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題名:醫療人員對醫院內環氧乙烷管理的重視與滿意度調查
書刊名:醫學教育
作者:蘇燦煮陳月枝
作者(外文):Su, Tsann-juuChen, Yueh-chih
出版日期:1998
卷期:2:4
頁次:頁43-53
主題關鍵詞:環氧乙烷環氧乙烷管理繼續教育需求重視程度滿意度Ethylene oxideManagement of ethylene oxideRe-education need
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     本研究目的為探討醫療人員對醫院內環氧乙烷(ETO)管理的重視程度,及對實際狀況的滿意度,以供繼續教育之依據及擬定管理措施。採調查法,研究對象為參與醫院內環氧乙烷的管理研討會之與會人員,發出246份問卷,回收188份,回收率為76.0%。研究工具為自擬半結構式問卷,內容包括ETO管理之環保法令規範、操作上之安全措施的查核、毒性殘留的檢查與監測、排氣週邊設備的裝置、監測系統的配備、維修保固服務的施行等六項,評量醫療人員之重視程度,及對實際狀況之滿意度。評量分成五等級,由極不重視或極不滿意到極重視或極滿意,從1分到5分,加以評分。結果發現,研究對象對醫院內環氧乙烷管理的重視程度得分高,平均為4.68±0.56分,即介於重視及極重視的範圍。而對現況之滿意程度卻有很大的落差,平均得分為2.95±0.81分,即介於不滿意及尚可之範圍。建議ETO管理的繼續教育應著重實務訓練,內容應包括員工對ETO的認識、管理的原則、員工的安全防護措施、及因應變遷的能力,並確定執行監督、監測之管理措施。
     The purpose of this study was to explore the concerns of health care personnel about the Ethylene oxide (ETO) management and to determine their level of satisfaction with the current status of ETO management. A survey was adopted for the study. The subjects were. 188 health care personnel who were participants in a conference on "ETO Management in the Hospital" A questionnaire in structured and semi-structured form was developed for data collection. The questionnaire considered six major aspects of ETO management: (1) laws and regulations for protection', (2) safety in operation, (3) detecting and monitoring any residual poisonous substance, (4) devising an exhaust pipe around the sterilizer, (5) devising a monitoring system, and (6) performing repair and warranty services. A 5-point rating scale was used, with a score of 1 meaning very unconcerned or very unsatisfied, and a score of 5 indicating very concerned or very satisfied. The results showed the mean score for1 level of concern was 4.68 ± 0.56. However, the mean score for level of satisfaction was 2.95 ±0.81. This indicated a gap between the ideal and the real. We suggest a re-education program for the manager and the employee is urgently needed, with a special focus on practice.
期刊論文
1.The Joint Sponsorship of the United Nations Environment Programme、The International Labour Organisation、The Word Health Organization(1985)。Environmental exposure: Ethylene oxide。Environ Health Criteria,55,62-79。  new window
2.Lyarsky, P. P.、Gleiberman, S. Y.、Likhtman, T. V.(1988)。Physicochemical, toxicological and hygienic aspects of ethylene oxide application for the sterilization of medical products III: Setting hygienic norms in sterilized medical products。J Hyg Epidemiol Microbiol Immunol,32,257-264。  new window
3.Dinardi, S. R.、Sacco, C. L.、McLean-Shinaman, C.(1980)。A gas handling system for ethylene oxide。Am Ind Hyg Assoc J,41,766-769。  new window
4.Teta, M. J.、Benson, L. O.、Vitale, J. N.(1993)。Mortality study of ethylene oxide workers in chemical manufacturing: A 10 year update。Br J Ind Med,50,704-709。  new window
5.(1994)。Ethylene oxide sterilization: How hospitals can adapt to the changes。Health Devices,23,485-492。  new window
6.Glaser, Z. R.(1997)。Ethylene oxide toxicology review and field study results of hospital use。J Environ Pathol Toxicol,2,173-208。  new window
7.郭憲文(19970900)。環氧乙烷對醫護人員之危害。護理新象,7(3)=47,11-15。  延伸查詢new window
8.環保署(19970900)。次硫化鎳等三種毒性化學物質運作規定公告。護理新象,7(3)=47,3-10。  延伸查詢new window
9.楊進燦(19970900)。CFC(氟氯碳化物)知多少?。護理新象,7(3)=47,16-19。  延伸查詢new window
10.蘇燦煮、陳月枝(19970900)。臺大醫院積極因應二十一世紀低溫滅菌的變革。護理新象,7(3)=47,20-23。  延伸查詢new window
11.Martella, R. C.、Agran, M.、Marchand-Martella, N. E.(1992)。Problem solving to prevent work injuries in supported employment。J Appl Behav Anal,25,637-645。  new window
12.Wallerstein, N.、Weinger, M.(1992)。Health and safety education for worker empowerment。Am J Ind Med,22,619-635。  new window
13.Cole, B. L.、Brown, M. P.(1996)。Action on worksite health and safety problems: a follow-up survey of workers participating in a hazardous waste worker training program。Am J Ind Med,30,730-743。  new window
14.Sen, D.、Osborne, K.(1997)。General practices and health and safety at work。Brit J General Practice,47,103-104。  new window
15.黃寶華、蘇燦煮(19970900)。臺大醫院供應室勞工安全衛生實施現況。護理新象,7(3)=47,24-30。  延伸查詢new window
會議論文
1.郭憲文(1997)。21世紀低溫滅菌技術研討會--醫院員工之職業性危害。21世紀低溫滅菌技術研討會。台北市護理師護士公會。  延伸查詢new window
圖書
1.行政院勞工委員會(1994)。危險物及有害物通識規則。行政院勞工委員會。  延伸查詢new window
 
 
 
 
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