本文選題：菌痢疫苗 + 接受性��； 參考：《復(fù)旦大學(xué)》2005年博士論文

【摘要】：目的: (1)了解監(jiān)測(cè)目標(biāo)人群中菌痢發(fā)病及分布情況;(2)了解研究目標(biāo)人群對(duì)菌痢防治的認(rèn)知、態(tài)度和行為,對(duì)菌痢的病因、嚴(yán)重性及易感性的認(rèn)識(shí),以及當(dāng)?shù)匦l(wèi)生服務(wù)的利用狀況;(3)了解研究目標(biāo)人群對(duì)未來(lái)菌痢疫苗接種計(jì)劃的接受性和可行性,著重分析社會(huì)、文化和行為因素的影響;(4)比較開(kāi)放式訪談定性研究與封閉式訪談定量研究結(jié)果一致性:(5)比較亞洲三個(gè)研究地區(qū)研究結(jié)果情況;(6)探索保護(hù)動(dòng)機(jī)理論對(duì)影響菌痢疫苗接種社會(huì)、文化和行為因素的適合性;(7)提出我國(guó)農(nóng)村地區(qū)將來(lái)實(shí)施菌痢疫苗接種工作的策略和政策性建議。 方法: (1)建立菌痢發(fā)病監(jiān)測(cè)系統(tǒng);(2)調(diào)查方法:采用深入訪談的定性調(diào)查方法和采用入戶問(wèn)卷定量調(diào)查方法,對(duì)居民的菌痢的認(rèn)知和菌痢疫苗的接受性等進(jìn)行調(diào)查;(3)分析方法:在定性研究中對(duì)收集的資料采用類屬分析法進(jìn)行分析;在定量研究中采用單因素與多因素分析方法,分析居民對(duì)菌痢認(rèn)知和菌痢疫苗的接受性及影響因素。 主要結(jié)論: (1)保護(hù)動(dòng)機(jī)理論在解釋人們對(duì)菌痢疫苗接受性的問(wèn)題上是適用的,但需要增加調(diào)節(jié)因素作用;(2)當(dāng)?shù)鼐用駥?duì)菌痢疫苗的接受性較好,意愿接受率達(dá)90%以上,尤其對(duì)兒童的疫苗接受性高;(3)居民對(duì)于菌痢病因、嚴(yán)重性認(rèn)知程度有待于提高,影響了居民對(duì)菌痢疫苗的接受性;(4)居民對(duì)疫苗的特點(diǎn)如效果、有效期、副作用和價(jià)格等較為關(guān)心,影響了居民對(duì)菌痢疫苗的接受性;(5)當(dāng)?shù)亟∪娜?jí)醫(yī)療預(yù)防保健系統(tǒng)以及居民對(duì)當(dāng)?shù)赜?jì)劃免疫接種工作的信任,為今后菌痢疫苗的推廣提供了有力的保證;(6)選擇合適有效的宣傳途徑和傳播方式,針對(duì)菌痢的病因、嚴(yán)重性、防治知識(shí)和菌痢疫苗的特點(diǎn)開(kāi)展健康教育,可提高居民對(duì)菌痢防治的認(rèn)知,促進(jìn)菌痢疫苗的推廣。 政策建議: (1)應(yīng)合理制定菌痢疫苗的推廣策略和補(bǔ)償機(jī)制;(2)確定重點(diǎn)的接種對(duì)象;(3)針對(duì)目標(biāo)人群采取有效方式,加強(qiáng)宣傳教育;(4)進(jìn)一步加強(qiáng)基層衛(wèi)生防疫網(wǎng)絡(luò)建設(shè)和管理;(5)改善政策環(huán)境,提高領(lǐng)導(dǎo)對(duì)菌痢疫苗接種的重視程度。
[Abstract]:Objective: (1) to understand the incidence and distribution of bacillary dysentery in the target population. (2) to understand the cognition, attitude and behavior of the target population on the prevention and treatment of bacillary dysentery, and to understand the etiology, severity and susceptibility of bacillary dysentery. And the utilization of local health services.) to understand the acceptability and feasibility of the future vaccine plan for bacillary dysentery among the target population, and to analyze the society in particular. Comparing the results of qualitative and closed interview qualitative studies with those of closed interviews. Comparing the results of three research regions in Asia. 6) exploring the impact of protective motivation theory on the society of bacillary dysentery vaccination. The suitability of culture and behavioral factors (7) the strategies and policy suggestions for the future implementation of bacillary dysentery vaccination in rural areas of China were put forward. Methods: 1) to establish a disease surveillance system for bacillary dysentery. The methods of investigation were as follows: the qualitative investigation method of in-depth interview and the quantitative investigation method of household questionnaire were used. Investigation on the cognition of bacterial dysentery and the acceptability of bacillary dysentery vaccine. Methods: in the qualitative study, the collected data were analyzed by the generic analysis method; in the quantitative study, the single-factor and multi-factor analysis methods were used. The cognition of bacillary dysentery and the acceptance of bacillary dysentery vaccine were analyzed. Main conclusions: (1) the theory of protective motivation is applicable in explaining the acceptability of bacillary dysentery vaccine, but it needs to increase the effect of regulating factors. (2) the acceptance rate of local residents to bacillary dysentery vaccine is better, and the willing acceptance rate is more than 90%. Especially for children, vaccine acceptability is high. (3) residents' awareness of the cause of bacterial dysentery and the severity of dysentery need to be improved, which has affected the residents' acceptance of the vaccine.) the residents' characteristics of the vaccine, such as the effect and validity period, More concern about side effects and prices affected residents' acceptance of the vaccine against dysentery (5) the local health care system for tertiary health care, and residents' trust in the local planned immunization work. It provides a powerful guarantee for the future promotion of bacillary dysentery vaccine. It also provides a suitable and effective way of propaganda and transmission, and carries out health education according to the etiology, severity, knowledge of prevention and treatment and the characteristics of bacillary dysentery vaccine, according to the etiology and severity of bacillary dysentery. It can improve the residents' awareness of the prevention and treatment of bacillary dysentery and promote the spread of bacillary dysentery vaccine. Policy recommendations: (1) the promotion strategy and compensation mechanism of bacillary dysentery vaccine should be reasonably formulated. (2) the key inoculation target should be determined: (3) to take effective measures to target the target population, to strengthen publicity and education and to further strengthen the construction and management of the basic level health and epidemic prevention network and to improve the policy environment, 4) to strengthen the construction and management of the basic level health and epidemic prevention network and to improve the policy environment. The leaders should pay more attention to the vaccination of bacillary dysentery.
【學(xué)位授予單位】：復(fù)旦大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2005
【分類號(hào)】：R186

【引證文獻(xiàn)】

相關(guān)博士學(xué)位論文 前1條

1 劉彩;基于保護(hù)動(dòng)機(jī)理論的農(nóng)村居民乙肝疫苗接種意愿和接種行為研究[D];山東大學(xué);2012年

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本文編號(hào)：1957096