| 摘要: | 摘 要
目的：本研究欲瞭解中醫師對病人安全的認知、態度及其預防措施之相關性因素，以作為日後中醫師教育及臨床推展之參考。
方法：研究對象為台灣所有執業中醫師，採普查方式，郵寄發出5099份問卷，有效問卷計1424份(回收率為27.9％)。藉結構式問卷進行橫斷面研究。除描述性分析與變異數分析外，並運用複迴歸分析影響中醫師對病人安全之認知、態度與預防措施之相關因素。
結果：受訪中醫師平均年齡為48.7歲，男女比率為3:1，認知平均答對題數95.8％，近九成六的中醫師對病人安全有正確認知。態度平均得分為4.72(滿分為5分)，多呈正面態度。預防措施平均得分為4.72(滿分為5分)，普遍對異常事件之預防措施在中上程度。複迴歸分析顯示影響認知的因素為「取得資格的方式」和「平均每診看診人次」。影響態度的因素為「年齡」、「執業年資」、「職稱」、「本身曾遭遇醫療異常的經驗」、「參與病人安全教育時數」和「對病人安全之認知」。影響預防措施的因素為「機構位置」和「對病人安全之態度」。
結論與建議：整體而言，中醫師年齡越大及參與安全教育時數越多則對病人安全的態度越正面。認知會正向影響態度，態度會正向影響對異常事件之預防措施。唯有安排適切的病人安全教育課程，提昇中醫師的正確認知及正向態度，以確保中醫師對異常事件做出更完善的預防措施，才能維護針灸治療時的病人安全，提升醫療品質，降低醫療糾紛。
關鍵詞：中醫師；病人安全；認知；態度；預防措施
Abstract
Purpose: The aim of this study is to clarify factors related to traditional Chinese doctors’ perception, attitude, and prevention methods of patient safety, so the results can be the reference of their future education and clinical practice guidelines.
Method: The target subjects were all Taiwan traditional Chinese doctors who were evaluated through general survey. Total 5,099 copies of questionnaire were mailed to them with 1,424 valid copies, participation rate of 27.9%, retrieved. The cross-sectional analysis was applied through structured questionnaire. Other than descriptive and variant analyses, the multiple regression analysis was conducted to evaluate the possible factors influencing traditional Chinese doctors’ perception, attitude, and prevention activities of patient safety.
Results: The average age of the enrolled traditional Chinese doctors was 48.7 years old. The ratio of male to female was three to one. Average 95.8% of the questions related to perception were answered correctly, which meant that almost 96% of traditional Chinese doctors had correct perception of patient safety. The mean score of their attitude was 4.72 (the total score was 5). Generally, the degree of preventing abnormal events was above average. The multiple regression analysis revealed that the factors affecting perception were “the way of being certified” and “the mean outpatient number per visit”. The factors influencing attitude included “age”, “seniority”, “professional title”, “personal experience of abnormal medical events”, “hours of attending patient safety education program” and “perception of patient safety”. The factors impacting prevention methods included “location of the institute” and “attitude toward patient safety”.
Conclusion and recommendation: Generally, elder the traditional Chinese doctors were and more hours of education programs they attended, more positive attitude toward patient safety they had. Their perception positively affected their attitude that is positively related to the prevention methods of abnormal events. Therefore, appropriately arranging education programs of patient safety may improve their correct perception and positive attitude, and then flawless prevention methods can be established. As a result, patient safety can be maintained, quality of medical care can be improved, and legal problems can be reduced when performing acupuncture treatment.
Key words: traditional Chinese medical doctors；patients’ safety； perception；attitude；precaution |
