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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/111285

    Title: 住宿型長期照護機構工作人員對於防火管理的認知、態度與行為之研究-以臺中市大里區為例
    Authors: 陳柏宇
    Contributors: 健康產業管理學系長期照護組碩士在職專班
    Keywords: 防火管理、住宿型長期照護機構、認知、態度、行為、fire management、residential long-term care institutions、perception、attitude、behavior
    Date: 2018
    Issue Date: 2018-08-13 14:33:53 (UTC+8)
    Publisher: 亞洲大學
    Abstract: 背景:台灣因為高齡化與少子化的問題日益嚴重,住宿型長期照護機構(簡稱長照機構)的需求快速提高,不過,由於長照機構之住民多為老人或身心障礙者,身體活動能力較一般人差,故火災發生時在自主避難的能力較差的情況下,大多需要旁人協助逃生避難。雖然政府單位近年來對於長照機構的建築物及消防設備都有相關的改善依據,但仍然不斷發生長照機構火災傷亡的事件,可看得出「人」才是真正的問題,若工作人員平時人員沒有落實火災預防以降低火災發生機率;或是災害發生時沒有使用消防滅火、通報及逃生設備的正確觀念,就算有再安全的建築物或消防設備也不足以應付無情的大火。
    方法:本研究採橫斷性研究設計,以臺中市大里區所有的長照機構為例,透過自擬結構式問卷進行量化調查與分析。問卷題目採李克特五點量表,受測者平均分數愈高,表示防火管理的認知、態度與行為愈佳。統計分析部分採用SPSS 20.0進行,包括:樣本基本資料及各構面題項之描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森相關分析、複迴歸分析及階層迴歸分析等。
    Due to the exacerbating problems of aging population and low fertility in Taiwan, the demand for residential long-term care institutions (“LTC institutions”) has rapidly increased. However, as the residents of LTC institutions are mostly elderly or physically disabled, their physical mobility is comparatively limited compared to ordinary people. Thus, with poor ability for taking refuge in the event of a fire, most of them need help from others for escaping. Even though government agencies have made relevant improvements to the buildings and fire-fighting equipment of the institutions in recent years, it still has fire accidents occurring in those institutions. It is evident that the real problem lies in "people". If the staffs do not implement fire prevention on ordinary days to reduce the probability of fire occurrence, or if they lack the correct understanding of firefighting, alarm and escape equipment in the event of disaster, no matter how safe the buildings or fire-fighting equipment are, they will not be sufficient for dealing with the ruthless fire.

    The aim is to learn about the current status of the "perceptual", "attitudinal" and "behavioral" aspects of the staff in LTC institutions regarding fire protection management and to further explore the factors behind these aspects, as well as the correlation between the three aspects.

    This study adopted a cross-sectional study design, taking all the LTC institutions in Da-li District of Taichung City as examples, with quantitative surveys and analysis conducted through self-designed structured questionnaires. The questionnaire was based on the Likert five-point scale. The higher the average score of the subjects, the better the perception, attitude, and behavior toward fire management. The statistical analysis part was carried out using SPSS 20.0; it includes sample basic data and descriptive statistics, independent sample t-test, single-factor variance analysis, Pearson correlation analysis, complex regression analysis, and hierarchical regression analysis for each aspect item.

    A total of 9 LTC institutions were surveyed in this study, and a total of 184 valid questionnaires were collected, with a recovery rate of 59%. The average scores on perceptions, attitudes, and behaviors of the staff of LTC institution in Da-li District, Taichung City were 4.32 (±0.44), 4.57 (±0.41), and 4.28 (±0.50), respectively. Among the scores of each aspect, the institution staff has a lower perception score for the "Normally closed safety door should be kept closed". In the attitude item, the score for "There is less manpower at night, so I don't think there is a need for fire drills at night" is low. In the behavior item, the staff has a lower score for "In the event of fire, I think I can use the internal fire-fighting equipment to perform the fire-fighting action correctly." According to the results of the complex regression analysis, the higher the education level with Taiwanese nationality, the higher the perception, attitude, and behavior score of fire management. In terms of age, older age groups have significantly higher scores on perception on fire management. In terms of gender, the scores on fire management behaviors for females were significantly lower than those for males. The results of hierarchical regression analysis show that with other variables controlled, both perception and attitude positively and significantly affect behavior, and attitude has a partial mediating effect on the relationship between perception and behavior.

    The results of this study show that gender, age, nationality, education level, and seniority will affect the perceptions, attitudes, and behavior of the staff of LTC institutions on fire management. Looking forward to the government's policy planning on fire prevention and internal management of the agencies in the future, education and training should be strengthened for the groups that lack an understanding of the various aspects of fire prevention management, as well as the aspects with weaker scores. In addition, through the improvement on the awareness of fire management, attitudes on fire management would then be improved, which in turn creates positive behaviors related to fire management.
    Appears in Collections:[健康產業管理學系] 博碩士論文

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