Exploring Factors Related to Human Papillomavirus Vaccination Intention Among Nurses

探討護理人員接種人類乳突病毒疫苗意向之相關因素

彭姿菀(Tzu-Wan Peng) ； 江采宜(Tsay-I Chiang) ； 黃采薇(Tsai-Wei Huang) ； 劉錦成(Kim-Seng Law) ； 莊照明(Chao-Ming Chuang)

《童綜合醫學雜誌》 14卷2期 (2020/12) Pp. 76-83

https://doi.org/10.3966/207135922020121402004

摘要

Background: Human papillomavirus (HPV) is a double-stranded DNA virus that can cause anogenital infection. Nonetheless, the novel Gardasil 9 HPV vaccine has been developed, in which nurses play an important role in the recommendations and prevention of this disease. Purpose: The study aimed to explore factors related to the HPV vaccination intention of nurses in central Taiwan. Methods: This quantitative cross-sectional study utilized the health belief model as a theoretical framework along with a self-administered online QR code questionnaire. We conducted random cluster sampling and recruited 701 in-service clinical nurses aged 20 years or above. Factors related to the HPV vaccination intention of the participants were examined using SPSS 22.0 statistical software, descriptive statistics, and binary logistic regression. Results: The nurses did not have sufficient knowledge of HPV. They had greater intention for free vaccination than self-financed vaccination of HPV. Age, employment in the general medicine service division, and health beliefs regarding prophylactic vaccination were the factors affecting self-financed HPV vaccination intention. The factors affecting free HPV vaccination intention were age, average monthly household income, lack of care experience in patients with cervical cancer, lack of friends or family members with HPV infection, knowledge of friends or family members with HPV infection, lack of friends or family members with cervical cancer, lack of HPV knowledge, knowledge of HPV vaccine, and health beliefs regarding prophylactic vaccination. Conclusion: Understanding the factors affecting HPV vaccination intention among nurses and providing HPV-related knowledge and information facilitate schools and medical staff-related units in increasing the rate of HPV vaccination.

關鍵字

Nurses ； HPV vaccine ； health belief model

並列摘要

背景：人類乳突病毒是一種雙股DNA的濾過性病毒，使人類之肛門、生殖器黏膜造成感染及病變，隨著新型Gardasil 9人類乳突病毒疫苗的研發上市，臨床護理人員在推薦民眾及預防疾病上扮演著重要的角色。目的：探討台灣中部護理人員接種人類乳突病毒疫苗之意向及相關因素。方法：採量性橫斷面研究設計，以健康信念模式為理論架構，自填QR code線上問卷進行調查，採叢聚隨機取樣台灣中部一所醫學中心、四所區域教學醫院，年滿20歲以上共701位在職臨床護理人員，採SPSS22.0統計軟體，以描述性統計和二元羅吉斯迴歸，探討護理人員接種人類乳突病毒疫苗接種意向及相關因素。結果：護理人員HPV相關知識認知不足；有意願免費接種HPV疫苗高於自費接種HPV疫苗、平均可負擔價格為6,400元新台幣；影響自費接種HPV疫苗相關因素：年齡、服務科別為綜合科、對於預防接種行為的相關健康信念；影響免費接種HPV疫苗相關因素：年齡、家庭平均月收入、沒有照顧過子宮頸癌的病人、沒有親友罹患過人類乳突病毒的感染、有親友罹患過人類乳突病毒的感染、沒有親友罹患過子宮頸癌、沒有聽說過人類乳突病毒或是HPV、HPV疫苗相關知識、對於預防接種行為的相關健康信念。討論：可提供學校及醫療相關單位，了解影響護理人員接種人類乳突病毒疫苗之相關因素以利排除，並鼓勵提供HPV相關知識及訊息，有助於推廣民眾接種人類乳突病毒疫苗意願提升。

並列關鍵字

護理人員 ； 人類乳突病毒疫苗 ； 健康信念模式