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Title: 探討緊急救護技術員之急性腦中風到院前救護行為意圖及其相關因素-以東台灣為例
Prehospital care intention of acute stroke related factors among emergency medical technicians in Eastern Taiwan
Authors: 胡益進
Yih-Jin Hu
Chun-I Chiang
Keywords: 緊急救護技術員
emergency medical technician
prehospital care
actue stroke
advanced cardiovascular life suppor
Issue Date: 2011
Abstract: 本研究目的在了解緊急救護技術員對腦中風知識、行動線索、態度、自我效能、到院前救護行為意圖及其相關因素,以東部某縣市之緊急救護技術員為母群體,並以自編結構式問卷進行資料收集,共得有效樣本109份。本研究結果如下: 一、研究對象在參與腦中風教育方面時,有參加腦中風研習的比率不到二成,顯示研究對象在腦中風教育方面缺乏整合性的教育訓練。另外,有六成的緊急救護技術員曾參與腦中風的救護,但只有四成的技術員曾進行腦中風進行到院通報。 二、研究對象的「腦中風相關知識」分布呈現中上程度;「腦中風到院前救護的行動線索」分布傾向「中等數量」;「腦中風處置的態度」分布傾向「同意」;「腦中風到院前救護的自我效能」分布傾向「有把握」;「腦中風救護的行為意圖」分布傾向「可能會」。 三、研究對象的「腦中風相關知識」與「學歷」、「有無高級心臟救命術證書」、「腦中風研習」、「救護經驗」、「到院前通報」有顯著差異;「腦中風到院前救護的行動線索」與「救護經驗」、「到院前通報」有顯著差異;「腦中風處置的態度」與「學歷」、「腦中風研習」、「救護經驗」、「到院前通報」有顯著差異;而「腦中風到院前救護的自我效能」與「任職類別」、「學歷」、「救護經驗」、「到院前通報」有顯著差異;而「腦中風救護的行為意圖」與「學歷」、「任職類別」、「救護經驗」、「到院前通報」有顯差異。而且「腦中風知識」、「行動線索」、「腦中風處置態度」、「到院前救護的自我效能」與「腦中風救護的行為意圖」呈顯著正相關。 四、研究對象的背景變項、腦中風知識、腦中風到院前救護的行動線索、腦中風處置的態度及腦中風到院前救護的自我效能等變項可以有效預測「腦中風救護行為意圖」具有預測力,共可解釋腦中風救護行為意圖之總變異量的48.5%,其中以「高級心臟救命術證書」、「參與腦中風救護經驗」、「腦中風救護的行動線索」、「腦中風到院前救護的自我效能」等為主要預測變項,「腦中風到院前救護的自我效能」最具影響力,但具有「高級心臟救命術證書」卻為負向影響。
The main purpose of this study was to understand the status of the knowledge, cues to action, attitudes, self-efficacy and intention and related factors of prehospital care of acute stroke among emergency medical techinians in eastern Taiwan. The target group for this study focuses on first line techinians working in the estern Taiwan. The research tool was based on a structured questionnaire among a total of 109 valid questionnaires. The results of this study were as the followings: 1.The results of knowledge on acute stroke showed a upper middle level. The results of attitudes showed tending to "agree". The results of prehospital care intention of acute stroke showed "possible to do it ". 2.The relationship between knowledge, attitudes, self-efficacy, cues to action and health behavior showed positive correlations. 3.Among the background variables “expirience of acute stroke care”, "cues to action”, “self-efficacy” on “prehospital care of acute stroke" could effectively predict health behavior. The most efftive variable was “self-efficacy”. But, “having advanced cardiovascular life suppor training” became a negative affect.
Other Identifiers: GN0098053112
Appears in Collections:學位論文

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