| 摘要: | 新冠肺炎 (Coronavirus Disease-2019；簡稱COVID-19) 於2020年2月11日由世界衛生組織 (World Health Organization, WHO) 正式命名，全球各地迄今感染及死亡個案仍持續增加中。此疫情為社區照顧帶來恐慌，隨疫情升溫疑似新冠肺炎或確診個案經治療解隔回歸到社區，且持續有居家照顧需求的患者，在照顧上是否面臨照顧人力缺乏的困境令人感到擔憂！因此，本研究欲探討社區居家照顧第一線人員-「居家照顧服務員」對新冠肺炎的照顧知識、態度、自覺疾病威脅與照顧意願之差異及相關因素，並了解照顧意願傾向及考量因素。本研究以新北市中永和區居家式服務類長期照顧服務機構之本國籍的居服員為主，至少擔任居服員三個月以上且年齡介於 20 至 70 歲之間，以結構式問卷進?資?收集，共發出 132 份問卷，回收132份問卷（回收?100％），所得資料以統計模式加以分析驗證。本研究結果發現：居服員對新冠肺炎的知識尚屬?好，態?上普遍稍傾向正向，新冠肺炎對居服員的威脅是存在的，雖本研究中新冠肺炎知識對於受訪者的自覺疾病威脅與照顧意願未產生顯著影響，但研究發現態度在此扮演中介效果 (mediator) 之角色，可藉由態度進而影響受訪者之自覺疾病威脅與照顧意願，顯示居服員若具有較充足的新冠肺炎照顧知識，其面對新冠肺炎的態度將更正向，進而提升照顧新冠肺炎患者的意願。當整體工作環境能提供充足的教育訓?及提升充足防護裝備等，居服員照顧新冠肺炎患者的願意將隨之提高。故居家服務單位應加強感染管制、防疫措施的教育訓練，提升全面向的個人防護裝備，強化居服員的信心，讓服務過程更安全，降低感染風險。
Coronavirus Disease-2019 (COVID-19) was officially named by the World Health Organization (WHO) on February 11, 2020, and the number of infections and deaths around the world has continued to increase so far. This epidemic has brought panic to community care. As the epidemic heats up, patients suspected of new coronary pneumonia or confirmed cases have returned to the community after treatment and isolation, and they continue to need home care, whether they are facing the issue of the staff-shortage. Therefore, this study intends to explore the differences and related factors of the front-line community home care workers - resident care attendants (RCAs) regarding COVID-19 care knowledge, attitudes, perceived disease threat and willingness to take care, and to understand the tendencies and factors of willingness to care. This study mainly adopted on domestic RCAs of their own nationality from home-based long-term care service institutions in Zhongyonghe District, New Taipei City, who had served as domestic service workers for at least three months and are between the ages of 20 and 70. A structured questionnaire was used for data collection, total of 132 questionnaires were sent out, and 132 questionnaires were recovered (the recovery rate was 100%). The obtained data were analyzed and verified by a statistical model. The results of this study found that the knowledge degree of COVID-19 among the RCAs was good, and their attitudes generally tended to be slightly positive. The threat of COVID-19 to the RCAs existed. Thought disease threat and willingness to care did not have a significant impact, the study found that attitude played a mediator effect, and attitude could further influence respondents' perceived disease threat and willingness to care More knowledge about COVID-19, their attitude towards COVID-19 would be more positive, thereby enhancing their willingness to take care of COVID-19 patients. When the overall working environment could provide sufficient training and improve adequate protective equipment, the willingness of RCAs to take care of COVID-19 patients would increase accordingly. Therefore, the relevant authority should be done to enhance the full-scale protective measures for the caretakers to raise RCAs confidence. The service process was safer, while decreasing their infection risks. |
