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影响父母的疫苗决策

Impacting Parental Vaccine Decision-Making.

作者信息

Eby Amy Zangger

出版信息

Pediatr Nurs. 2017 Jan-Feb;43(1):22-9, 34.

Abstract

An increase in vaccine hesitancy is contributing to an increase of vaccine refusal and the use of an alternative vaccine schedule (AVS) in the United States. Increasing vaccine knowledge and correcting vaccine misinformation has the potential of shifting parental attitudes, decreasing vaccine hesitancy, and increasing parental intent to vaccinate. The aim was to examine the impact of a voice-over PowerPoint™ presentation on vaccine education and decision-making by vaccine-hesitant parents in a pediatric primary care clinic. A quasi-experimental study using the Parent Attitude about Childhood Vaccine (PACV) Survey was conducted in a suburban pediatric clinic to explore the impact of vaccine education on decision-making by vaccine-hesitant parents. PACV Survey scores were collected over three months. Surveyed parents reported they trust their healthcare provider. Unfortunately, although parents trust the information their medical providers give them on vaccine safety, they continue to be concerned about vaccine side effects. Mothers tended to provide more vaccine-hesitant scores than fathers related to safety and efficacy concerns. The utilization of the PACV Survey and voice-over PowerPoint presentation on vaccine education is an intervention that may be used in pediatric clinics to assist in vaccine education and identify vaccine-hesitant parents. The study contributes to the addition of evidence- based vaccine education.

摘要

疫苗犹豫现象的增多导致美国疫苗拒绝率上升以及替代疫苗接种计划(AVS)的使用增加。增加疫苗知识并纠正疫苗错误信息有可能改变家长的态度,减少疫苗犹豫,并增强家长的接种意愿。目的是研究在儿科初级保健诊所中,配有旁白的PowerPoint™演示文稿对疫苗犹豫的家长进行疫苗教育及决策的影响。在一家郊区儿科诊所进行了一项使用儿童疫苗家长态度(PACV)调查的准实验研究,以探讨疫苗教育对疫苗犹豫的家长决策的影响。在三个月的时间里收集PACV调查分数。接受调查的家长表示他们信任自己的医疗服务提供者。不幸的是,尽管家长信任医疗服务提供者提供的关于疫苗安全性的信息,但他们仍然担心疫苗的副作用。在与安全性和有效性相关的问题上,母亲给出的疫苗犹豫分数往往比父亲更多。使用PACV调查和配有旁白的PowerPoint演示文稿进行疫苗教育是一种可在儿科诊所用于辅助疫苗教育和识别疫苗犹豫家长的干预措施。该研究为增加基于证据的疫苗教育提供了依据。

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