Clayton E W, Hickson G B, Miller C S
Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN.
Pediatrics. 1994 Mar;93(3):369-72.
To assess parents' knowledge and opinions about immunizations and immunization practices before and after introduction of vaccine information pamphlets.
Telephone questionnaire administered to parents whose children received immunizations in the preceding week.
Six private pediatric practices in Nashville area and resident continuity clinic at Vanderbilt University Medical Center.
Parents whose children were scheduled to receive immunizations were asked to participate. Interviews were completed with 177 parents whose children received immunizations before and 156 parents after pamphlets were introduced. These two groups of parents had similar demographic characteristics.
Parents who received vaccine information pamphlets learned more about vaccines (2.38 facts/parent after vs 1.18/parent before vaccine information pamphlets, z = -6.28, P < .0001) and were more eager to obtain immunizations for their children (76% vs 38%, chi 2 = 47.24, P < .001). Receipt of pamphlets did not make parents significantly more likely to report side effects from vaccines (63% after vs 55% before, NS) but tended to make them less likely to turn to non health care providers for information (58% after vs 69% before, chi 2 = 3.73, P = .06). Parents who received pamphlets, however, said more often that they received too much information (20% vs 4%, chi 2 = 14.9, P < .001).
Vaccine information pamphlets enhanced parents' knowledge and acceptance of immunizations. There is room for further improvement.
评估在引入疫苗信息手册前后，家长对免疫接种及免疫接种实践的了解程度和看法。
对前一周为孩子接种疫苗的家长进行电话问卷调查。
纳什维尔地区的六家私立儿科诊所及范德堡大学医学中心的住院连续性诊所。
其孩子计划接种疫苗的家长被邀请参与。完成了对177名孩子在引入手册前接种疫苗的家长及156名孩子在引入手册后接种疫苗的家长的访谈。这两组家长的人口统计学特征相似。
收到疫苗信息手册的家长对疫苗了解更多（收到手册后每位家长了解2.38个知识点，收到手册前为每位家长1.18个知识点，z = -6.28，P < .0001），并且更渴望为孩子接种疫苗（76% 对38%，χ2 = 47.24，P < .001）。收到手册并没有使家长更有可能报告疫苗的副作用（收到手册后为63%，之前为55%，无显著差异），但倾向于使他们向非医疗保健提供者获取信息的可能性降低（收到手册后为58%，之前为69%，χ2 = 3.73，P = .06）。然而，收到手册的家长更常表示他们收到的信息过多（20% 对4%，χ2 = 14.9，P < .001）。
疫苗信息手册增强了家长对免疫接种的了解和接受度。仍有进一步改进的空间。
