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題名：護理人員對愛滋病照護知識需求評估之探討
書刊名：護理雜誌
作者：李慶玟／許麗齡 引用關係／謝素英 引用關係
作者(外文)：Lee, Ching-wen／Hsu, Li-ling／Hsieh, Suh-ing
出版日期：2011
卷期：58:4
頁次：頁47-57
主題關鍵詞：護理人員；愛滋病照護知識；需求評估；在職教育；Nursing staffs；AIDS knowledge in patient care；Need assessment；In-service education
原始連結：連回原系統網址new window
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背景 : 台灣愛滋病毒感染人數直線上升，截至 2009年 4月底，本國籍愛滋病毒感染人數為 17,979人，近五年平均年增加率達 18%，不管是全球或國內情況，除了醫療問題外，其他社會、心理問題也隨著愛滋病毒感染人數的增加而日趨複雜化。因此了解護理人員對愛滋病知識及臨床照護的教育需求，辦理相關的在職教育課程，以提升護理人員照顧愛滋病患的照護知識，促進護理人員的自我成長，可有助於專業發展與提升照護品質。 目的 : 探討護理人員對愛滋病照護知識之需求，並探討不同個人背景變項之護理人員在愛滋病照護知識需求之差異性，以提供在職教育課程規劃之參考。 方　法 本研究為描述性及相關性研究設計（descriptive and correlational study design），採橫斷式調查方法（cross-sectional survey），以自擬結構式問卷進行資料收集。發出 556份問卷，回收問卷 546份，回收率 98.2%。 結果 : 護理人員愛滋病照護知識需求方面，依平均分數排序得分最高的前三項為：被害人性侵害後之後續處理、其次是預防傷害與後續處理及伺機性感染症之護理；得分需求最低的三項依序為 HIV之流行病學、台灣愛滋病政策與法令及 HIV傳染途徑；愛滋病照護知識需求之整體平均分數皆在 4分以上。年齡越大對於愛滋病照護知識之需求越高；已婚對於知識之需求相較於未婚者為高，服務年資高者相較於服務年資低者，其知識需求較高。 結論 : 研究結果可作為醫院在 HIV/AIDS照護在職教育課程優先順序之安排；政策擬定之參考，例如：可將預防傷害及後續處理列為所有醫療人員必修之課程以及推廣安全針具之使用，以降低臨床工作人員針扎之風險。
Background: The number of HIV infections in Taiwan has been increasingly linear in recent years. At the close of April 2009, Taiwan registered 17, 979 AIDS infections. The average annual infection rate has grown an average 18% during the most recent five year period. Apart from medical problems, the social and psychological problems associated with AIDS are becoming increasingly complicated both in Taiwan and globally with the increasing number of HIV infections. Identifying the knowledge needs of nursing staff members for providing appropriate nursing care to HIV/AIDS patients is important to planning effective in-service nursing education programs. Quality of both patient care and professional development can be promoted. Purpose: This study investigated the HIV/AIDS educational needs of nursing staffs and variations in care knowledge needs by individual background. Results provide a reference for in-service education program planners. Methods: This was a descriptive and correlational study design that used self-structured questionnaires to conduct a cross-sectional survey. A total of 556 structural questionnaires were distributed and 546 completed questionnaires were returned (response rate = 98.2%) and used in data analysis. Results: The average knowledge need score for nursing staffs with regard to HIV/AIDS patient care was > 4 points. The highest three mean scores were (in rank order): follow-up treatment for victims after sexual assault, prevention of injury (e.g., sharp objects, exposure to infected body fluids) and subsequent management, and nursing care of opportunistic infection. The lowest three mean scores were (in rank order): HIV epidemiology, Taiwan HIV policies and regulations, and HIV transmission routes. Nurses who were older, married, or held senior nurse positions had more knowledge needs. Conclusion: This study can be a reference for prioritizing the arrangement of in-service HIV/AIDS care education and for formulating hospital policies related to HIV/AIDS patients. Prevention of injury and subsequent management of patients with opportunistic infections should be made mandatory in all health care provider courses. Also, enhancing promotion of safety needles can help reduce needle stick risks for clinical staff.
