不同背景特徵的手術室護理人員對手術煙霧，自覺症狀、知識、態度、自我防護行為及阻力因素之比較

Comparing different background characteristics in self-perceived symptoms, knowledge, attitude, self-protection behavior, and resistance factors for surgical smoke among operating room nurses

目標：描述手術室護理人員所經驗過的手術煙霧症狀頻率與嚴重度；及其手術煙霧的知識、態度、自我防護行為及阻力因素，並比較不同背景特徵的手術煙霧症狀頻率與嚴重度、知識、態度、自我防護行為及阻力因素差異。方法：採描述性與比較性研究，方便取樣兩院區手術室護理人員，使用自擬結構式問卷，資料分析採描述性及單因子變異數分析。結果：症狀頻率與嚴重度前三高為想睡覺、流鼻水或其他鼻子不適、頭痛與咳嗽；不同年齡、護理及手術室工作總年資與每日平均工作時數的症狀頻率與嚴重度有顯著差異。知識答對率53.3％；態度平均數3.58分，而不同年齡、職稱、臨床工作職級、臨床工作科別、護理及手術室工作總年資的手術煙霧態度有顯著差異。自我防護行為平均數為1.47分，僅不同臨床工作科別有顯著差異，阻力因素平均數1.03分僅不同職稱有顯著差異。結論：期望此結果可提高手術室護理人員與醫療機構對手術煙霧職業傷害及相關防護方法的重視，並向人員宣導暴露之可能危害與加強自我防護行為。

Objectives: To describe the frequency and severity of symptoms of exposure to surgical smoke experienced by operating room nurses and to assess and compare the knowledge of, attitude toward, protective measures for, and resistance factors for surgical smoke among operating room nurses with different background characteristics. Methods: This descriptive and comparative study used a convenience sample of nurses at two operating rooms at a medical institute and asked the nurses to fill a structured self-report questionnaire. The data were analyzed using descriptive statistics and one-way analysis of variance. Results: The three most frequent and severe symptoms were sleepiness, runny nose or other nasal discomfort, and headache and cough. Significant differences in symptom frequency and severity were noted with respect to age, years of nursing/ operating room experience, and daily working hours. The knowledge test on surgical smoke was answered correctly by 53.3% of the nurses. The mean score of attitude toward handling surgical smoke was 3.58 and was significantly different with respect to age, work title, clinical nursing ladder, clinical unit, and years of nursing/ operating room experience. The mean score for self-protective behavior was 1.47 and significantly differed between different clinical units. The mean score for resistance factor was 1.03 and significantly differed between different work titles. Conclusions: These findings may increase the awareness of the hazards of exposure to surgical smoke and highlight the importance of implementing relevant protection measures, educating medical personnel on the potential risk of and injury after exposure, and improving self-protective behaviors.