台灣地區高中職及大專護理人員在接受結核病防治教育成效之探討

Effects of Tuberculosis Prevention and Control Education on Nurses at Vocational and General High Schools and Colleges in Taiwan

目的：本研究主要目的在了解結核病教育介入對於學校護理人員的知識、態度、知覺行為控制及行為意圖的成效。方法：本研究為類實驗性單組前後測研究。研究對象為參與結核病防治研習訓練的高中職及大專院校學校護理人員，介入教育共計6 小時，包含：結核病診療與預防、校園防治及實務經驗分享。以自填問卷前後測方式收集資料，採用SPSS 20.0 進行資料分析。結果：結核病知識前後測達統計差異（paired t=16.98, p＜ .01）；結核病知覺行為控制前後測達統計差異（paired t=14.34, p＜ .01）；結核病行為意圖前後測達統計差異（paired t=6.03, p＜ .01）；而態度前後測未達統計差異。分析校護在結核病防治行為意圖相關之預測因子，顯示排除干擾變項後，僅介入後的態度與知覺行為控制具有預測力。結論：持續的知識教育介入及實務分享對結核防治知識、知覺行為控制及行為意圖的提升有其價值，而影響校護防治行為意圖的主要因素是態度及知覺行為控制。

Objective: This study investigated the effects of tuberculosis (TB) educational intervention on school nurses' knowledge, attitude, perceived behavioural control, and behavioural intention. Methods: A quasiexperimental one-group pretest-posttest design was adopted in this study. Participants were nurses at vocational and general high schools and colleges who had attended the TB prevention workshop. The educational intervention lasted for 6 hours in total. The workshop program included TB diagnosis and prevention, TB control on campus, and sharing of practical experiences. Data were collected using pretest-posttest questionnaires, and SPSS 20.0 was employed for data analysis. Results: There is significantly different between pre- and after test in knowledge (paired t=16.98, p＜ .01), perceived behavioral control (paired t=14.34, p＜ .01), and behavioral intention（paired t=6.03, p＜ .01). However, attitude was non-significantly different between pre- and after test. The determinants that affected the behavioural intention in the post test were attitude and perceived behavioural control. Conclusion: Continuously providing prevention programs contributes toward the school nursing personnel's knowledge, skills, and motivation for preventing tuberculosis. The major factors for behavioural intention were attitude and perceived behavioural control.