研究生: |
林孜懿 Tzu-Yi Lin |
---|---|
論文名稱: |
探討台灣北部地區參與清潔針具計畫之地方藥局從業人員推廣計畫之相關因素研究 |
指導教授: | 葉國樑 |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2009 |
畢業學年度: | 97 |
語文別: | 中文 |
論文頁數: | 108 |
中文關鍵詞: | 清潔針具計畫 、地方藥局 、PRECEDE模式 、減害計畫 |
英文關鍵詞: | needle exchange program, community pharmacist, PRECEDE model, harm reduction program |
論文種類: | 學術論文 |
相關次數: | 點閱:217 下載:5 |
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摘 要
本研究主要目的在於了解參與清潔針具計畫之藥局從業人員對於計畫的執行現況,並進一步探討影響計畫行為之相關因素,以供日後相關行政部門落實清潔針具計畫推動之參考。研究方法以參與2009年清潔針具計畫台北區地方藥局從業人員為母群體,採全數調查,利用郵寄問卷方式,共發出問卷93份,有效問卷回收率84.95%,得有效樣本79人。所得資料採描述性及推論性統計方式進行分析。
研究結果顯示:(1)態度、自覺行動利益、自我效能、資訊獲得情形、滿意度及重要他人的支持程度與遵行清潔針具計畫行為呈現正相關,自覺行動障礙與遵行清潔針具計畫行為呈現負相關;(2)對遵行清潔針具計畫行為之執行現況,整體而言執行頻率以經常會的最高有五成四,遵行頻率分別以「懸掛清潔針具計畫識別標誌」、「張貼愛滋病防治宣導海報」及「告知藥癮者安全處理使用過的針具或回收使用過的針具」為多,而「告知藥癮者採取安全性行為」與「詢問藥癮者參加愛滋病毒篩檢意願並提供資訊」最無法遵行;(3)自我效能、清潔針具計畫資訊獲得情形最能預測參與清潔針具計畫之地方藥局從業人員遵行清潔針具計畫行為,聯合解釋變異量達39.5%。其中以自我效能對遵行清潔針具計畫行為最具影響力。
關鍵字:清潔針具計畫、地方藥局、PRECEDE模式、減害計畫
ABSTRACT
The purpose of this study was to understand the awareness of current status of the needle exchange program NEP) among the community pharmacists in Taipei area. We analyzed the associated factors that would influence the program, which might further provide the government authorities some references.
Postal questionnaires survey was mailed to all community pharmacists who joined the annual NEP in Taipei in 2009. Descriptive statistics and deductive statistics were adapted to analyze the data. A total of 93 postal questionnaires survey forms were mailed. Seventy-nine out of the 93 questionnaires were returned (response rate: 84.95%).
1.Attitude,self-awareness of benefit, self-efficacy, sufficient information, satisfaction with the NEP and supports from the significant ones were positively associated with the willingness of following the NEP defined items, while self-awareness of obstacles was negatively associated with the willingness.
2.Regarding to the actual status of performing NEP, the highest rate was 54% on “often”. The NEP items that a community pharmacist was most willing to follow were “Hang the NEP program identity sign at the pharmacy”, “Post the HIV/AIDS prevention posters at the pharmacy” and “Inform the drug users about the information on how to safely handle the needle syringes and how to recycle the needle syringes”. The NEP items theta community pharmacist is least willing to follow were “Inform the drug users the importance of safe sex” and “Query the drug users on their willingness to participate in the HIV screening program and provide related information.”
3.The factors that best predict the community pharmacists’ willing to follow the NEP program items were self-efficacy, religious belief, and information sources. All these factors could explain 39.5% of the variation. Among them, self-efficacy was the most powerful factor to influence the community pharmacists’ willingness to follow the NEP items.
Key Words: needle exchange program、community pharmacist、PRECEDE model、harm reduction program
中文部份
王永衛(2007)。社區藥局與毒品使用者對於藥癮愛滋疫情、減害試辦計畫之相關知識、態度與行為探討(行政院衛生署疾病管制局科技發展研究報告編號:DOH96-DC-1008)。台北:行政院衛生署疾病管制局。
王秀媞、王瑞霞(2000).以PRECEDE模式探討五專生愛滋病預防行爲意圖.護理研究,8(3),349-361
朱志宏:公共政策。台北:三民書局,2001。
行政院衛生署:95年地方衛生局績效綜合考評作業手冊,2006。
邱啟潤、吳瓊滿、王瑞霞、李淑婷:以PRECEDE模式分析老人健康檢查的行為.The Kaohsiung Journal of Medical Sciences ,1999;15(6),348-358。
佩特‧德寧、珍妮‧利特、艾迪娜‧葛利曼著、謝菊英、蔡春美、管少彬譯:挑戰成癮觀點-減害治療模式。台北:張老師文化,2007。
武靜蕙:台北市立醫院護理人員對愛滋病知識態度之調查研究。國立台灣師範大學衛生教育研究所碩士論文,1988。
吳文琪、李蘭(2001).台北市國中生之暴力行為與溝通技巧的關係.台灣公共衛生雜誌,20(4),485-494。
柯乃熒等:減害措施-注射藥物使用者之愛滋防治措施:愛滋關懷季刊,2005;50,1-7。
許淑雲:靜脈注射藥癮者感染愛滋病毒之危險行為探討。疫情報導2007;23(10),549-559。
許淑雲、王俊毅、廖弘恩:靜脈注射藥癮者參與減害計畫之意願及影響因子探討。台灣衛誌 2007;26(4),292-302。
