邓卡夏问题:对母亲对儿童疫苗接种认知的影响

Zengjun Lun, Jan Lenard Dorado, Wang Qian, Beryl Ben C. Mergal, Narcar Hernandez
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摘要

登革热在世界上几个国家流行。据报道,每年有数百万人感染这种疾病,造成数千人死亡。当赛诺菲巴斯德公司宣布该疫苗只对以前感染过登革热的人有效时,登卡夏问题就发生了。该疫苗已在菲律宾的小学生中接种。据报道,菲律宾的免疫方案免疫率一直在下降。该研究旨在调查邓卡夏事件对母亲对儿童接种疫苗的看法的影响。本研究采用质性现象学研究设计。在招募参与者时,采用目的抽样法和滚雪球抽样法,共选择了11名参与者。访谈采用经过验证的半结构化问卷。参与者包括0-24个月大的孩子的母亲,她们对登卡夏问题有所了解。然后使用标准化方法分析收集到的数据。研究结果显示,在邓卡夏问题上,主题是恐惧、同理心和愤怒。在母亲对疫苗接种的看法上,主题是保护和放弃权威。此外,就邓卡夏问题对儿童疫苗接种的影响而言,确定的主题是疫苗信心和疫苗犹豫。此外,研究还显示,11名母亲中有9名仍然赞成自己的孩子接种疫苗。因此,建议护士必须就社区免疫接种的积极作用进行持续的健康教育。
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The Dengvaxia Issue: Its Influence on Mothers’ Perception on Child Vaccination
Dengue has been endemic in several countries worldwide. It is reported that millions are infected with the disease yearly, causing thousands of deaths. The Dengvaxia issue occurred when Sanofi Pasteur announced that the vaccine, which has been administered to grade-schoolers in the Philippines, can only be effective for those who have been previously infected with dengue. It has also been reported that the immunization program of the Philippines has been experiencing a decrease in the immunization rate. The study aimed to look into the influence of the Dengvaxia issue on mothers’ perceptions on child vaccination. This study employed a qualitative phenomenological research design. To recruit for participants, a purposive sampling method and snowball sampling methods were utilized to select 11 participants. A validated semi-structured questionnaire was used for the interview. Participants included mothers of children ages 0-24 months who have knowledge of the Dengvaxia issue. The data gathered were then analyzed using standardized methods. The findings of the study revealed that on the Dengvaxia issue, the themes were fear, empathy, and anger. On the mother’s perception towards vaccination, the themes were protection and giving up authority. Also, in terms of the influence of Dengvaxia Issue on child vaccination, identified themes were vaccine confidence and vaccine hesitancy.  Furthermore, the study also revealed that nine out of the 11 mothers are still in favor of their children being vaccinated.  It was therefore recommended that nurses must do continuous health education about the positive effects of immunizations in the community.
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