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父母在儿童免疫接种决策方面的困难。

Parents' difficulties with decisions about childhood immunisation.

作者信息

Austin Helen, Campion-Smith Charles, Thomas Sarah, Ward William

机构信息

Queens Avenue Surgery and Cornwall Road Medical Practice, Dorchester.

出版信息

Community Pract. 2008 Oct;81(10):32-5.

PMID:18853886
Abstract

Uptake of childhood immunisation fluctuates in the UK. Convenience, access and parents' relationships with professionals influence uptake. This study explores the decision-making by parents about their children's immunisation through focus groups with analysis to identify categories of concern. Issues raised in focus groups included fear, risk, anger, worry and guilt, confusion, difficulty of decision-making and trust of professionals. The parents of completely and incompletely immunised children shared areas of concern, but there were also significant differences. There was a subset of parents of incompletely immunised children who had decided that their children would not have full immunisation, and this group had little trust in information provided by healthcare professionals. Simply providing more information is unlikely to change their decision.

摘要

在英国,儿童免疫接种率波动不定。便利性、可及性以及家长与专业人员的关系会影响接种率。本研究通过焦点小组探讨家长关于其子女免疫接种的决策过程,并进行分析以确定关注类别。焦点小组中提出的问题包括恐惧、风险、愤怒、担忧和内疚、困惑、决策困难以及对专业人员的信任。完全免疫和未完全免疫儿童的家长有共同的关注领域,但也存在显著差异。有一部分未完全免疫儿童的家长已决定其子女不会进行全程免疫,且这一群体对医疗保健专业人员提供的信息几乎不信任。仅仅提供更多信息不太可能改变他们的决定。

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