Sjögren Eva, Ask Lina Schollin, Örtqvist Åke, Asp Margareta
1 School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
2 Sachs' Children and Youth Hospital, South General Hospital, Stockholm, Sweden.
J Child Health Care. 2017 Dec;21(4):476-487. doi: 10.1177/1367493517734390. Epub 2017 Oct 2.
In 2014, Stockholm became the first Swedish county to introduce the rotavirus vaccine, which is given from as early as six weeks of age. The aim of this study was to describe parental conceptions of rotavirus infection and vaccination during its implementation as part of the child immunization program, as their support is vital for any new vaccine. The study followed a descriptive, qualitative design with a phenomenographic approach. Ten in-depth interviews with parents were conducted in Stockholm County, transcribed and analyzed to describe qualitatively different conceptions of rotavirus infection and vaccination. Four main categories were identified: to vaccinate without doubt, hesitant to vaccinate, risky to vaccinate, and unnecessary to vaccinate. All the parents had in common the desire to protect their children from suffering, either by vaccinating their child in order to avoid rotavirus infection or by not vaccinating their child because of concerns about the side effects. It is important that child health-care professionals understand the variations of conceptions that influence the parents' decisions and that these conceptions may differ considerably. Individualized parental information about rotavirus infection and vaccination would help to achieve a successful implementation of the vaccination program.
2014年，斯德哥尔摩成为瑞典首个引入轮状病毒疫苗的郡，该疫苗最早从六周龄开始接种。本研究的目的是描述在轮状病毒疫苗作为儿童免疫计划一部分实施期间，父母对轮状病毒感染和疫苗接种的观念，因为他们的支持对任何新疫苗都至关重要。该研究采用描述性、定性设计和现象学方法。在斯德哥尔摩郡对10位家长进行了深入访谈，对访谈内容进行转录和分析，以定性描述对轮状病毒感染和疫苗接种的不同观念。确定了四个主要类别：毫无疑问要接种、对接种犹豫不决、接种有风险以及无需接种。所有家长的共同愿望都是保护孩子免受痛苦，要么通过给孩子接种疫苗以避免轮状病毒感染，要么因为担心副作用而不给孩子接种疫苗。儿童保健专业人员了解影响父母决策的观念差异很重要，而且这些观念可能差异很大。提供关于轮状病毒感染和疫苗接种的个性化家长信息将有助于疫苗接种计划的成功实施。
