Knowledge, attitude and practice about human papillomavirus vaccine among female nurses working in a tertiary hospital in Hengyang city
-
摘要:
目的 了解湖南省衡阳市三级甲等医院女护士人乳头瘤病毒(HPV)疫苗相关知识、态度和行为现状,为疫苗推广使用提供研究依据。 方法 2017年11 — 12月采取便利抽样法随机抽取衡阳市某三级甲等医院286名女护士进行问卷调查。 结果 在286名护士中,所有护士都知道宫颈癌和HPV,护士对HPV认知水平与其所在科室相关,妇产科和肿瘤科护士HPV认知水平显著高于其他科室护士(P < 0.05);182名(63.7 %)护士听说过HPV疫苗,妇产科护士疫苗认知水平高于其他科室护士(χ2 = 12.724,P = 0.026);137名(48.0 %)护士选择从网络中获取疫苗信息;252名(88.1 %)护士愿意接种疫苗,20名(7.0 %)护士完成疫苗第1剂接种;不愿意接种疫苗的原因是担心疫苗的安全性和价格。 结论 为了提高HPV疫苗接受度,应该发挥护士的积极作用,同时开展针对性健康教育,提高护士整体认知水平。 Abstract:Objective To assess statuses of knowledge, attitude and practices about human papillomavirus (HPV) vaccine among female nurses working in a tertiary hospital in Hengyang city of Hunan province and to provide evidences for promoting application of HPV vaccine in China. Methods A total of 286 nurses working in a tertiary hospital were selected with convenience sampling for a questionnaire survey in Hengyang from November to December 2017. Results All the nurses were aware of cervical cancer and HPV and the awareness rate of HPV was relevant to the department in which the nurses worked, with a significantly higher awareness rate among the nurses working in obstetrics and gynecology and oncology department than that of the nurses in other departments (P < 0.05). Of all the nurses, 182 (63.7%) reported the cognition on HPV vaccine and a significantly higher cognition rate was observed among the nurses in obstetrics and gynecology department than among those in other departments (χ2 = 12.724, P = 0.026); 137 (48.0%) nurses reported acquiring HPV vaccine related information via internet; and 252 (88.1%) expressed a desire to have HPV vaccine inoculation, but only 20 (7.0%) had actually received the first dose of HPV vaccine. The safety and cost of HPV vaccine were major concerns for the nurses being reluctant to get HPV vaccine inoculation. Conclusion Targeted health education on HPV vaccine should be conducted among nurses to improve their cognition level for promoting public acceptance of HPV vaccine inoculation in China. -
表 1 护士对HPV感染相关知识正确率比较
问题 妇产科
(n = 46)儿科
(n = 16)肿瘤科
(n = 32)外科
(n = 44)内科
(n = 39)其他科室
(n = 109)χ2值 P值 人数 % 人数 % 人数 % 人数 % 人数 % 人数 % HPV可以感染男性和女性 36 78.3 12 75.0 24 75.0 23 52.3 21 53.8 65 59.6 11.693 0.039 HPV感染通常无症状 34 73.9 11 68.8 19 59.4 18 40.9 15 38.5 69 63.3 18.216 0.003 大多数女性一生中都可以感染HPV 40 87.0 8 50.0 25 78.1 15 34.1 23 59.0 56 51.4 41.785 0.000 大多数HPV感染可自行清除 38 82.6 9 56.3 26 81.3 21 47.7 16 41.0 65 59.6 21.415 0.001 HPV持续感染可导致宫颈癌 38 82.6 9 56.3 20 62.5 27 61.4 27 69.2 85 78.0 10.528 0.062 HPV通过性行为传播 31 67.4 13 81.3 26 81.3 38 86.4 35 89.7 99 90.8 12.282 0.031 不安全性行为增加HPV感染的风险 42 91.3 14 87.5 28 87.5 37 84.1 35 89.7 101 92.7 2.945 0.709 避孕套可降低HPV感染风险 32 69.6 12 75.0 23 71.9 36 81.8 25 64.1 78 71.6 3.530 0.619 子宫颈抹片是HPV感染的主要筛查手段 42 91.3 12 75.0 23 71.9 29 65.9 27 69.2 86 78.9 10.276 0.068 表 2 护士对HPV疫苗知识正确率比较
问题 妇产科
(n = 46)儿科
(n = 16)肿瘤科
(n = 32)外科
(n = 44)内科
(n = 39)其他科室
(n = 109)χ2值 P值 人数 % 人数 % 人数 % 人数 % 人数 % 人数 % 听说过HPV疫苗 35 76.1 10 62.5 17 53.1 20 45.5 24 61.5 76 69.7 12.724 0.026 接种HPV疫苗后应常规进行宫颈筛查 15 32.6 5 31.3 14 43.8 9 20.5 15 38.5 35 32.1 5.406 0.368 HPV疫苗只能女性接种 16 34.8 3 18.8 10 31.3 9 20.5 4 10.3 19 17.4 10.759 0.056 HPV疫苗只能预防宫颈癌 12 26.1 4 25.0 13 40.6 18 40.9 15 38.5 40 36.7 3.686 0.595 HPV疫苗是安全的 35 76.1 12 75.0 19 59.4 29 65.9 30 76.9 87 79.8 7.227 0.201 HPV疫苗在未发生性生活前接种效果最好 41 89.1 14 87.5 30 93.8 30 68.2 26 66.7 69 63.3 21.254 0.001 表 3 护士HPV疫苗正向接种态度结果比较a
问题 妇产科
(n = 46)儿科
(n = 16)肿瘤科
(n = 32)外科
(n = 44)内科
(n = 39)其他科室
