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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 楊銘欽 | |
dc.contributor.author | Pei-Chuan Huang | en |
dc.contributor.author | 黃沛銓 | zh_TW |
dc.date.accessioned | 2021-06-16T08:45:04Z | - |
dc.date.available | 2016-02-25 | |
dc.date.copyright | 2014-02-25 | |
dc.date.issued | 2013 | |
dc.date.submitted | 2013-08-20 | |
dc.identifier.citation | 中文文獻
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/59022 | - |
dc.description.abstract | 研究背景與目的:心臟血管疾病一直是國人十大死因的前三名,而心室顫動是造成心因性猝死的最重要原因之一,及時施行心肺復甦術和使用自動電擊器將大幅提升心因性猝死的存活率;而國內調查發現,到院前死亡病患接受非救護員心肺復甦術的比例很低。本研究試圖調查一般民眾對以上急救技能的知識、態度與意願,以了解影響對陌生人施救意願的因素,供未來政策推行的參考。
研究方法:本研究為橫斷式研究設計,以全國住宅電話簿為抽樣清冊,縣市分層隨機抽樣,並以自行設計之結構式問卷對年滿20歲以上之成年人電話訪查,針對樣本之「性別」、「年齡」、「教育程度」及「地理區域」分佈進行多變數反覆加權法,直到符合母群體樣本分布。 研究結果:本研究共電訪9824次數,完成1,073份有效樣本。研究結果顯示,九成的民眾聽過心肺復甦術,只有五成的人會做;若會技術,有86.6%願意對陌生人施行。有四成民眾聽過自動電擊器,只有14%的人會使用自動電擊器;若會技術,有86.4%的人願意對陌生人使用。只有近一成的人聽過保護好心人規定,而不到3%知道規定內容是甚麼。造成不願意對陌生人施救的主要原因有:自覺技術不熟練或不會操作機器、害怕法律上的問題和擔心知識不足而傷害被救者。約八成的受訪者只願意花一小時去參加免費的急救訓練。而一般民眾對急救技術的知識、態度會影響其施行的意願。正向態度、男性與非從事醫療工作者,較願意對陌生人施行急救技術。 結論與建議:政府機關應持續推行”全民學習壓胸急救及自動電擊器”之計畫以促進國民健康;關於醫療工作人員的急救意願較低,應進一步研究並找出解決之道。此外,為提高學習意願,應努力縮短訓練課程時間至一小時、強化單純壓胸不對嘴、宣導急救對患者不會重大傷害與國內有保護好心人規定免除法律責任,去除一般民眾對他人施予急救之擔憂。另可考慮立法規範或鼓勵特定職業或證照應有參加急救訓練之證明,或要求發生心因性猝死機率較高之場所工作人員參加急救訓練。未來研究者應增加對自動電擊器之相關研究;或以本研究結果為基礎設計實驗性之研究,找出提高一般民眾對於陌生人施行心肺復甦術與使用自動電擊器意願的相關因素,作為未來推行救命技術建議。 | zh_TW |
dc.description.abstract | Background: Cardiovascular disease is one of the three leading causes of death in Taiwan, and ventricular fibrillation accounts for most sudden cardiac deaths. Timely administration of cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AED) could significantly improve the survival rate. In previous studies, a low bystander CPR rate was noted in Taipei. This study aims to investigate the public knowledge and attitude towards CPR, AED, and the Good Samaritan law in Taiwan, and to determine factors associated with people’s willingness to perform CPR or apply AED on strangers.
