| 摘要: | 化學治療具細胞傷害毒性，倘若未經妥善的安全作業處置，發生化學治療異常事件（給藥異常、藥物外滲、藥物潑灑），除了造成病人傷害外，亦使得醫療從業工作人員曝露於不安全的環境中。 本研究旨在探討醫院護理人員對化學治療安全作業之知識、意願及自我效能及其相關因素。採橫斷式相關性研究設計，以南部某區域教學醫院執行化學治療之病房護理人員為研究對象，採立意取樣共收取有效問卷234份；研究工具採自擬問卷，包括基本屬性問卷、化學治療安全作業知識量表、化學治療安全作業意願量表、化學治療安全作業自我效能量表。資料分析方法：百分比、平均值、標準差、t檢定、變異數分析、皮爾森積差相關分析。 研究結果：(一) 護理人員的護理職級、是否接受化學治療照護相關課程、是否具備腫瘤護理師證書，與化學治療安全作業知識有關；(二) 護理人員對化學治療安全作業的意願與目前工作科別有關；(三) 護理人員對化學治療安全作業的自我效能與教育程度、護理職級、職稱、是否具備腫瘤護理師證書呈現相關性；(四)護理人員對於化學治療安全知識與自我效能呈現正相關；(五)護理人員對於化學治療安全意願與自我效能呈現正相關。 基於研究結果，建議：(一)單位主管豎立正向化學治療安全作業的工作氛圍；(二)行化學治療安全作業教育課程時，宜加強護理技術操作及演練；(三)將化學治療專業教育納入護理N層級之學習歷程；(四)培訓人員考取腫瘤護理師證書，以驅使化學治療安全作業之品質更完善。
The chemotherapy medicines with cell toxicity, if we cannot deal with it by safety protocol, they will cause chemotherapy abnormal events including medication variance, extravasations, and chemotherapy spill. Not only let the patients get injuries but also let the medical staffs exposes to the unsafe environments. The research discussed the related factors of the knowledge, willing, self-efficacy of chemotherapy among nurses. This was a cross-sectional correlation study. The population was the nurses who implemented chemotherapy in the teaching hospital in Southern Taiwan. The purposive sampling method was used and received 234 valid questionnaires. The research tools were designed by self including questionnaire of demographic, Safety Procedure of Chemotherapy Knowledge Scale (SPCKS), Safety Procedure of Chemotherapy Intention Scale (SPCIS), and Safety Procedure of Chemotherapy Self-efficacy Scale (SPCSS). The data analysis methods including Percentage, Mean, Standard Deviation, T test, ANOVA, and Pearson Correlation Coefficient. Results showed: (1) the nurses’ level, whether received the chemotherapy related training, and whether the availability of oncology nurse certificate were related with SPCKS, (2) the nurses’ current work specialty was related with SPCIS, (3) the SPCSS and their education level, nurse level, job title and whether the availability of oncology nurse certificate had significant positive correlations, (4) the SPCKS and SPCSS had significant positive correlation, and (5) the SPCIS and SPCSS had significant positive correlation. Base on the research results, we subject that (1) the managers have to make the positive atmosphere for safety procedure of chemotherapy, (2) when the managers take education course of safety procedure chemotherapy, they should be enhanced the nursing skills and practice, (3) take the professional education of chemotherapy into the portfolio of nurses’ promoting, and (4) let staff to take the oncology nurse certificate, and make the perfect about the quality of safety procedure of chemotherapy. |
