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  • 學位論文

影響老人選擇流行性感冒疫苗接種地點的相關因素探討

The analysis of the related factors for the choice of the locations for receiving influenza vaccination in the elderly.

指導教授 : 何清松
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摘要


目的: 本研究旨在利用健康信念模式分析老人選擇流行性感冒疫苗接種地點之相關因素。 研究對象: 以台中市北屯區65歲以上接種流行性感冒疫苗之老人為研究母群體,並由年2008年接種數最高的前三家醫療院所及轄區衛生所進行抽樣,分別抽樣診所受訪者共313人、衛生所受訪者共151人,以結構式問卷進行面對面訪談,調查時間為2009年10月至2009年12月,共完成464份問卷,回收率100%。資料分析以SPSS 12.0版統計軟體進行描述性統計,t-檢定,卡方檢定及邏輯斯廻歸分析,以P≦0.05達統計上顯著差異。 研究結果: 邏輯斯廻歸分析影響老人傾向往診所接種流行性感冒疫苗的相關因素包括:性別中女性(OR:0.672;95%信賴區間0.397-0.989)、婚姻狀況中喪偶或分居者(OR:0.090;95%信賴區間0.010-0.815)、自覺健康狀況普通者(OR:0.385;95%信賴區間0.802-1.185)、自覺罹病性認知覺得不可能得流行性感冒及肺炎者(OR:2.135;95%信賴區間1.187-3.839)、行動線索之醫師建議(OR:0.119;95%信賴區間0.045-0.312)。本廻歸模式整體的變異數解釋量為28.8%。 結論: 研究顯示性別女性、婚姻狀況中喪偶或分居者、自覺健康狀況普通者、自覺罹病性認知覺得不可能得流行性感冒及肺炎者、行動線索之醫師建議是影響老人選擇流行性感冒疫苗接種地點的重要動機因素。研究結果提供衛生主管機關研擬流感疫苗接種政策及提升衛生所接種服務使用率。

並列摘要


Purpose: The objective of this study was that using the health belief model to analyze the related factors for the choice of the locations for receiving influenza vaccination in the elderly. Materials and methods: Sampling from the elders (age>65 years old) who received influenza vaccination at three clinics and one public health center in Bei-Tun District, Taichung City, was performed between October,2009 and December, 2009. Participants of 313 elders from three clinics and of 151 elders from public health center were included.Totally, 464 questionnaires were collected and the return rate was 100%. The results were assessed by the descriptive statistics, t-test, chi-square test, and logistic regression by using SPSS 12.0 software. Differences were considered to be significant for p ≤ 0.05. Results: The logistic regression analysis showed that sex of female (OR:0.672;95% confidence interval 0.397 to 0.989), marital status widow, widower, separated (OR: 0.090;95% confidence interval 0.010 to 0.815) , perceiving in ordinary health (OR:0.385;95% confidence interval 0.802 to 1.185) , perceiving no morbidity to pneumonia (OR:2.135;95% confidence interval 1.187 to 3.839) and cues to action of doctor’s recommendation (OR:0.119;95% confidence interval 0.045 to 0.312) were significantly affected the choice of the locations for receiving influenza vaccination in the elderly. The R2 of regression analysis in this study was 28.8%. Conclusion: This study demonstrated that factors of female, widow, widower, separated , perceiving in ordinary health, perceiving no morbidity to pneumonia and doctor’s recommendation were significantly affect the motivation of the choice of locations for receiving influenza vaccination in the elderly.These results may provide the Department of Health to make the policy for influenza vaccination and to promote the utility rate of the services in the public health centers.

參考文獻


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被引用紀錄


吳佩伃(2016)。基層醫療院所就醫民眾對流感的態度與流感疫苗接受度之探討〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0003-1907201611205800

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