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描述性定性研究:父母对其子女疫苗接种的看法。

A descriptive qualitative study of perceptions of parents on their child's vaccination.

机构信息

Division of Nursing, Alexandra Hospital, Singapore, Singapore.

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

出版信息

J Clin Nurs. 2017 Dec;26(23-24):4857-4867. doi: 10.1111/jocn.13958. Epub 2017 Aug 30.

Abstract

AIMS AND OBJECTIVES

To explore the perceptions of parents on their child's vaccination in Singapore.

BACKGROUND

Vaccination is a key part of health care, and the management of vaccination for children has gained increasing interest globally. Previous studies found that parents had multiple concerns and low confidence in making vaccination decisions for their children. As no study in this area has been conducted in Singapore, the views and needs of parents regarding their child's vaccination remain unknown.

DESIGN

Descriptive qualitative study.

METHODS

Purposive sampling was used to recruit 19 parents of children undergoing routine vaccination in a clinic in Singapore. Semistructured face-to-face or telephone interviews were conducted using an interview guide and were audiorecorded. Thematic analysis was used to analyse the data.

RESULTS

The thematic analysis generated four themes from 15 subthemes. Theme 1 summarised the factors promoting vaccination uptake, theme 2 was factors impeding vaccination compliance, theme 3 described parents' supportive roles before, during and after the vaccination, and theme 4 was about parents' need for improvement in vaccination services, information and communication with healthcare professionals.

CONCLUSIONS

This study provided insight into parental views, experiences and needs regarding their child's vaccination. The results suggest a need for developing intervention programmes addressing information needs and pain management strategies to improve parents' experiences regarding their children's vaccination.

RELEVANCE TO CLINICAL PRACTICE

Healthcare professionals and policymakers should take actions to improve parents' experiences regarding their child's vaccination by minimising the impeding factors and improving services, information provided and communications with parents.

摘要

目的和目标

探讨新加坡父母对子女疫苗接种的看法。

背景

疫苗接种是医疗保健的重要组成部分,全球范围内对儿童疫苗接种管理的兴趣日益增加。先前的研究发现,父母在为子女做出疫苗接种决策时存在多种担忧和信心不足。由于在新加坡尚未进行过该领域的研究,因此父母对子女疫苗接种的看法和需求仍不清楚。

设计

描述性定性研究。

方法

采用目的抽样法,在新加坡一家诊所招募了 19 名正在接受常规疫苗接种的儿童的家长。使用访谈指南进行半结构化的面对面或电话访谈,并进行录音。采用主题分析法对数据进行分析。

结果

主题分析从 15 个子主题中生成了 4 个主题。主题 1 总结了促进疫苗接种的因素,主题 2 是阻碍疫苗接种依从性的因素,主题 3 描述了父母在疫苗接种前、期间和之后的支持角色,主题 4 是父母对改善疫苗接种服务、与医疗保健专业人员的信息和沟通的需求。

结论

本研究深入了解了父母对子女疫苗接种的看法、经验和需求。研究结果表明,需要制定干预计划,以满足信息需求和疼痛管理策略,改善父母对子女疫苗接种的体验。

临床相关性

医疗保健专业人员和政策制定者应采取行动,通过减少阻碍因素和改善服务、提供的信息以及与父母的沟通,来改善父母对子女疫苗接种的体验。

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