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National Chung Hsing University Institutional Repository - NCHUIR > 工學院 > 環境工程學系所 > 依資料類型分類 > 碩博士論文 >  醫院工作人員對退伍軍人病認知、態度與行為調查

Please use this identifier to cite or link to this item: http://nchuir.lib.nchu.edu.tw/handle/309270000/155329

標題: 醫院工作人員對退伍軍人病認知、態度與行為調查
Survey on the Legionnaires''disease knowledge, attitude and behavior of hospital staffs
作者: 謝宏安
Hsieh, Hung-An
Contributors: 林明德
Min-Der Lin
環境工程學系所
關鍵字: 退伍軍人病;院內感染;龐提亞克熱;生物氣膠
hospital-acquired infection;Pontiac fever;bioaerosols
日期: 2013
Issue Date: 2013-11-21 11:52:38 (UTC+8)
Publisher: 環境工程學系所
摘要: 本研究是針對台灣中部地區評鑑等級在地區醫院(含)以上6所醫院的工作人員及環境安全衛生室、感染控制室等相關單位對退伍軍人病的認知、態度與行為做相關的研究調查。總共發出400份問卷,回收360份,而內容填答不完全的問卷視為無效問卷,因此有效問卷為341份,有效回收率為85.3%。以內部一致性分析法(criterion of internal consistency)來檢定退伍軍人病態度量表的信度考驗。結果顯示退伍軍人病態度量表之Cronbach''s α值為0.835。蒐集的數據資料是以R軟體進行描述性統計、t檢定、F檢定及複回歸分析,驗證不同等級的醫院工作人員對退伍軍人病的認知、態度與行為之關係,找出影響工作人員有關退伍軍人病行為分數有所差異之原因。
根據分析統計結果,歸納整理以下之結論:
一、醫院(F)的退伍軍人病認知平均得分7.05分最高,其中對於控制
作業指引中的生物特性相關題目答題正確率較好,但是對於控
制作業指引中的消毒方式題目則答題正確率較差,可見工作人
員對於退伍軍人病消毒方式認知較缺乏,顯示醫院應該加強工
作人員對於退伍軍人病消毒方式之認識。
二、醫院(F)的退伍軍人病態度平均得分為3.06分最高,其中得分最
高的是「我認為醫院的環境較特殊,工作人員須接受定期健康
檢查」得分為3.47,得分最低的是「我認為退伍軍人病是不會
有人與人之間的傳染」得分為2.28,顯示醫院的工作人員對於
退伍軍人病是否會經由人傳人的感染過程較不確定,而且他們
認為只要經常受感染管制訓練,工作上的安全衛生應該不是問
題,但是如果感染了退伍軍人病,也是很無奈的。
三、醫院(B)的退伍軍人病行為平均得分為2.69分最低,其中得分最
高的是「退伍軍人病感染管制教育訓練枯燥乏味,我根本不想
參加」得分為3.14,得分最低的是「我會向醫院或主管反應退
伍軍人病感染的問題」得分為2.11,顯示醫院工作人員對於減
少感染源的發生的配合度是較不好的。
根據以上之結論,期望能提供給相關單位參考,增加醫院工作
人員對退伍軍人病的防治概念,強化醫院感染管制之相關規範。
This study is to investigate the knowledge, attitude and behavior of Legionnaires''disease for staffs working in environmental safety health department, infective control
department and other relevant units of six hospitals in central Taiwan. In total of 400 questionnaires, 360 were returned, and fill out answers not completely questionnaire as invalid questionnaires, we finally have 341 valid questionnaires, and the effective rate was 85.3%. We use Legionnaires'' disease Attitude Scale internal consistency analyze(criterion of internal consistency) the reliability. The results of Legionnaires'' disease Attitude form showed that the Cronbach''s α value is 0.835. The collected data is analyzed the descriptive statistics, t-test, F-test and multiple regression by R software To verity the elationship
between knowledge, attitude and behavior of Legionnaires'' disease for the different levels of hospital staffs and to identify the reasons for the difference of Legionnaires'' disease behavior scores.
Based on the the analysis of statistical results, the following is this study conclusions:
1. In Legionnaires'' Disease cognitive, the hospital (F) is
the highest average score of 7.05 Points. in percentage
of correct, the question for control the biological
characteristics of the operating guidelines is better,
but for control of disinfection topic in the
operational guidelines is poor percentage of correct,
result show the cognitive of staff Legionnaires''disease
disinfection methods is lacking, hospitals should
strengthen knowledge of the staff for Legionnaires''
disease disinfection methods.
2. In Legionnaires'' disease attitude, the hospital (F) is
the highest average score of 3.06 points, the highest
score of the question is "I think the special hospital
environment, the staff have to regular take the health
examination" that score is 3.47 points, the lowest
score of the question is "I think the Legionnaires''
disease is not contagious between people " the score is
2.28 points. Showing the uncertainty for the staff of
the hospital for the Legionnaires'' disease Whether human- to-human transmission of the infection process or not,
and they think that as long as taking the infection
control training in regularly and the health and safety
in working should not be a problem, but if anyone
infected with Legionnaires'' disease that will be felt
very reluctant about it.
3. In Legionnaires ''disease behavior, the hospital (B) is
the lowest average score of 2.69 points, the highest
score of the question is "Legionnaires'' disease
infection control training is boring, I do not want to
join" that is score is 3.14 points, the lowest score
is "I will response Legionnaires ''disease infection
Problems to the hospital or the executive" that score
is 2.11 points, showing the hospital staff''s cooperate
for regarding the reduced infection source occurrence
is not good.
Based on the above study , To expect to provide
reference to relevant units, and to increasing the prevention and control of Legionnaires ''disease concepts for hospital,Finally to strengthen infection control related specifications in hospital.
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