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向青少年家长推荐性传播感染疫苗接种:执业护士的态度

Recommending STI vaccination to parents of adolescents: the attitudes of nurse practitioners.

作者信息

Mays Rose M, Zimet Gregory D

机构信息

Department of Family Health, Indiana University School of Nursing, Indianapolis, Indiana 46202, USA.

出版信息

Sex Transm Dis. 2004 Jul;31(7):428-32. doi: 10.1097/01.olq.0000130536.71812.e5.

Abstract

BACKGROUND

Future successful sexually transmitted infection (STI) vaccine programs will depend on health professionals' readiness to vaccinate adolescents.

GOAL

The goal was to examine nurse practitioners' willingness to recommend STI vaccines to parents of adolescent patients.

STUDY DESIGN

Participants rated 13 hypothetical vaccine scenarios, each of which was defined along 4 dimensions: infection; patient age, patient gender, and American Academy of Pediatrics (AAP) endorsement. Conjoint analysis was used to determine the relative contribution of each dimension to the ratings.

RESULTS

Generally, participants were amenable to recommending STI vaccines. Conjoint analysis indicated that AAP recommendation, infection, and patient age most strongly influenced ratings. There was particular interest in an HIV vaccine, but there was reluctance to vaccinate younger adolescents or to vaccinate without AAP endorsement.

CONCLUSIONS

Nurse practitioners are willing to recommend STI vaccines to parents of adolescents. Professional organization endorsement plays an important role in this decision. Younger-aged adolescents were not viewed as candidates for these vaccines.

摘要

背景

未来成功的性传播感染(STI)疫苗接种计划将取决于卫生专业人员为青少年接种疫苗的意愿。

目标

目标是研究执业护士向青少年患者家长推荐性传播感染疫苗的意愿。

研究设计

参与者对13种假设的疫苗情况进行评分,每种情况沿4个维度定义:感染情况、患者年龄、患者性别以及美国儿科学会(AAP)的认可。采用联合分析来确定每个维度对评分的相对贡献。

结果

总体而言,参与者愿意推荐性传播感染疫苗。联合分析表明,美国儿科学会的推荐、感染情况和患者年龄对评分影响最大。对艾滋病毒疫苗有特别的兴趣,但不愿意为年龄较小的青少年接种疫苗或在没有美国儿科学会认可的情况下接种疫苗。

结论

执业护士愿意向青少年家长推荐性传播感染疫苗。专业组织的认可在这一决定中起着重要作用。年龄较小的青少年不被视为这些疫苗的接种对象。

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