155份，回收有效問卷144 份，回收率92.9%，用SPSS 14.0版的統計套裝軟體進行分析。結果顯示：本研究對象均有照顧過肺結核的經驗，工作安全行為以防護裝備面遵循度最佳，其次為行政工作執行面、工程面。工程面之構面中以檢視負壓安全性工作安全行為最低，行政工作執行面之兩構面中以教育訓練為最低。工程面工作安全行為以女性及護理人員較佳；行政工作執行面工作安全行為
則以年齡較高、工作年資較久的遵循度較佳；個人防護面工作安全行為以“與家人同住”、“住醫院宿舍”、工作年資較久、參加傳染病時數較多者的遵循度較佳。在專業因素的知識、風險感受、工作負荷之平均分數以護理人員較高，但在信念態度平均分數則以醫師的較高。經由逐步迴歸分析結果：工程面工作安全行為的重
要預測因子為風險感受、知識及職稱。行政執行面工作安全行為則為風險感受、職稱、知識、年齡。防護裝備面工作安全行為則為風險感受、職稱、知識，但居住狀況(自己住)的迴歸係數則為負。此研究結果可作為行政者在辦理負壓隔離病房的教育訓練及建立或修定標準作業規範的參考。

關鍵字

負壓隔離病房 ； 醫護人員 ； 工作安全行為

並列摘要

The purpose of this study was to investigate the safety work practices and factors among nurses and doctors in negative pressure room. Subjects for this cross-sectional survey were recruited from a single teaching hospital medical center in central of Taiwan . A structured questionnaire was used to collect data. Of the 155 surveys distributed, 144 valid (92.9%) were analyzed. This study revealed the following findings:There was limited safety work practices in safety examination of negative pressure domain of engineering control . There was limited safety work practices in education domain of administration and work pratice. There were better safety work practices in personal protective equipment. According to t test ,there was a high safety work practices of engineer controls、administration and work pratice controls and personal protective equipment in female and nurse. According to one-way ANOVA analysis ,the variables that impacted on the level of engineering control were no significant difference except sex and professional title. The variables that impacted on the level of administration controlwere age, and years of work. The variables that impacted on the level of personal protective equipment were years of work and in-service training time and living status .Nurses have more better safety work practices than doctors in four professional variables including knowledge,perception of risk, peer influence,work loading.But Doctors have more better safety work practices than nurses in beliefs/attitudes of professional variables According to multiple regression revealed that there were variables influencing engineering control were knowledge,perception of risk, (nurse vs doctor) .The variables that impacted on the levels of administration and work pratice controls were perception of risk, (nurse vs doctor) , knowledge,age. The variables that impacted on the levels of personal protective equipment were perception of risk, (nurse vs doctor) , knowledge.The results could be a reference for other health administrative organizations and hospitals establishing standard guideline and promote all staff’s in service education about negative pressure rooms.

並列關鍵字

negative pressure room ； nurse and doctor ； safety work practices

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