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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 李雅玲(Ya-Ling Lee) | |
dc.contributor.author | Ya-Chih Liu | en |
dc.contributor.author | 劉雅芝 | zh_TW |
dc.date.accessioned | 2021-06-16T13:22:55Z | - |
dc.date.available | 2018-09-24 | |
dc.date.copyright | 2013-09-24 | |
dc.date.issued | 2013 | |
dc.date.submitted | 2013-07-24 | |
dc.identifier.citation | 中文部分
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/62007 | - |
dc.description.abstract | 流行性感冒是公共衛生防疫重要目標,預防最佳辦法是接種疫苗。目前國內民眾接種率未達目標,而醫護人員是病患在做醫療決定時最常諮詢的對象,欲探討護理人員對流感及其疫苗的知識、態度、行為。
本研究為橫斷式描述性相關性研究設計,以分層隨機抽樣方式抽出樣本,研究對象為門診與病房護理人員,以及臨床試驗中心的研究護理師。以Zhang等(2012)所發展的護理師接種流感疫苗調查問卷(the King’s Nurses’ Influenza Vaccination Questionnaire, KNIVQ)為訪談工具,經專家審議後得整體CVI .65 -.83,研究內容得Cronbach’s alpha .70。 研究總共收案263位護理人員,結果發現,護理人員對流感及其疫苗之知識答對率為73%。對流感的危險性感受態度整體平均得分3.10 ± 0.42,控制信念態度以內在控制信念居多(4.30 ± 0.60)。過去有接種者佔72.2%,曾推薦病人接種者佔56.7%,未來預計接種者佔60.8%,未來預計會建議病人占62.7%。 將研究對象中的臨床護理人員與研究護理師執行次群體分析,臨床護理人員接種行為顯著高於研究護理師,過去接種(χ2= 34.02, p = .00)、未來接種(χ2 = 14.77, p = .00);推薦行為則未達統計上顯著差異。以羅吉斯迴歸分析行為的影響因素發現,護理人員對流感及其疫苗「知識」、「流感危險性感受」與「強而有力他人控制信念」可預測未來接種行為(OR = 1.28, p = .00, 95% CI = 1.12-1.46)、(OR = 1.08, p = .04, 95% CI = 1.00-1.17)、(OR = 1.08, p = .02, 95% CI = 1.01-1.15)以及推薦行為(OR = 1.19, p = .01, 95% CI = 1.04 - 1.35)、(OR = 1.17, p = .00, 95% C I= 1.07-1.27)、(OR = 1.11, p = .00, 95% CI = 1.04 -1.19)。 接種疫苗行為是複雜的,本研究顯示提高知識及強而有力他人影響的態度可增加流感疫苗的接種行為以及推薦行為,建議護理領導者可加強應用研討會來增強護理人員對流感及其疫苗的相關知識,進而影響其自信的提昇以推展流感疫苗的接種及推薦給他人,確保接種率的提升。 | zh_TW |
dc.description.abstract | The prevention of seasonal influenza is a major goal of public health. The best way of prevention is taking influenza vaccine. However the rate of influenza vaccination in public people is lower than expectation. Health care providers are the persons who can persuade people to engage in influenza vaccination when they have correct knowledge, positive attitude and convincing behaviors in influenza and vaccination. The goal of current study is to explore the correlation of knowledge, attitude, and vaccination behaviors and the factors of vaccination behaviors in nurses.
