南部兩間國軍醫院醫療工作者對預防流感之知識、態度與接種疫苗行為之探討

Health Care Workers’ Knowledge, Attitudes, and Behavior regarding the Prevention of Influenza in Military Hospitals

鄭兆堅(Chao-Chien Cheng) ； 賴重宇(Chung-Yu Lai) ； 王韵宜(Yun-Yi Wang) ； 李英俊(Ying-Chun Li)

《醫務管理期刊》 17卷1期 (2016/03) Pp. 46-62

https://doi.org/10.6174/JHM2016.17(1).46

摘要

目的：流行性感冒為秋冬常見傳染病，為了降低院內感染發生，探究醫療工作者對預防流感之知識、態度與接種行為之相關因素。方法：採橫斷性研究，以問卷調查進行。對象為國軍醫院醫療工作者，發放問卷計1,000 份，有效問卷共計826 份，回收率為82.6%，以SPSS 18.0 版本進行分析。結果：知識量表得分越高者，對於預防流感的態度即越正向（p＜0.001），願意接種流感疫苗者佔71.3%，且發現態度得分、過去接種經驗與接種後曾出現不適症狀等為預測接種疫苗行為之因素。結論：建議醫院應加強衛教宣導，針對不願意接種之原因與出現不適症狀者，妥適輔導，排除疑慮與不安，落實防疫工作。

關鍵字

流行性感冒 ； 流感疫苗 ； 國軍醫院 ； 醫療工作者

並列摘要

Objectives: Influenza is a public health issue worldwide. Promoting influenza vaccination is an effective way to control outbreaks. We investigated health care workers’ (HCWs) knowledge and attitudes towards influenza prevention, and behavior regarding influenza immunization. Methods: A cross-sectional study was conducted among HCWs in military hospitals. Details of the demography, past experiences of vaccination, knowledge, attitudes, and behaviors towards the prevention of influenza among participants were collected with questionnaires. We distributed 1000 questionnaires to the prospective study subjects; 826 questionnaires were completed and returned. SPSS version 18.0 was used to assess associations of interest by multiple regression analysis. Results: A positive correlation between knowledge scores of influenza and positive attitudes towards preventing influenza among HCWs was identified (p＜0.001). HCWs who accepted vaccination accounted for 71.3% of the study participants. Attitude scores on influenza, vaccination in past years, and absence of side effects to vaccination were predictors of vaccination. Conclusions: HCWs who had higher knowledge scores and more positive attitudes towards influenza were significantly more likely to receive the vaccine. Participants who did not receive the vaccine in the past year and experienced side effects were more unwilling to be vaccinated this year. We suggest that a health educational program and other polices should focus on elucidating the effectiveness, importance, and necessity of vaccines in HCWs.

並列關鍵字

Influenza ； Vaccine ； Military Hospital ； Health Care Workers (HCWs)

參考文獻

郭秀娥、林惠賢、周心寧、康慧怡、張肇松、沈孟娟(2009)。醫療機構工作人員對流感與流感疫苗的認知、態度及接種流感疫苗行為之探討。感染控制雜誌。19(2)，69-80。

陳清文(2010)。應用健康信念模式─探討國軍衛生部隊官兵H1N1 疫苗接種意願及其影響因素(碩士論文)。臺北醫學大學醫務管理學研究所。

廖琪玉、陳漢瑛(2007)。流感疫苗接種的健康信念與行為意向之研究─以北部某醫學中心醫護人員為例。健康促進暨衛生教育雜誌。27，1-21。

衛生福利部疾病管制署(2013)。季節性流感防治工作手冊。臺北:衛生福利部疾病管制署。

衛生福利部疾病管制署（2014）。台灣流感速訊（2014 年第20 週）。臺北：衛生福利部疾病管制署。