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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 黃璉華(Lian-Hua Huang) | |
dc.contributor.author | Hsing-Lun Li | en |
dc.contributor.author | 李幸倫 | zh_TW |
dc.date.accessioned | 2021-05-17T09:18:02Z | - |
dc.date.available | 2018-03-04 | |
dc.date.available | 2021-05-17T09:18:02Z | - |
dc.date.copyright | 2013-03-04 | |
dc.date.issued | 2012 | |
dc.date.submitted | 2012-10-11 | |
dc.identifier.citation | 中文部分
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/6783 | - |
dc.description.abstract | 面對21世紀首次流感大流行,為減少H1N1新型流感病毒在社區中的流行及降低死亡率的發生,世界衛生組織表示疫苗接種是減少疾病發生率與死亡率的重要措施。本研究以健康信念模式為基礎,利用自擬結構式問卷,以彰化縣(市)為研究收案場所,主要研究目的在於瞭解影響懷孕婦女H1N1新型流感疫苗接種行為的相關因素,由於這是國內首次的懷孕婦女疫苗接種計畫,瞭解孕婦對於該次疫苗接種的經驗與看法,對於未來公共衛生政策的推行有其參考價值。
本研究屬回溯性個案對照研究,問卷由研究對象自填,研究期間共回收163位有效樣本資料,接種組74位,對照組89位,問卷回收後以SAS統計軟體9.2版進行資料分析。研究結果顯示影響懷孕婦女H1N1新型流感疫苗接種行為因素為專科以上學歷(OR=0.35, 95% CI: 0.14~0.89)、醫療相關行業(OR=0.10, 95% CI:0.01~0.84)、知道孕婦需接種H1N1新型流感疫苗的建議(OR=4.53, 95% CI: 1.09~18.79)以及H1N1新型流感疫苗接種障礙性認知(OR=12.18, 95% CI: 3.64~40.71)。而年齡、孕產史、宗教信仰、家庭平均收入、健康行為與健康狀況、孕期健康、季節性流感疫苗接種史、H1N1新型流感知識等因素則無統計上顯著差異。 透過本研究瞭解到國內懷孕婦女H1N1新型流感疫苗接種率低於國外,除了疫苗接種障礙性因素外,仍有其他因素影響懷孕婦女的疫苗接種行為。建議應加強婦產科醫師對懷孕婦女感染流感的罹患性與嚴重性認知,並強化孕婦感染流感的通報與監測機制,並克服民眾或醫療人員對流感及疫苗的錯誤認知,在疾病與疫苗接種訊息的提供,應針對高知識分子及醫療人員給予更詳細且深層的資訊,以提升懷孕婦女疫苗的接種率,讓政策推展更有成效。 | zh_TW |
dc.description.abstract | Facing the first influenza pandemic of the 21st century, in order to reduce the prevalence of the H1N1 flu virus in the community and reduce the mortality, the World Health Organization suggested that vaccination is an important strategy. Based on the Health Belief Model, this study used a structured questionnaire to collect data in Changhua area. Due to the pregnant women vaccination program for the first time, the main purpose of this study was to understand the experiences and views of the vaccination of pregnant women, and to understand the factors affecting H1N1 vaccination behavior of pregnant women, to provide for reference value for public health policy in the future.
