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悉尼西部都会区的儿童免疫接种水平:家长态度与护士的角色

Child immunisation levels in Sydney's Western Metropolitan Region: parental attitudes and nurses' roles.

作者信息

Roden J

出版信息

Aust J Adv Nurs. 1992 Mar-May;9(3):18-24.

PMID:1295508
Abstract

Research was undertaken to examine childhood immunisation uptake rates, parental attitudes towards immunisation and immunisation services and parents' perceptions of health workers' (especially nurses') contribution to immunisation in the Western Metropolitan Region of Sydney, NSW. After a pilot study a questionnaire was distributed by teachers to a random sample of 450 parents of kindergarten children living in the Region. Data revealed an 84% childhood immunisation rate for all scheduled immunisations up to five years with a partial immunisation rate of 10% (6% did not answer or had gaps in immunisation information). The most significant factors associated with partial immunisation were found to be the socioeconomic and educational status of the children's fathers and itinerancy. Parents of partially immunised children were significantly more likely than parents of totally immunised children to consider that serious side-effects to immunisation do occur. The research also found that parents have a knowledge deficit about the seriousness of measles; that immunisation services in the Region have significant deficiencies and that nurses have a low profile and poor image in the provision of those services. As Early Childhood nurses were considered by parents as providing the most appropriate immunisation nursing service, their further involvement in promoting and extending services is recommended.

摘要

开展了一项研究,以调查新南威尔士州悉尼西部都会区儿童免疫接种率、家长对免疫接种及免疫服务的态度,以及家长对卫生工作者(尤其是护士)在免疫接种方面所做贡献的看法。经过一项试点研究后,教师向该地区450名幼儿园儿童的家长随机样本发放了问卷。数据显示,五岁前所有计划免疫接种的儿童免疫接种率为84%,部分免疫接种率为10%(6%未作答或免疫接种信息存在空白)。发现与部分免疫接种相关的最显著因素是儿童父亲的社会经济和教育状况以及流动性。部分免疫接种儿童的家长比完全免疫接种儿童的家长更有可能认为免疫接种确实会产生严重的副作用。该研究还发现,家长对麻疹的严重性认识不足;该地区的免疫服务存在重大缺陷,且护士在提供这些服务方面知名度较低、形象不佳。由于幼儿护士被家长认为提供了最适当的免疫接种护理服务,因此建议他们进一步参与推广和扩大服务。

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