Chang Ya-Wen, Chou Fan-Hao, Jian Shu-Yuan
MSN, RN, Instructor, Department of Nursing, National Tainan Junior College of Nursing, and Doctoral Student, School of Nursing, Kaohsiung Medical University, Taiwan, ROC.
PhD, RN, Professor, School of Nursing, Kaohsiung Medical University, Taiwan, ROC.
Hu Li Za Zhi. 2019 Aug;66(4):79-86. doi: 10.6224/JN.201908_66(4).10.
Influenza vaccinations may decrease the risk of contracting influenza and its complications significantly in pregnant women and effectively help infants less than six months of age avoid hospitalization. Based on scientific evidence supporting the safety and benefits of the influenza vaccination for pregnant women and fetuses, the epidemic prevention policy of both the World Health Organization and Taiwan's Ministry of Health and Welfare recommend that pregnant women receive the influenza vaccination. However, low acceptance of the influenza vaccine among pregnant women is an ongoing concern in Taiwan. Nursing staffs play a key role in implementing the influenza vaccination program for pregnant women. Therefore, strengthening the professional competency and service effectiveness of nursing staffs may be expected to significantly improve the vaccination coverage rate. This article offers practical methods for achieving this, including promoting nursing staffs' professional knowledge and positive attitudes regarding influenza vaccinations for pregnant women, improving nursing staffs' related education and skills in communication with pregnant women and their families, and improving the implementation of the notification mechanism for disseminating accurate information regarding the vaccine and vaccine adverse events. Our ultimate goal is to enhance the confidence and willingness of pregnant women with regard to receiving influenza vaccinations in order to promote the health of mothers and their fetuses.
流感疫苗接种可显著降低孕妇感染流感及其并发症的风险，并有效帮助6个月以下婴儿避免住院。基于支持流感疫苗接种对孕妇和胎儿安全性及益处的科学证据，世界卫生组织和台湾地区卫生福利部的防疫政策均建议孕妇接种流感疫苗。然而，台湾地区孕妇对流感疫苗的接受度较低仍是一个持续存在的问题。护理人员在为孕妇实施流感疫苗接种计划中起着关键作用。因此，加强护理人员的专业能力和服务效果有望显著提高疫苗接种覆盖率。本文提供了实现这一目标的实用方法，包括提升护理人员关于孕妇流感疫苗接种的专业知识和积极态度，提高护理人员与孕妇及其家属沟通的相关教育和技能，以及改进传播疫苗及疫苗不良事件准确信息的通报机制的实施。我们的最终目标是增强孕妇接受流感疫苗接种的信心和意愿，以促进母亲及其胎儿的健康。