This study was a retrospective case-control study, self-administered questionnaire was used. A total of 163 valid samples were collected, with 74 in vaccination group, 89 in control group. Data was analyzed with SAS statistical software version 9.2. The results revealed that factors affecting H1N1 vaccination behavior of pregnant women included college education (OR=0.35, 95% CI: 0.14-0.89), medical professional (OR=0.10, 95% CI: 0.01-0.84), knowing pregnant women need to inoculation of H1N1 recommendations (OR=4.53, 95% CI: 1.09-18.79) and the perceived barriers of H1N1 influenza vaccination (OR=12.18, 95% CI: 3.64-40.71). Age, pregnancy history, religion, and the average household income, health behaviors and health status, health status during pregnancy, seasonal influenza vaccination history, H1N1 influenza knowledge and other factors had no statistically significant differences. Study results showed that domestic H1N1 vaccination rates of pregnant women was lower than other country. In addition to vaccination barrier factors, there are some other factors. It is recommended that obstetricians should be strengthened the cognition of susceptibility and severity of pregnant women infected with H1N1 influenza, and to strengthen the reporting and monitoring mechanisms of pregnant women infected with H1N1 influenza, and to overcome the misunderstanding of the public or medical personnel to H1N1 influenza vaccine. People with higher education and medical professional should be given more detailed information related to the disease and vaccination, to increase pregnant women’s vaccination rate, and to promote more effective policies. | en |
dc.description.provenance | Made available in DSpace on 2021-05-17T09:18:02Z (GMT). No. of bitstreams: 1 ntu-101-R96426029-1.pdf: 1125721 bytes, checksum: 96a610a6e39b574fdec57b3836bf51e3 (MD5) Previous issue date: 2012 | en |
dc.description.tableofcontents | 口試委員審定書 i
致謝 ii 摘要 iii Abstract iv 目錄 vi 圖目錄 ix 表目錄 x 第一章 緒論 1 第一節 研究背景 1 第二節 研究動機及其重要性 4 第三節 研究目的 6 第四節 研究問題與研究假設 6 第二章 文獻查證 7 第一節 流行性感冒病毒介紹 7 第二節 H1N1新型流感病毒及其流行情況 12 第三節 影響流感疫苗接種的相關因素 20 第四節 健康信念模式(The Health Belief Model)的起源與應用 29 第三章 研究設計與研究方法 41 第一節 研究架構 41 第二節 研究場所及研究對象 42 第三節 研究工具 43 第四節 研究工具信、效度檢定 45 第五節 名詞解釋 47 第六節 研究步驟與資料收集流程 48 第七節 資料處理與資料分析 49 第八節 研究倫理考量 50 第四章 研究結果 51 第一節 研究對象整體描述性統計 52 第二節 兩組研究對象變項分佈與差異性描述 66 第三節 各變項得分情況與差異 78 第四節 影響孕婦H1N1新型流感疫苗接種行為之預測因素 83 第五章 討論 85 第一節 國內外懷孕婦女H1N1新型流感疫苗接種政策及接種率比較 85 第二節 影響孕婦H1N1新型流感疫苗接種行為之相關因素 87 第三節 健康信念與孕婦H1N1新型流感疫苗接種行為的關係 92 第四節 懷孕婦女H1N1新型流感疫苗接種預測因子 95 第五節 其他研究結果 96 第六章 結論與建議 99 第一節 研究結論 99 第二節 研究限制 100 第三節 未來研究建議 101 參考文獻 103 中文部分 103 英文部分 107 附錄一 研究工具專家效度專家名單 120 附錄二 正式施測問卷 121 附錄三 國立臺灣大學醫學院附設醫院研究倫理委員會審核同意函 131 | |
dc.language.iso | zh-TW | |
dc.title | 臺灣中部地區懷孕婦女H1N1新型流感疫苗接種行為及相關因素探討 | zh_TW |
dc.title | Acceptance of H1N1 influenza vaccination and related factors among the pregnant women in the middle area of Taiwan | en |
dc.type | Thesis | |
dc.date.schoolyear | 101-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 林艷君,葉彥伯 | |
dc.subject.keyword | 懷孕婦女,H1N1新型流感,H1N1新型流感疫苗,健康信念, | zh_TW |
dc.subject.keyword | pregnant women,novel Influenza A (H1N1),novel influenza A (H1N1) vaccine,health beliefs, | en |
dc.relation.page | 132 | |
dc.rights.note | 同意授權(全球公開) | |
dc.date.accepted | 2012-10-11 | |
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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