Methods: A population-based random sample of household telephone numbers was selected from a validated national sampling frame. A structured questionnaire was developed to assess the knowledge, willingness, and attitude towards CPR, AED, and the Good Samaritan law. After stratified random sampling, a national telephone survey with a computer-assisted telephone interviewing system (CATIS) was performed in 22 cities and counties. Logistic regression analysis was performed to identify factors associated with willingness to perform bystander CPR and AED. Results: A total of 9824 households were contacted, and 1,073 valid samples were collected. The results showed that 90% of respondents had heard of CPR, but only 50% of them had reliable skills. Among interviewees with qualified abilities, 86.6% were willing to perform CPR on strangers. Only 14% of respondents had heard of AED, and 86.4% of them were willing to apply AED on strangers. Few interviewees had heard of the Good Samaritan law (10%) and understood the legal provisions (3%). Factors related to the reluctance to perform first aid on strangers were lack of skills, fear of legal liability, and fear of causing injury to the victims. Factors most closely related with intention of bystander CPR and AED were being male, having a positive attitude, and non-medical staff. Conclusions: Nationwide first-aid policies are still needed to promote citizens' awareness and willingness to perform bystander CPR and AED. Additionally, educational courses on CPR and AED should be shortened to one hour for higher public participation. For policy development and public access defibrillation (PAD) promotion, more AED-related studies are needed. Future implementation should deploy simple and streamlined educational strategies to facilitate dissemination, and focus more on the legal and safety aspects of CPR and AED. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T08:45:04Z (GMT). No. of bitstreams: 1 ntu-102-R00848014-1.pdf: 2275712 bytes, checksum: 3fdd07c498b43e4aed55a127540b2eb7 (MD5) Previous issue date: 2013 | en |
dc.description.tableofcontents | 口試委員會審定書 I
謝辭 II 中文摘要 IV 英文摘要 V 目錄 VI 表目錄 X 圖目錄 XII 第一章、緒論 1 1.1研究背景與動機 1 1.1.1心臟病的重要性 1 1.1.2社區生命之鍊的重要性 2 1.2研究目的.. 3 1.3研究重要性與預期貢獻 4 1.4名詞解釋 …………………………………………………………………………4 1.5研究問題 …………………………………………………………………………5 第二章、文獻探討 6 2.1心肺復甦術(CPR) 6 2.1.1心肺復甦術簡介 6 2.1.2心肺復甦術的重要性 9 2.1.3台灣心肺復甦術概況 10 2.1.4施行心肺復甦術意願(行為意圖)研究 12 2.1.5影響學習或施行心肺復甦術之因素 14 2.2自動電擊器(Automated External Defibrillator-AED)與公共場所自動電擊器計畫(Public Access Defibrillation - PAD) 16 2.2.1自動電擊器的發展與簡介 16 2.2.2公共場所自動電擊計畫發展與簡介 18 2.2.3使用自動電擊器意願(行為意圖)研究 20 2.3善良的撒馬利亞人法(Good Samaritan law)-保護好心人規定 23 2.3.1善良的撒馬利亞人法(Good Samaritan law)的來由與簡介 23 2.3.2台灣關於善良的撒馬利亞人法(Good Samaritan law)的法律現況 26 2.4綜合討論...