護理學生對針扎知識、態度及行為相關因素之探討：以北部某醫護管理五年制專科學校為例

"The Investigation of Knowledge, Attitude, Practice, and Related Factors of Needlestick Prevention for Nursing student- A Study of a Junior College of Medicine, Nursing, and Management in North Taiwan"

"目的：探討五專護理學生針扎知識、態度及行為相關因素。方法：橫斷式方式取樣方式，研究對象為北市醫護管理專科學校護理學生共500位，於2019年3月20日至2019年8月3日進行問卷調查，回收有效問卷439份(87.8%)，問卷內容含個人背景、針扎預防知識、針扎預防態度、針扎預防行為等。以SPSS 22版統計軟體進行資料分析。結果：年級、目前實習層級、目前實習單位、目前為止實習幾站護理之學生在針扎預防知識總分上有顯著差異(p < .05)；性別、年級、目前實習層級、目前實習單位、目前為止實習幾站護理之學生在針扎預防行為平均分上有顯著差異(p < .05)；護理學生針扎預防之知識與態度呈負相關(r = -.12, p = .011)、知識與行為負相關(r = -.09, p = .046)、態度與針扎預防行為呈正相關(r = .40, p < .001)。多變項線性迴歸結果顯示女護理學生具有顯著較高的針扎預防行為(β= .13, p = .002)，針扎預防態度總平均則針扎預防行為總平均也會越高(β= .13, p =.002)。結論：年級越高的護理學生對針扎預防行為越低，建議學校教育者對於高年級之實習護理學生在實習前對針扎預防行為必須持續加強關注。期盼課室與臨床課程規劃強化針扎預防態度與針扎預防行為之重要性。"

"Objectives: The purpose of this study was to investigate the factors related to the knowledge, attitudes, and practices regarding needlestick prevention among nursing students from five-year junior college programs.Methods: Convenience sampling was employed for this cross-sectional study. The participants, who were nursing students from a junior college of medicine, nursing, and management in Taipei City, were recruited from March 20, 2019 to August 3, 2019 and completed a cross-sectional survey. A structured questionnaire was used to collect data. The questionnaire consisted of two sections: the participants’demographic background information and a scale on their knowledge, attitudes, and practices with respect to needlestick prevention. The collected data were analyzed using SPSS 22 statistical software by conducting mean and standard deviation calculations, t-tests, one-way ANOVA, and Pearson productmoment correlation coefficient analyses, and linear regression.Results: Of the 500 questionnaires that were distributed, 439 were found to be valid (87.8%). The nursing students’knowledge of needlestick prevention was significantly different (p <. 05) with respect to their year of study, current internship level, current internship program, and internship experience to date; the nursing students’needlestick prevention practices were significantly different (p < .05) with respect to their sex, year of study, current internship level, current internship program, and internship experience to date (p < .05).Nursing students’knowledge of needlestick injury prevention and attitude were negatively correlated (r = -.12, p = .011), knowledge and practices were negatively correlated (r = -.09, p = .046), attitude and needlestick prevention practices were positively correlated (r = .40, p < .001). The results of the multivariable linear regression showed that female nursing students were associated with significantly higher needlestick safety precautions (β= .13, p = .002).Conclusion: The higher the nursing level of education, the less prevalence of needlestick safety precautions. It is recommended that school educators continue to pay close attention to needlestick prevention practices of nursing students before their internship rotation."