(n = 109)χ2值 P值 人数 % 人数 % 人数 % 人数 % 人数 % 人数 % 自己愿意接种HPV疫苗 39 84.8 15 93.8 26 81.3 37 84.1 36 92.3 99 90.8 4.512 0.478 自己愿意向他人推荐HPV疫苗 42 91.3 11 68.8 20 62.5 27 61.4 32 82.1 89 81.7 17.830 0.003 男性也应该接种HPV疫苗 37 80.4 10 62.5 22 68.8 30 68.2 21 53.8 60 55.0 11.314 0.046 接种HPV疫苗会鼓励不安全性行为 31 67.4 12 75.0 19 59.4 18 40.9 24 61.5 70 64.2 10.075 0.073 HPV疫苗应纳入常规疫苗 39 84.8 13 81.3 22 68.8 29 65.9 34 87.2 90 82.6 10.065 0.073 应该将性教育纳入到HPV疫苗推广项目中 33 71.7 10 62.5 26 81.3 32 72.7 30 76.9 84 77.1 2.796 0.073 注:a 正向接种态度为护士回答“是”。 -
[1] Chen WQ, Zheng RS, Peter DB, et al. Cancer statistics in China, 2015[J]. CA Cancer J Clin, 2016, 66(2): 115 – 132. [2] 周建芳, 王玉霞. 妇科疾病患者HPV感染及其影响因素分析[J]. 中国公共卫生, 2017, 33(2): 311 – 313. [3] 宋晓彬, 茅范贞, 周鼒, 等. 发展中国家人乳头瘤病毒疫苗卫生经济学评价研究的系统综述[J]. 中华预防医学杂志, 2016, 50(1): 85 – 90. [4] Bailey HH, Chuang LT, Dupont NC, et al. American Society of Clinical Oncology Statement: human papillomavirus vaccination for cancer prevention[J]. Journal of Clinical Oncology, 2016, 34(15): 1803 – 1812. [5] Manoel AL, Rodrigues AB, Piva EZ, et al. Evaluation of knowledge about the human papilloma virus (HPV) and its vaccination among community health agents in the municipality of Tubaro, Santa Catarina, Brazil, in 2014[J]. Epidemiol Serv Saude, 2017, 26(2): 399 – 404. [6] Rosen BL, Ashwood D, Richardson GB. School nurses' professional practice in the HPV vaccine decision-making process[J]. Journal of School Nursing, 2016, 32(2): 138 – 148. [7] 赵碧霞, 王蓉, 万艳平, 等. 衡阳地区女性对人乳头瘤病毒及其疫苗认知的调查研究[J]. 护理研究, 2015, 29(2): 755 – 757. [8] Jakeway CC, Larosa G, Cary A, et al. The role of public health nurses in emergency preparedness and response: a position paper of the association of state and territorial directors of nursing[J]. Public Health Nursing, 2008, 25(4): 353 – 361. [9] Chawla PC, Chawla A, Chaudhary S. Knowledge, attitude and practice on human papillomavirus vaccination: a cross-sectional study among healthcare providers[J]. The Indian Journal of Medical Research, 2016, 144(5): 741 – 749. [10] Zhang JM, Zhao QM. Assessment of the knowledge, attitude and practices about human papilloma virus vaccine among the nurses working in a tertiary hospital in China: a cross-sectional descriptive study[J]. The Journal of the Pakistan Medical Association, 2017, 67(2): 209 – 213. [11] 周艳秋, 范爱飞, 杨智敬, 等. 女性医务人员对HPV疫苗认知调查及影响因素分析[J]. 临床护理杂志, 2016, 15(2): 2 – 4. [12] 张芳蕾, 张娇, 丁雪娇, 等. 万荣县基层医务人员对人乳头瘤病毒相关知识认知现状调查分析[J]. 慢性病学杂志, 2016, 17(1): 29 – 32. [13] Patel H, Austin-Smith K, Sherman SM, et al. Knowledge, attitudes and awareness of the human papillomavirus amongst primary care practice nurses: an evaluation of current training in England[J]. J Public Health (Oxf), 2017, 39(3): 601 – 608. [14] Rohrbach MR, Wieland AM. A survey of Wisconsin pediatricians′ knowledge and practices regarding the human papillomavirus vaccine[J]. Otolaryngology-Head and Neck Surgery, 2017, 156(4): 636 – 641. [15] Zeraiq L, Nielsen D, Sodemann M. Attitudes towards human papillomavirus vaccination among Arab ethnic minority in Denmark: a qualitative study[J]. Scand J Public Health, 2015, 43(4): 408 – 414. [16] Harries J, Moodley J, Barone MA, et al. Preparing for HPV vaccination in South Africa: key challenges and opinions[J]. Vaccine, 2009, 27(1): 38 – 44. [17] 王雪敏, 冯向先, 翟艳丽, 等. 某市妇女子宫颈癌筛查及HPV疫苗认知调查[J]. 中国公共卫生, 2012, 28(5): 650 – 651. [18] Wang W, Ma Y, Wang X, et al. Acceptability of human papillomavirus vaccine among parents of junior middle school students in Jinan, China[J]. Vaccine, 2015, 33(22): 2570 – 2576.
计量
- 文章访问数: 2128
- HTML全文浏览量: 454
- PDF下载量: 112
- 被引次数: 0