The Assessment of the Health Education Needs for the Newborn infants' Hepatitis B Immunization Program in Taiwan
Date Issued
1987-08
Date
1987-08
Author(s)
Yen, Han-Wen
Yen.Lee-Lan
Chiang, Yung-Shung
Abstract
B型肝炎感染為我國台灣地區重要公共衛生問題。有效防治的方法之一，是新生兒B型肝炎疫苗注射。本研究的主要目的在探討全面實施新生兒免費B型肝炎預防注射後，台灣地區新生兒接受注射的實際情況及影響此一行為之衛生教育方面的診斷。第一年在了解社區醫療人員的B型肝炎知識程度，對B型肝炎預防注射的態度和行為，以及一些變項與其之影響；並探討醫療人員之B型肝炎知識來源、在職訓練需求；同時收集現有衛教宣導資訊情形。
研究對象採有條件的選取台灣地區之2鄉、2鎮、2市、2區，取得這八處的所有公私立衛生醫療院所名單，該機構內與新生兒B型肝炎預防注射工作有關之醫療人員均在訪視之列。於民國七十六年四月收集資料完成，加以分析，做成重要結論如下：
1.社區醫療人員B型肝炎知識得分答對率僅64.5%，不理想。
2.社區醫療人員對B型肝炎的態度是正向的(在五分量表得分4.12)
3.社區醫療人員有關執行B型肝炎工作之現況，大多數都做得不錯，但未臻理想，仍待努力。
4.社區醫療人員B型肝炎知識來源最多來自「肝炎防治小冊、摺疊卡、單張資料等」；但幫助最大的來源是「參加肝炎防治講習」，卻僅有五分之一的人參加過。
5.社區醫療人員參加在職訓練的意願很高，接近九成，但以短時間的較受歡迎，最感興趣的內容是「B型肝炎的預防方法」。
6.社區醫療人員之B型肝炎知識，以服務於衛生局所者、協辦醫療者、縣轄市者較高。
7.社區醫療人員之B型肝炎態度，以本人無帶原、患病之經驗者較正向。
In Taiwan, the carrier rate of the hepatitis B surface antigen (HBsAg) is 15-20 per 100 population, and at least 40% of these carriers are infected ny their mother during early life. These carriers are at increased risl of chronic liver disease. Approximately 90% of the infants of infected mothers become carriers.
In order to eliminate the chance of "mother to infant transmission " and to reduce the carrier rates in Taiwan, an islandwide hepatitis B vaccine immunization program has been designed and implemented for newborn infants by free charge since July, 1986.
The purpose of this study was to examine the factors which might inhibit the feasibility of the immunization program, and the education needs which might improve the efficiency of the intervention program. To achieve this goal, both administrative and educational assessment were carried out in this paper.
Eight communities consisting of 2 villiages, 2 towns, 2 cities, and 2 urban areas within a metropolis were selected. The study included those personnels who participated the work of the hepatitis B immunization program. Four hundreds and five health care workers were selected for this study. Data regarding the knowledge, attitude and practice of those personnels were collected and analyzed.
Only 64.5% of those health workers provided accurate answers on hepatitis B knowledge test. Their major sources of knowledge came from printed materials. However most of their attitudes toward the program were positive. "Prevention strategies of hepatitis B" was shown to be the most interested tipics for inservice training in the future for those health care workers.
SDGs
Description
主持人：晏涵文
協同主持人：李蘭、江永盛
協同主持人：李蘭、江永盛
Type
report