A cross-sectional and correctional design was conducted for the study. Stratified random sampling was used to recruit participants. The nurses in the outpatient department, inpatient wards, and clinical research units in a medical center in northern Taiwan were the target subjects. The structured questionnaire of the King’s Nurses’ Influenza Vaccination Questionnaire, KNIVQ, was the tool to collect data. Cronbach’s alpha coefficient calculated for the internal consistency of the scale is .70. The CVI of the study is .65-.83. A total of 263 nurses have been recruited for the analysis of the study. It is found that 73% of participants have answered the knowledge questions about influenza vaccination correctly. The average of risk perception attitude regarding influenza vaccination is 3.10 ± 0.42 based on a five-point scale. The self-control health belief (4.30 ± 0.60) is their major attitude towards influenza vaccination. 72.2% of participants report that they have received influenza vaccine before. 56.7% of them have recommended people to receive influenza vaccine before. The percentage of the participants themselves would like to receive and recommend people to receive influenza vaccine in the future is 60.8% vs 62.7% respectively. Based on subgroup analysis, there is significant difference of influenza vaccination behavior between bedside nurses and clinical research nurses in the past (χ2 = 34.02, p = .00) and the willingness of receiving influenza vaccination in the future (χ2 = 14.77, p = .00), but no significant difference in recommendation behavior. Logistic regression analysis revealed that three variables of knowledge, risk perception and powerful others health locus of control towards influenza and influenza vaccination are the both predicting factors of future vaccination behavior, OR=1.28, p=.00, 95% CI=1.12-1.46; OR=1.08, p=.04, 95% CI=1.00-1.17; OR=1.08, p=.02, 95% CI=1.01-1.15, respectively, and future recommendation behavior, OR=1.19, p=.01, 95% CI =1.04 - 1.35; OR=1.17, p=.00, 95% CI=1.07-1.27; OR=1.11, p=.00, 95% CI = 1.04 -1.19, respectively. It is complex to understand the influenza vaccination behavior. Current study found that nurses who have higher knowledge score are more likely to have higher influenza vaccination and recommendation behaviors. It is suggested that nursing leaders may organize more influenza and influenza vaccination related programs for clinical nurses in order to increase their confidence, vaccination and recommendation behaviors. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T13:22:55Z (GMT). No. of bitstreams: 1 ntu-102-R00426017-1.pdf: 3334542 bytes, checksum: 273b7f7f677c20b2dea7faac3ea47c9c (MD5) Previous issue date: 2013 | en |
dc.description.tableofcontents | 目錄
口試委員審定書 Ⅰ 致謝 Ⅱ 中文摘要 Ⅲ 英文摘要 Ⅳ 目錄 Ⅵ 圖表目錄 Ⅷ 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 3 第三節 研究問題 4 第四節 名詞界定 5 第二章 文獻查證 7 第一節 流感病毒與流感 7 第二節 流感疫苗 9 第三節 高危險群施打的重要性 12 第四節 影響護理人員接種流感疫苗與推薦疫苗的相關因子 15 第三章 研究設計與方法 24 第一節 研究架構圖 24 第二節 研究設計 24 第三節 研究對象、抽樣方式與研究場所 25 第四節 研究工具 28 第五節 資料收集過程 30 第六節 資料處理與分析 31 第七節 倫理考量 32 第四章 研究結果 33 第一節 研究對象基本屬性分析 33 第二節 護理人員流感及其疫苗知識、態度、接種行為與推薦行為之現況分析 35 第三節 護理人員基本屬性與其流感及其疫苗知識、態度、接種行為與推薦行為之差異性分析 43 第四節 護理人員在流感及其疫苗知識、態度、接種行為與推薦行為間之相關性 56 第五節 護理人員之流感疫苗接種行為及推薦行為之預測因素 62 第五章 討論 67 第一節 護理人員對流感及其疫苗之知識、態度與接種行為、推薦行為 67 第二節 護理人員基本屬性與流感及其疫苗知識、態度與接種行為、推薦行為之關係 70 第三節 接種行為與推薦行為之預測因子 73 第六章 結論與建議 75 第一節 結論 75 第二節 研究限制 76 第三節 臨床應用與建議 78 參考文獻 80 附錄一 同意授權使用中文版問卷紀錄 93 附錄二 同意授權使用中文版問卷紀錄 94 附錄三 專家效度名單 95 附錄四 專家效度計分表 96 附錄五 專家建議之問卷效度修改內容 100 附錄六 護理師接種流感疫苗調查問卷 102 附錄七 研究倫理委員會審查同意書 108 | |
dc.language.iso | zh-TW | |
dc.title | 探討護理人員對流感及其疫苗的知識、態度、行為之相關性及其影響因子 | zh_TW |
dc.title | Exploring the association of knowledge, attitude, and behaviors regarding seasonal influenza and vaccination and the factors of vaccination behavior among nurses | en |
dc.type | Thesis | |
dc.date.schoolyear | 101-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 方啟泰(Chi-Tai Fang),羅美芳(Meei-Fang Lou) | |
dc.subject.keyword | 護理人員,流感,疫苗,知識,態度,行為,研究護理師, | zh_TW |
dc.subject.keyword | nurse,influenza,vaccination,knowledge,attitude,behavior,clinical research nurse, | en |
dc.relation.page | 109 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2013-07-25 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 護理學研究所 | zh_TW |
顯示於系所單位: | 護理學系所 |
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