醫院工作人員之病人教育意識研究－－計畫參與者和未參與者之比較

The Awareness of Patient Education Among Hospital Staffs-- the Comparisions between Program Participants and Non Participants

為瞭解74年至76年台北市衛生局病人教育工作計畫推行期間，中興、仁愛、和平 和婦幼4所市立醫院病人教育重點示範工作經驗，對醫療專業人員和醫院的組織氣候之影響，本研究接受主辦單位的委託，以事後回溯問卷調查法，嚐試探查：(1)參與病人教育重點示範工作人員（病教組）與參照之工作人員（參照組）在有關病人教育態度和病人教育工作制度與實施兩方面的差異；(2)不同職稱的病教組工作人員對病人教育態度和實施現況的反應。本研究對象包括參與此項重點示範工作的所有成員分為醫師、護理人員、其他醫療工作人員和行政人員四組，是為病教組。再依照病教組人數，以等距隨機抽樣方式抽取相同數目之參照組，人數各預訂為139人，實際受試者病教組125名，參照組135名。初步研究結果顯示，4所醫院的工作人員，不管是否參與重點示範工作，在病人教育態度和實施上都有相當一致的反應。病教組在病人教育態度、工作組織的清楚度，工作勝任度等方面較參照組反應強度較高，但在實際上工作量與未來工作意願上則無差別 ，比較各職稱工作人員間的意見反應時發現，與醫師的工作關係和在醫療團隊中有平等參與決定的機會和權利，是醫師以外工作人員的反應重點。病教組認為最難達到的病教效果是「修正與疾病有關的生活方式」和「增強服藥與返診的行為」等行為改變的項目。而兩組工作人員對在職教育需要項目的不同，也顯示不同經驗階段的工作人員，在職教育的內容重點應有所不同。

There're 4 Taipei City hospitals had developed Patient Education Program during 1985 to 1989. For the purpose of evaluating the effect of this program, we conduct this study. The objectives of the study are: 1.To concpare the attitudes toward Patient Education Program between medical workers who had participated in this program (experiment group) and those who hadn't (control group). 2.To understand the attitudes and behaviors toward Patient Education Program among different medical workers. It's a retrospective study, we surveyed 270 samples, 125 for experiment group, 135 for control group respectively. The results of the study are: 1.All medical workers show positive attitude toward Patient Education Program. 2. Experiment group shows stronger attitude, feels more competent, and has more understanding of organization toward Patient Education Program. However, when asked about their daily work, experiment group answered that they didn't pay more time for patient education still, in this study, they don't show stronger willing to participate in the future. 3. Paramedicals feel that to get better communication with doctors, and to have more chances involving in making decision within medical team are important. 4. Experlmcent group feels that the hardest work in patient education are 'how to medify patients' life style' and 'how to improve patients' adherence to regimens and appointment-keeping ratio.'