長照人員傳染病認知、態度、照顧意願及教育成效

Long-Term Care Personnel’s Perception, Attitude, and Willingness to Care Patients with Infectious Diseases and the Effect of Education

本研究目的是為了解長照人員對傳染病認知、態度與照顧意願，及教育訓練對其之成效。採單組前後測研究設計，針對機構人員進行問卷調查，並在傳染病教育訓練後再次調查，並進行成效分析。結果共收案95人，長照人員自覺接受足夠教育訓練的排行依序為疥瘡(41.1%)、肺結核(35.8%)、愛滋病照顧(18.9%)。長照人員傳染病照顧的認知前測正確率，得分高低依序為疥瘡(92.6%)、愛滋病(87.4%)、結核病(76.5%)。照顧意願分數依序為疥瘡、結核病、愛滋病最低。短期教育訓練對長照人員對於照顧罹患結核病、疥瘡與愛滋病之住民的認知與態度無顯著性差異，但可顯著提升照顧意願。於本研究中發現長照人員照顧病患類別意願由高至低依序為疥瘡最高、結核病與愛滋病，和其自覺接受足夠教育訓練順序相同。雖然，本研究樣本量小，可能無法推論教育的實際成效，但仍建議應給予長照人員傳染病教育訓練，以提升照護意願。

This study purpose was to explore the long-term care personnel’s perception, attitudes, and willingness to care for patients with tuberculosis, scabies, and AIDS. We also evaluated the effect of a short educational program. This study employed a pre- and post-test design for personnel of long-term care institutions after they received educational training on infectious diseases to identify the perceptions, attitudes and willingness to care with a questionnaire. A total of 95 participants were recruited. The percentage of long-term care personnel subjectively to feel having adequate education and training were 41.1% for scabies, 35.8 %for tuberculosis and 18.9% for AIDS. The correction perception percentage were 92.6% for scabies, 87.4% for AIDS and 76.5% for tuberculosis. The willingness to care infectious diseases cases differed, while scabies scored the highest, tuberculosis ranked the second, and the lowest score was for AIDS. After the short-term educational training, the results of the post-test revealed significant improvements in long-term care personnel’s willingness to care for patients with tuberculosis, scabies, and AIDS, while no significant change on perceptions and attitudes was found. The willingness to care infectious diseases ranked from high to low were scabies, tuberculosis and AIDS. The rank is the same with regard to the subjective feeling of adequate education and training. This study’s sample size is small and it may not be possible to deduce the actual effect of education. However, it is recommended that educational training on infectious diseases improved the willingness to care.