張嫚純、丁志音:成癮藥物使用情境脈絡與HIV感染關聯之初探。台灣衛誌 2006;25(6),462-473。
張春興(民80)。張氏心理辭典。臺北:東華。
陳政惠:台南監所男性靜脈注射藥癮者感染愛滋病毒之危險因素探討。台南:國立成功大學醫學院公共衛生研究所碩士論文,2006。
陳立慧:衛生署「毒品病患愛滋減害計畫」對毒癮愛滋防治成效之探討-以桃園監獄毒癮受刑人為例:開南大學公共事務管理研究所碩士論文,2007。
楊君菁:影響社區組織團體參與社區防疫意願之相關因素:已嚴重急性呼吸道症候群為例。國立陽明大學社區護理研究所碩士論文,2004。
蔡慧茵:社區藥局對於參與清潔針具計畫的意願及其認知與實務經驗。國立台灣大學公共衛生研究所碩士論文,2008。
蔣立琦、趙淑員、賴香如(1999).發展氣喘兒童自我處理教育計劃.護理雜誌,46(4),15-22。
諶世芳:某護理學院護生對照顧SARS病人的意願及其影響因素之研究。國立台灣師範大學衛生教育研究所碩士論文,2004。
衛生署疾病管制局:毒品病患愛滋減害試辦計畫(核定本),2005。
衛生署疾病管制局:96年減刑藥癮世代血液傳染病和相關行為追蹤計畫,2007。
衛生署疾病管制局:藥癮愛滋減害計畫96年執行作業手冊(修正版),2008。
衛生署疾病管制局:疾病管制局網頁/愛滋病主題/國內疫情報導/統計資料。http://www.cdc.gov.tw/lp.asp?ctNode=1095&CtUnit=434&BaseDSD=7&mp=220。引用2008/10/27。
衛生署疾病管制局:疾病管制局網頁/愛滋病主題/愛滋結合電子報第15-16期/。http://www.cdc.gov.tw/aidstbenews/aidstbenews16/page1.html#。引用2008/10/27。
衛生署疾病管制局:疾病管制局網頁/愛滋病主題/減害館
http://www.cdc.gov.tw/np.asp?ctNode=1632&mp=220。引用2008/10/27
衛生署疾病管制局:98年第一次台北區清潔針具計畫實地訪查紀錄表,2009。
簡大任、季瑋珠:台北市有偶婦女接受子宮頸抹片檢查影響因素之探討.中華公共衛生雜誌,1995;14(2),111-128。
顧英華:中部地區國、高中學生愛滋病知識與態度之研究。台中師範學院自然科學教育系碩士論文,2004。
英文部份
Ball AL, Rana S, Dehne KL. HIV prevention among injecting drug users: responses in developing and transitional countries. Public Health Rep1998;113:170-81.
Banduea, A. (1977), “Self-efficacy: Toward a unifying theory of behavioral change.Psychological Review, ” 14, pp.191-215.
Bandura, A. (1991), “Social cognitive theory of self- regulation,” Organizational Behaviorand Human Decision Process, 50, pp.248-287.
Clarke K, Sheridan J, Griffiths P, Nobel A, Williamson S, Taylor C. Pharmacy Needle Exchange: do clients and community pharmacists have matching perceptions? Pharm J 2001; 266: 553-556.
Cohen, J.: Changing Course to break the HIV-Heroin connection. Science 2004;304:1434-5.
Deibert RJ, Goldbaum G, Parker TR, Hagan H, Marks R, Hanrahan M, Thiede H. Increased access to unrestricted pharmacy sales of syringes in Seattle-King County, Washington: structural and individual-level changes, 1996 versus 2003. Am J Public Health 2006; 96(8): 1347-1353
Green, L. W., Kreuter, M. W., Deeds, S. G., & Partridge, K. P. 1980. Healtheducation planning: A diagnostic approach. Mountain View, CA:Mayfield.
Green, L. W., & Kreuter, M. W. 1991. Health promotion planning. Aneducation and environment approach (2nd ed). Mountain View, CA:Mayfield.
Marlatt GA.Harm reduction: come as you are. Addict Behav 1996;21:779-88.
Reich W, Compton WM, Horton JC, Cottler LB, Cunningham-Williams RM, Booth R, Singer M, Leukefeld C, Fink J, Stopka T, Corsi KF, Tindall MS: Pharmacist ambivalence about sale of syringes to injection drug users. J Am Pharm Assoc 2002; 42 (suppl 2): 52-57.
Sheridan J, Strang J, Taylor C, Barber N. HIV prevention and for drug misusers: a national study of community pharmacists’ attitudes and their involvement in service specific training. Addiction 1997; 92(12):1737-1748.
Sheridan J, Henderson C, Greenhill N, and Smith A. Pharmacy-based needle exchange in New Zealand: a review of services. Harm Reduction Journal 2005; 2:10.
Schunk, Dale H.(1988),”Perceived self-efficacy and related social cognitive performance”,ERIC Document Reproduction services, No. ED 293 866.
Thein H:Injection behavior of injection drug users at needle and syringe programmes and pharmacies in Australia. International Journal of Drug Policy; 14(6):425-430
Wodak A. Twelve lessons from two decades of harm reduction. Conference on methadone maintenance treatment, Taipei, Taiwan, Jan 22, 2008.
Wodak A. Opioid dependence treatment & HIV/AIDS management. Conference on methadone maintenance treatment, Taipei, Taiwan, Jan 22, 2008.
WHO. HIV prevention, treatment and care for injecting drug users and prisoners. Available at: http://www.who.int/hiv/topics/idu/en/index.html. Accessed November 1, 2008.