精神科醫療從業人員對新冠肺炎防護知識、態度與意識關聯探討

Relationship Between Knowledge, Attitude, and Awareness Regarding COVID-19 Prevention Among Psychiatric Health-Care Professionals

10.6847/TJPMHN.202308_18(1).04

葉家佑(Jia-You Ye)；何明芳(Ming-Fang Ho)；蔡美菊(Mei-Chu Tsai)；林惠珍(Hui-Chen Lin)；黃郁芬(Yu-Fen Huang)；黃雅惠(Ya-Hui Huang)；林好(Hao Lin)；麥嘉萍(Jia-Ping Mai)

精神科 ； 醫療從業人員 ； 新冠肺炎 ； 知識 ； 態度 ； 意識 ； Psychiatric ； Health-care worker ； COVID-19 ； Knowledge ； Attitude ； Awareness

精神衛生護理雜誌

18卷1期（2023 / 08 / 01）

24 - 33

繁體中文;英文

新冠肺炎造成全球經濟社會的衝擊，更造成醫療能量過度負荷。相對於內外科，精神科病房已收治精神科病人為主，照顧的精神科病人若出現疑似或確診新冠肺炎，如未有足夠防護知識、態度與意識，可能導致病人與工作人員連續感染，影響病人安全與健康。本研究旨在了解精神科從業人員對新冠肺炎知識、態度及意識情形。採橫斷面究設計，立意取樣選取某醫療體系中精神科醫療從業人員為研究對象，採用電子問卷調查，共收集153位。研究工具包含人口學之基本屬性資料、簡式健康量表及新興傳染病（COVID-19）防治態度、新興傳染病（COVID-19）防治知識量表及新型冠狀病毒肺炎防護意識量表。由分析中可知，精神科醫療從業人員在照顧疑似或確診個案時會有焦慮及壓力的情緒反應，且女性較男性於防護態度較佳（t = -2.41, p < .05），而年齡≥ 50歲的從業人員相較21-29歲者有較佳的防護意識（F = 4.73, p < .01）。相關性中防護意識與態度呈現正相關（r = .68, p < .01），表示有良好的防護意識時則有較正向的防護態度。此外，「年齡」和「年資」分別與防護態度及防護意識皆達統計顯著意義並呈現正相關。建議未來研究可採用線上問卷及連結方式進行，避免僅有單一醫療體系醫療從業人員填答，使增加推論代表性。

COVID-19 has exerted serious effects on global socioeconomic conditions, resulting in widespread disruptions and placing considerable pressure on health-care systems. Psychiatry is an advanced specialization of medicine that primarily focuses on the treatment of mental illnesses rather than on the treatment of medical conditions and conditions requiring surgery. During the pandemic, because health-care workers did not exhibit appropriate attitudes, knowledge, and awareness regarding self-protection against COVID-19, an increased risk of infection was observed among patients and health-care staff, posing multiple safety concerns. In this study, the correlation between health-care workers' attitude, knowledge, and awareness regarding self-protection against COVID-19 was examined. A cross-sectional design was used to thoroughly and purposively sample 153 health-care workers from a psychiatric medical institution. Several instruments, including a self-administered sociodemographic questionnaire for health-care workers; the 5-item Brief Symptom Rating Scale; and a knowledge, attitude, and awareness questionnaire on COVID-19 prevention, were used to collect data. The results indicated that health-care workers who cared for patients with confirmed or suspected COVID-19 infection experienced high levels of anxiety and stress. Gender significantly affected attitudes toward prevention (t = -2.41, p < .05), with higher scores obtained for women than men. A significant age difference was observed in prevention awareness (F = 4.73, p < .01), with individuals aged 50 years and above demonstrating greater awareness than those aged 21 to 29 years. A positive correlation was observed between prevention awareness and attitude (r = .68, p < .01). Age and job tenure exhibited a positive correlation with prevention attitude and awareness. To increase inferential representativeness, future studies should include online questionnaires and link-sharing methods to ensure a wider representation of health-care professionals beyond a single medical system.

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