護理人員對多重抗藥性細菌感染管制行為的相關因素探討-以南部某地區醫院為例

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护理人员对多重抗药性细菌感染管制行为的相关因素探讨-以南部某地区医院为例

An investigation of knowledge, attitude, practices and related factors of infection control for multiple-drug resistant bacteria among nurses in a southern regional hospital

苏美曲 , 硕士　　导师：廖梨伶;赖苡汝　　

繁体中文

多重抗药性细菌感染管制；认知；态度；行为； infection control for multiple-drug resistant bacteria ； cognition ； attitude ； behavior

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摘要 │ 参考文献 (57) │ 国际计量

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Multiple-drug resistant bacteria can cause significant challenges in the use of antibiotics in the healthcare system. The method of reducing multiple-drug resistant bacteria is to carefully select antibiotics for medical uses as well as to absolutely obey the regulations of infection control. This study aims to investigate the status of cognition, attitude and behavior of infection control for multiple-drug resistant bacteria among nurses, as well as to figure out predictors of the behavior. Convenience sampling was adopted, and voluntary nurses from a regional hospital in South Taiwan were recruited to participate in this study. Data was collected in March 2015 using a self-developed structured questionnaire. Components of the questionnaire included general information, cognition, attitude, and behavior of infection control for multiple-drug resistant pathogens. A total of 150 questionnaires were distributed, and 143 valid questionnaires were returned, yielding a response rate of 95.3%.
    Statistical methods include descriptive statistics and multiple regression. Findings of this study include: (1) The top rate of correct responses in the cognition of infection control for multiple-drug resistant bacteria among nurses fell on the part of care protection measures, while the lowest rate fell on the part of clean and disinfected environment and equipment. (2) Although approximate 40% of nurses believed that the implementation of infection control measures was a matter of trouble and that in accordance with infection control requirements of hand-washing in clinical practices was difficult to implement, the overall survey results of attitude was positive. (3) Although self-evaluated results of behavior practices were higher than 75% out of 100% practices, nurses would sometimes ignore infection control tasks that were not directly related to patient care due to being busy or forgotten. (4) Results of multiple regression analysis showed that infection control cognition of nurses regarding multiple-drug resistant bacteria could significantly predict their behavior practices, accounting for 18.2% of total variance. Results of this study can provide a reference for relevant administrative units in the development of multiple-drug resistant bacteria infection control policy and in the development of education and training programs.

参考文献 ( 57 ) 〈TOP〉

王复德、陈瑛瑛、颜慕庸、陈宜君、施姗汝(2007)。感染管制成效之政策面影响因素。感染控制杂志，17(4)，229－236。
连结：
何清幼(2010)。医疗工作人员对病人安全认知、态度与行为间关系之探讨-以台北某医院为例。国立台湾大学公共卫生学院医疗机构管理研究所硕士论文，未出版，台北市。
连结：
李晓云(2006)。护理人员对肺结核知识、态度、行为及其影响因素探讨-以某市立联合医院为例。台北医学大学护理学研究所硕士论文，未出版，台北市。
连结：
李桂珠、黄高彬(2011)。运用组合式照护与感染控制。医疗品质杂志，5(6)，61－64。
连结：
林念璁(2011)。台湾常见院内感染抗药性细菌与预防。护理杂志，58(4)，5－10。
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引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。