社區型老人長期照護機構工作人員對感染控制之行為意向之調查

Employees' Behavioral Intent Regarding Infection Prevention and Control in Community-based Long-term Care Facilities

目的：本研究目的主要在探討台灣各縣市社區型老人長期照護機構工作人員進行感控防疫行為的意向及其影響因子。方法：本研究採橫斷式調查研究，以結構式問卷進行研究資料的收集。以2009年7月止內政部登記立案之946家老人長期照護機構為問卷寄送調查對象。統計方法採用描述性統計、變異數、相關分析及線性逐步複迴歸分析。結果：共回收有效問卷248份。受訪者工作之長期照護機構大多為私人小型型態，且有感控措施、專職感控人員及教育訓練。整體而言，有89.1%受訪機構具防疫行為意向。綜合本調查研究的結果顯示：男性、長期照護工作年資越久者、有專人登錄分析之機構，及過去一年曾受過教育訓練者，其進行防疫工作的行為意向較高。結論：依本研究結果建議應落實防疫教育訓練以積極增強機構內照護工作人員的感染控制知能及處理應變能力，如此可顯著提升機構工作人員的防疫行為意向。

Purpose: The purpose of this study was to explore employees' behavioral intent regarding infection prevention and control (IPC) in community-based long-term care facilities (LTCFs) in Taiwan, and to analyze the factors that influenced it. Methods: A cross-sectional design with a structured self-administered questionnaire was used to investigate the LTCF employees' behavioral intent regarding IPC, and to collect personal data, characteristics of the work place, and policies relevant to in-service training. The mailing list included a total 946 LTCFs which were registered in July 2009 by the Ministry of the Interior. The statistical methods used were descriptive statistics, correlation analysis, and stepwise multiple linear regression. Results: A total of 248 valid questionnaires were returned. Most community-based LTCFs were privately owned and small in size. Most of them had an IPC policy, infection control personnel, and relevant training programs. Overall, 89.1% of respondents had behavioral intent regarding IPC. Stepwise multiple linear regression showed that male employees, more years working in long-term care, a facility with infection control personnel, and relevant training during the past year were associated with a higher intent to practice IPC. Conclusions: In-service training programs to raise employees' awareness and increase their capacity to practice infection control should be implemented in order to enhancing the employees' behavioral intent regarding IPC in community-based LTCFs.