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題名:精神科護理站空氣品質改善方案
書刊名:護理雜誌
作者:張敬俐李伶伶翁靖惠蔡佳吟
作者(外文):Chang, Ching-liLee, Ling-lingWeng, Ching-huiTsai, Chia-yin
出版日期:2013
卷期:60:5
頁次:頁73-81
主題關鍵詞:精神科室內空氣品質二氧化碳PsychiatricIndoor air qualityCarbon dioxide
原始連結:連回原系統網址new window
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背景:2009年8月本科護理站CO2(carbon dixide)濃度過高1211ppm,護理人員常抱怨空氣品質差,專案小組觀察CO2 異常比率32%,現況分析發現問題:(1)環境:密閉空間、電器用品24小時運作;(2)人:人員密度高、維護空氣品質知識不足;(3)政策:缺乏空氣品質維護相關措施。目的:藉由本專案之進行來改善精神科急性病房護理站CO2濃度以促進人員健康,訂定短期目標:CO2濃度異常比率由32%降至10%;長期目標:CO2 濃度< 1000ppm,異常比率0%。解決方案經專案小組收集及討論文獻後,採用(1)環境:增設植栽、夜間特定電腦關機;(2)人:調配人員空間、提升空氣品質知識;(3)政策:擬訂病房室內空氣品質維護指引。結果:專案執行後,2011年10月護理站CO2 濃度降至997ppm以下,異常比率降至0%。結論:經文獻查證及跨部門合作,確立問題並執行解決方法,結果可有效改善護理站室內空氣品質,且單位同仁對整體空氣品質滿意度也隨之提升,進而營造健康友善工作環境。
Background: Ambient air at the psychiatric nursing station in our hospital had been notably poor for an extensive period of time. CO2 levels at the station averaged 1211 ppm during August, 2009 and a specialist team estimated a CO2 abnormality ratio of 32%. Analysis identified key issues in three problem areas, including (1) Environment: air at the station was not refreshed and electronic equipment was in constant operation; (2) Staff: the station had a high staff-tospace ratio and staffs lacked practical knowledge on indoor air quality maintenance; and (3) Policy: the hospital had no guidelines addressing indoor air quality maintenance.Purpose: The purpose of this project was to reduce ambient CO2 levels at the hospital’s acute psychiatric ward in order to create a high-quality working environment for all staff. The short-term goal was to reduce the CO2 abnormality ratio from 32% to 10%. Long-term goals were to maintain an ambient CO2 level in the ward below 1000ppm and further reduce the abnormality ratio to 0%.Methods: To address environment-related issues, we increased the number of indoor plants and turned certain computers off at night. To address staff-related issues, we rearranged staff activity space and educated staff on how to maintain indoor air quality. To address the policy-related issue, we drafted proposed hospital guidelines on indoor air quality maintenance.Results: Post-intervention measurements made in October, 2011 found significantly improved ambient air quality, with CO2 levels at 997ppm and a CO2 abnormality ratio of 0%.Conclusions: Results demonstrate that improvement measures implemented can effectively improve the quality of ambient air at psychiatric nursing stations. A post-intervention survey further found that staffs were both more satisfied with ward air quality and perceived a friendlier ward work environment.
期刊論文
1.王建楠、吳重達(20041000)。病態建築物症候群。中華職業醫學雜誌,11(4),251-260。  延伸查詢new window
2.李良梧(19930200)。室內空氣品質與通風。中國冷凍空調雜誌,6,79-86。  延伸查詢new window
3.張榕(2007)。室內植物對人體健康的影響。北方園藝,4,131-133。  延伸查詢new window
4.郭博文(2009)。植栽改善空氣中二氧化碳濃度之研究。環境與生態學報,2(1),53-61。  延伸查詢new window
5.麥富德、蔡佳芳、許又文、陳文貴(20050800)。醫院室內空氣品質的監測。科儀新知,27(1)=147,73-80。  延伸查詢new window
6.龔聖祐、張嘉智、陳成裕(2010)。談室內空氣品質。勞工安全衛生簡訊,103,5-8。  延伸查詢new window
7.Destaillats, H.、Maddalena, R. L.、Singer, B. C、Hodgson, A.T.、McKone, T. E.(2008)。Indoor pollutants emitted by office equipment: A review of reported data and information needs。Atmospheric Environment,42(7),1371-1388。  new window
8.Nordstrom, K.、Norback, D.、Akselsson, R.(1995)。Influence of indoor air quality and personal factors on the sick building syndrome (SBS) in Swedish geriatric hospitals。Occupational and Environmental Medicine,52(3),170-176。  new window
9.Lu, C. Y.、Ma, Y. C.、Lin, J. M.、Li, C. Y.、Lin, R. S.(2007)。Oxidative stress associated with indoor air pollution and sick building syndrome-related symptoms among office workers in Taiwan。Inhalation Toxicology,19(1),57-65。  new window
10.Seppänen, O. A.、Fisk, W. J、Mendell, M. J.(1999)。Association of ventilation rates and CO2 concentrations with health and other responses in commercial and institutional buildings。Indoor Air,9(4),226-252。  new window
學位論文
1.傅家麟(2005)。室內微環境監測系統之開發--以室內環境與用電量相關性研究為例(碩士論文)。國立中央大學。  延伸查詢new window
2.黃東海(2007)。既有辦公建築室內空氣品質改造及檢測之研究以高雄市辦公建築為例(碩士論文)。國立成功大學。  延伸查詢new window
圖書
1.王秀紅(2007)。健康促進與護理--理論與實務。台北市:偉華。  延伸查詢new window
2.江哲銘、林俊興(1990)。住居空間物理環境之研究--室內環境品質影響因子測試分析(第四屆成果發表會)。台北市:中華民國建築學會。  延伸查詢new window
3.洪粕宸(2011)。醫療院所空氣品質及通風情形與感染性氣膠分佈研究。台北市:行政院勞工委員會勞工安全衛生研究所。  延伸查詢new window
4.陳春萬(2010)。整體換氣指標與換氣率ACH 關係之研究。台北市:行政院勞工委員會勞工安全衛生研究所。  延伸查詢new window
5.陳春萬、謝書榮(2009)。職場整體換氣性能規範之探討。台北市:行政院勞工委員會勞工安全衛生研究所。  延伸查詢new window
6.葉德銘(2010)。淨化室內空氣品質之植物應用及管理手冊。台北市:行政院環境保護署。  延伸查詢new window
其他
1.行政院環保署(2012)。室內空氣品質標準,http://ivy5.epa.gov.tw/epalaw/index.aspx]。  延伸查詢new window
2.勞工安全衛生研究所(2009)。勞工安全衛生設施規則,http://www.iosh.gov.tw/Law/Law-Publish.aspx?LID=4]。  延伸查詢new window
3.World Health Organization.(2009)。WHO guideline for indoor air quality: Dampness and mould,http://www.euro.who.int/__data/assets/pdf_file/0017/43325/E92645.pdf。  new window
 
 
 
 
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