………………………………………………………………….……28 第三章、研究方法 29 3.1研究設計與架構 29 3.2研究假說…………………………………………………………………………30 3.3研究變項與操作型定義 30 3.3.1研究變項種類 30 3.3.2操作型定義 31 3.4研究對象與步驟 39 3.5研究工具…………………………………………………………………………39 3.6研究工具信度與效度 40 3.7資料收集過程 43 3.8資料處理與分析 46 3.8.1加權處理 46 3.8.2資料分類與統計方法 46 3.9研究倫理考量 52 第四章、研究結果 53 4.1描述性統計分析結果 53 4.1.1人口學資料 (表4-1-1) 53 4.1.2心肺復甦術題組(表4-1-2) 54 4.1.3自動電擊器題組(表4-1-3) 54 4.1.4好撒馬利亞人法(保護好心人規定) 題組(表4-1-4) 55 4.1.5綜合意見題組(表4-1-5) 55 4.2推論性統計分析結果 66 4.2.1「人口學基本資料、本人與同住家屬相關病史」與「心肺復甦術、自動電擊器與好心人保護法知識」相關分析 66 4.2.2「人口學基本資料、本人與同住家屬相關病史」與「心肺復甦術、自動電擊器與好心人保護法態度」之相關分析 67 4.2.3「人口學基本資料、本人與同住家屬相關病史」與「心肺復甦術、自動電擊器與好心人保護法意願」之相關分析 68 4.2.4「心肺復甦術、自動電擊器與好心人保護法知識」與「態度」之相關分析 68 4.2.5「心肺復甦術、自動電擊器與好心人保護法知識、態度」與「意願」之相關分析 69 4.2.6「對陌生人施行心肺復甦術意願」之相關因子(表4-2-6) 69 4.2.7「對陌生人使用自動電擊器意願」之相關因子(表4-2-7) 70 第五章、討論 95 5.1資料品質…………………………………………………………………………95 5.1.1樣本代表性 95 5.1.2問卷之效度 95 5.1.3問卷之信度 95 5.2研究結果討論 96 5.2.1一般民眾心肺復甦術知識、態度與意願 96 5.2.2一般民眾自動電擊器知識、態度與意願 98 5.2.3一般民眾對於好撒馬利亞人法(保護好心人規定)的了解與其影響 100 5.2.4一般民眾對於參加急救訓練與對陌生人急救之意見 101 5.2.5人口學因素與本人或同住家屬病史與心肺復甦術、自動電擊器與好撒馬利亞人法的知識、態度與意願相關性 102 5.2.6心肺復甦術、自動電擊器與好撒馬利亞人法的知識,與心肺復甦術和自動電擊器的態度相關性(表4-2-4-1~表4-2-4-4) 103 5.2.7心肺復甦術、自動電擊器與好撒馬利亞人法的知識與態度,與施行心肺復甦術和使用自動電擊器的意願相關性(表4-2-5-1~表4-2-5-2) 103 5.2.8人口學因素、本人或同住家屬病史、對於心肺復甦術和自動電擊器與好撒馬利亞人法的知識與態度,與其對陌生人施行心肺復甦術和使用自動電擊器的意願相關性(表4-2-6~表4-2-7) 104 5.3假說驗證………………………………………………………………………..106 5.3.1一般民眾之人口學因素(性別、年齡、教育程度、婚姻狀況、職業)與本人或同住家屬病史與其對於心肺復甦術、自動電擊器與好撒馬利亞人法的知識、態度與意願顯著相關。 106 5.3.2一般民眾之心肺復甦術、自動電擊器與好撒馬利亞人法的知識,與其對於心肺復甦術和自動電擊器的態度顯著相關 106 5.3.3一般民眾之心肺復甦術、自動電擊器與好撒馬利亞人法的知識與態度,與其對於施行心肺復甦術和使用自動電擊器的意願顯著相關 107 5.3.4一般民眾之人口學因素、本人或同住家屬病史、對於心肺復甦術和自動電擊器與好撒馬利亞人法的知識與態度,與其對陌生人施行心肺復甦術和使用自動電擊器的意願顯著相關 107 5.4 研究限制與建議 108 5.4.1研究工具與資料收集方式限制 108 5.4.1樣本外推性之限制 108 第六章、結論與建議 109 6.1結論……………………………………………………………………………..109 6.2建議……………………………………………………………………………..111 6.2.1對政府主管機關建議 111 6.2.2對未來研究建議 112 參考文獻 113 中文文獻……………………………………………………………………………...113 英文文獻……………………………………………………………………………...116 附錄一、國立台灣大學附設醫院倫理委員會審核證明 123 附錄二、問卷 125 | |
dc.language.iso | zh-TW | |
dc.title | 民眾對於施行心肺復甦術、使用公眾電擊器與好撒馬利亞人法的知識、態度與意願 | zh_TW |
dc.title | Knowledge and attitude toward to cardiopulmonary resuscitation、automated external defibrillator and Good Samaritan law in Taiwan | en |
dc.type | Thesis | |
dc.date.schoolyear | 101-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 馬惠明,董鈺琪 | |
dc.subject.keyword | 路人心肺復甦術,自動電擊器,好心人保護規定,電話訪問, | zh_TW |
dc.subject.keyword | bystander CPR,public access defibrillation,good Samaritan law,telephone survey, | en |
dc.relation.page | 133 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2013-08-22 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 健康政策與管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
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