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    题名: 探討台中市0~4歲幼童父母對居家事故傷害緊急處理認知及自我效能之研究
    Exploring the knowledge and self-efficacy of unintentional home injury first aid in parents of 0~4 years children in Taichung
    作者: 魏毓勵
    贡献者: 護理學系碩士班
    关键词: 父母;居家事故傷害;緊急處理認知;自我效能 parents;unintentional home injury;knowledge of first aid;self-efficacy of first aid
    日期: 2011-01-25
    上传时间: 2011-10-17 17:00:43 (UTC+8)
    出版者: 中國醫藥大學
    摘要: 背景:事故傷害為1~14歲兒童死亡原因第一名,現行研究尚未探討到幼童父母對居家緊急處理認知與自我效能。
    目的:本研究目的在探討0~4歲幼童父母對居家事故傷害緊急處理認知及自我效能之相關性。
    方法:研究設計為橫斷式設計,以立意取樣方式選取樣本,研究對象為至台中市衛生所(8區)施打預防注射的0~4歲幼童父母445位。研究工具以自擬結構式問卷,共37題。
    結果:1.居家事故傷害緊急處理認知平均答對率72.1%,以心肺復甦術答對率最低。其中在年齡大者、高學歷者、國籍為台灣者、高收入者、曾參加急救訓練者、有學習急救需求者、由醫護人員獲得急救資訊者、由學校獲得急救資訊者,認知平均分數較高;2.居家事故傷害緊急處理自我效能,十分把握平均26.6%,以異物哽塞十分把握平均最低。其中在男性、國籍為台灣者、曾參加急救訓練者、有學習急救需求者、由醫護人員獲得急救資訊者,自我效能平均分數較高;3.事故傷害緊急處理認知與自我效能呈正相關;4.自我效能預測因子,有緊急處理認知、事故傷害經驗、急救訓練、大眾媒體資訊、醫護人員資訊,可解釋總變異量30%。
    結論與建議:未來應增加兒童居家事故傷害緊急處理的課程,並由醫護單位提供諮詢與推廣教育,藉由醫護人員教導急救知識和相關經驗,可以讓學習者增加緊急處理知識與自我效能。
    Background: The unintentional injury is the first factor of child death at 1 to 14 years old. There are seldom studies focused on unintentional home injury first aid on children parent’s knowledge and self-efficacy.

    Purpose: The purpose of study is to explore the knowledge and self-efficacy of unintentional home injury first aid in parents with children aged 0 to 4.

    Methods: The study is a cross-sectional designed. A total of 445 parents were recruited. Data were collected by purposive sampling at the public health community center (8 districts) in Taichung. The measurement is a self developed questionnaire with 37 questions.

    Results: 1. The result revealed that the mean score of first aid knowledge was 72.1%. The lowest score was the knowledge related with Cardio-Pulmonary Resuscitation. The participants who were older, higher education, Taiwanese, higher incomes, being attended first aid training, having learning needs, having first aid information from medical staffs, and school, had better knowledge of first aid. 2. The mean score of self-efficacy was 26.6%. Participants showed the lowest score of self-efficacy in choking. The participants who was male, Taiwanese, being attended first aid training, having learning needs, having first aid information from medical staffs, had higher score of self-efficacy in first aid. 3. There is a significantly positive correlation between knowledge and self efficacy of first aid. 4. The predictive factors of self-efficacy are knowledge of first aid, being attended first aid training, having first aid information from media, having first aid information from medical staffs, and having unintentional injury experiences. These variables explained as 30% of all variation.

    Conclusions: The results suggest that the educational program of unintentional injury first aid need to be increased. First aid knowledge and related experience provided by health professionals would be better information for increasing the parents’ knowledge and self-efficacy of first aid.
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