| Summary: | 碩士 === 國立臺灣師範大學 === 衛生教育研究所 === 90 === ABSTRACT
The purpose of this study was to find out the current practice of the management of the school injuries and sickness in the campus of primary schools around the Taiwan area as well as its relevant influences and factors. In order to do this, a structural questionnaire was created as a tool for the study. Targets for the study were the public and private primary schools of the 2000th academic year around the Taiwan area. Three hundred and sixty copies were issued in total; 309 effective ones were retrieved, with a successful retrieving rate of 86.6%.
The main findings of the study are the following：
The implementing of the measures for emergency preparedness in the campus around Taiwan lacked coordination and consistency. Most schools had trouble of contacting the parents at the critical moment of an emergency when a student is injured or sick. Only thirty percent of the schools had set up school emergency care committee and written emergency care procedures. The health centers of the schools were insufficient in man power, communication and broadcasting systems, as well as emergency care equipment. Although seventy-percent schools kept injuries and sickness records., less than twenty percent of them have really made good use of them.
These schools set up emergency training programs with different designings. They had no enough training hours and the needed attendance frequency. Chances of taking part in these programs were not available to all, and financial supports were inadequate. Consequently, one can hardly expect any good results from them.
About eighty percent schools appointed their school nurses as the main agent for taking care of these unintentional injuries and sickness. As these nurses had no enough training hours for handling these, much needs to be done to them yet. And schools paid little attention to students’ insurance for their attendance hours. When school nurses ask for leave, only twenty percent of them have appointed proxies to take care of their duties for them.
Fever and abdomen pains occurred the most among all the emergent sickness in campus, while laceration and fractures were the main causes of injuries. Most sicknesses and injuries were taken care of by teachers and school nurses. Only one tenth of the schools could be evaluated as good in their emergency care plans, and forty percent of them treated these emergencies acceptably. Schools with better planning and measures for emergency cares performed the better at the occurrence of emergencies. Among them, emergency care committee, written emergency care procedures, the establishment of supporting and connecting network, first aid training, and duty proxy system were all very consequential to the efficient management of the emergencies at the first time. However, these five measures were also highly influenced by the location of the school, the title of the job’s main performers, and the time span lagging for receiving the latest first-aid training.
Therefore, it is suggested that the authorities give more stress on the setting up of the campus emergency care systems, compile the concerning laws and regulations, execute down-to-earth plans and procedures that should have set up beforehand, and give more critical evaluations and appraisals for each schools’ concerning performance. It is also recommended to improve the quality and quantity of first-aid training, especially school nurses’ cognitive and competence training for emergencies. Moreover, setting up long-term surveillance indicators, coordinating the medical care resources nearby, and developing emergency care system fit for the characteristics of each school would all be very helpful.
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