期刊論文
1.王桂芸(1999)。護理繼續教育之相關議題。榮總護理，16(2)，136-141。new window  延伸查詢new window
2.張秋麗、鄒海月、任新菊(19990400)。護理人員之愛滋病照護知識、態度及行為趨向之探討。護理研究，7(2)，104-118。new window  延伸查詢new window
3.柯乃熒、潘純媚、馮明珠、張瑞玲、馬先芝、劉長安(20020600)。以焦點團體探討臺灣南部護理人員照顧愛滋病患者的經驗。護理雜誌，49(3)，37-44。new window  延伸查詢new window
4.黃升苗、陳綉琴、莊銀清、許素珍(20040400)。醫院護理人員尖銳物品傷害之探討。感染控制雜誌，14(2)，86-91。  延伸查詢new window
5.蕭淑銖、洪美娟、楊月嬌、郭育良(19970400)。南部地區護理人員針頭與銳物刺傷之調查。中華職業醫學雜誌，4(2)，93-100。  延伸查詢new window
學位論文
1.張華羚(2004)。麻醉護理人員繼續教育需求及其相關因素(碩士論文)。高雄醫學大學。  延伸查詢new window
2.劉玉珍(2000)。護理人員專業繼續教育需求、參與現況與專業成長之相關研究(碩士論文)。國立高雄師範大學。  延伸查詢new window
3.曹瑞雲(2008)。長期照護機構護理人員在職教育需求之研究--以屏東地區為例(碩士論文)。美和技術學院。  延伸查詢new window
其他
1.王淑慧Wang, S. H.(2006)。呼吸治療師繼續教育需求之探討A Study of continuing education needs of respiratory therapists。  延伸查詢new window
2.江麗如Chiang, L. J.(2003)。大學護理教師遺傳學知識、態度與教育執行現況之探討Knowledge, attitude, education performance of genetic nursing among college faculty。  延伸查詢new window
3.行政院衛生署Department of Health, Executive Yuan, Taiwan, ROC.(2009)。九十八年統計分析結果Reported cases of HIV/AIDS。  延伸查詢new window
4.林燕卿Lin, Y. C.(1999)。某醫學中心護理人員對愛滋病防治教育需求及其介入效果評估AIDS prevention education needs of nursing staff at a medical center and an assessment of intervention efficacy。  延伸查詢new window
5.張淑媛、王維恭Jhang, S. Y., & Wang, W. G.(2006)。愛滋病毒之病毒學Virology of the HIV。  延伸查詢new window
6.許正淳Hsu, C. C.(2005)。我國成人參與研究所在職進修教育動機之研究A study of adult’s motivation on participating in-service graduate continuing education。  延伸查詢new window
7.盛望徽、洪健清Cheng, W. H., & Hong, J. C.(2006)。愛滋病毒感染者伺機性感染之預防與治療The prevention and treatment of opportunity infections in HIV infected persons。  延伸查詢new window
8.劉梅瑛Liou, M. Y.(2006)。北區某醫學中心兒科護理人員之罕見疾病知識、罕病教育態度與在職教育需求探討Analysis of knowledge, attitudes and educational needs related to rare diseases。  延伸查詢new window
9.賴怡因、柯乃熒Lai, Y. I., & Ko, N. Y.(2010)。愛滋病毒感染者醫療照護的藍圖Blueprint for HIV patient healthcare。  延伸查詢new window
10.蘇燦Su, T. J.(2008)。產科護理人員對愛滋病毒篩檢孕婦之照護知識Knowledge of maternity nurses in the care of pregnant women with HIV screening。  延伸查詢new window
11.Aberg, J. A., Kaplan, J. E., Libman, H., Emmanuel, P., Anderson, J. R., Stone, V. E., et al.(2009)。Primary care guidelines for the management of persons infected with Human Immunodeficiency Virus 2009 update by the HIV Medicine Association of the Infectious Disease Society of America。  new window
12.Chen, W. T., Han, M., & Holzemer, W. L.(2004)。Nurses’ knowledge, attitude and practice related to HIV transmission in northeastern China。  new window
13.Creative Research System。The survey system。  new window
14.Daly, P. B., Smith, P. W., Rusank, P. G., Jones, M. B., & Giuliano, D.(1992)。Impact on knowledge and practice of a multi-regional long term care facility infection control training program。  new window
15.Delobelle, P., Rawlinson, J. L., Ntuli, S., Malatsi, I., Decock, R., & Depoorter, A. M.(2009)。HIV/AIDS knowledge, attitudes, practices and perceptions of rural nurses in South Africa。  new window
16.Knebel, E., Puttkammer, N., Demes, A., Devirois, R., & Prismy, M.(2008)。Developing a competency-based curriculum in HIV for nursing schools in Haiti。  new window
17.Kohi, T. W., Portillo, C. J., Safe, J., Okonsky, J., Nilsson, A. C., & Holzemer, W. L.(2010)。The Tanzania HIV? AIDS nursing education (THANE) preservice curriculum。  new window
18.Mbanya, D. N., Zebaze, R., Kengne, A. P., Minkoulou, E. M., Awah, P., & Beure, P.(2001)。Knowledge, attitudes and practices of nursing staffs in a rural hospital of Cameroon: How much does the health care provider now about the human immunodeficiency virus/acquired immune deficiency syndrome。  new window
19.McCann, T. V., & Sharkey, R. J.(1998)。Educational intervention with international nurses and changes in knowledge, attitudes and willingness to provide care to patients with HIV/AIDS。  new window
20.Peters, F. L., & McConnell, K. M.(1989)。Incorporating the affective component into an AIDS workship。  new window
21.Siminoff, L. A., Erlen, J. A., & Lidz, C. W.(1991)。Stigma, AIDS and quality of nursing care: State of the science。  new window
22.Williams, A. B., Wang, H., Burgess, J., Wu, C., Gong, Y., & Li, Y.(2006)。Effectiveness of an HIV/AIDS educational program for Chinese nurses。  new window
 
 
 
 
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