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研究生: 周苑琳
Chou, Yuan-Lin
論文名稱: 探討第二型糖尿病患者接種流感疫苗之影響因素
Explore the affecting factors of influenza vaccination among patients with Type II diabetes
指導教授: 陳國東
Chen, Kow-Tong
學位類別: 碩士
Master
系所名稱: 醫學院 - 公共衛生學系
Department of Public Health
論文出版年: 2012
畢業學年度: 100
語文別: 中文
論文頁數: 80
中文關鍵詞: 流行性感冒流感疫苗健康信念模式
外文關鍵詞: Influenza, Influenza vaccine, Health belief model
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  • 背景
    由於糖尿病有許多併發症的風險,因此建議施接種流感疫苗來做預防。
    然而,糖尿病患者的流感疫苗接種行為是未知的,因此本研究目的是去了解
    糖尿病患者其接種流感疫苗意向之影響因素。
    方法
    本研究採橫斷式研究設計,於 2012 年 1 月 1 日至 2 月 28 日期間至成功
    大學附設醫院就診之糖尿病患,利用健康信念模式的自填式問卷作調查,收
    集其人口學特徵、疫苗接種情形以及健康信念模式資料。使用單變項與多變
    項分析來探討問卷變相與疫苗接種狀況的相關。
    結果
    本研究總共納入 695 位第二型糖尿病患者做分析,根據分析結果顯示性
    別、年齡、自覺行動利益以及自覺行動障礙皆會影響第二型糖尿病患者接種
    流感疫苗之意向,這些變項可進一步作為接種流感疫苗意向之預測因子。
    結論
    男性以及年齡為 40-64 歲並較無接種流感疫苗之意願,未來衛教應針對
    此族群加以宣導並提高其接種流感疫苗之意願。

    Background
    Because the risk of complication, the patients of diabetes are a priority of
    target for influenza vaccination. However, the behavior of diabetic patients
    relative to vaccination is unknown. The aim of the present study was to identify
    the factors influencing the decision-making of diabetic patients regarding
    influenza vaccination.
    Methods
    A cross-sectional survey was conducted between Jan 1 and Feb 28, 2012 in
    diabetic patients at Cheng Kung University Hospital using self-administered
    questionnaire based on Health belief model (HBM). Data items collected were
    socio-demographic data, vaccination status, and the HBM dimensions. The
    associations between questionnaire variables and vaccination were assessed by
    univariate and multiplie analysis.
    Results
    Our study included 695 type Ⅱ diabetes patients ,the results show that the
    age, gender and the past experience of get influenza vaccination will influence the
    patient to get influenza vaccination and further as predictors. Age, gender, and
    experience of vaccination will impact the health belief
    Conclusion
    A high proportion of people who were male and aged 40-64 years did not
    receive influenza vaccination. Educational approach should be targeted toward
    these risk group to rise the vaccination rates.

    目錄 第一章 緒論 1 第一節 研究背景 1 第二節 研究動機 2 第三節 研究目的 3 第二章 文獻回顧 4 第一節 流行性感冒 4 壹、流行性感冒簡介 4 貳、發生率 4 參、致病機轉 5 肆、診斷定義 5 伍、流感風險族群 5 第二節 糖尿病 7 壹、糖尿病簡介 7 貳、糖尿病盛行率 8 參、糖尿病診斷標準 9 肆、糖尿病與流行性感冒之相關 10 第三節 流感疫苗 11 壹、流感疫苗特性與重要性 11 貳、糖尿病與流感疫苗接種 12 第四節 健康信念模式 13 壹、健康信念模式簡介 13 貳、健康信念模式應用 14 第三章 研究方法 18 第一節 研究對象 18 第二節 研究設計 18 第三節 研究問題 18 第四節 研究假設 19 第五節 研究架構 19 第六節 研究工具 19 壹、問卷設計 19 貳、問卷信度及效度 20 第七節 資料處理與分析 21 壹、描述性統計 22 貳、推論性統計 22 第八節 研究步驟流程圖 23 第九節 研究對象定義流程圖 24 第四章 研究結果 25 第一節 流感疫苗接種情形與各變項之分析 25 壹、研究對象之各變項分布情形 25 貳、流感疫苗接種情形在年齡別之差異 28 參、人口學等變項與流感疫苗接種之差異 28 肆、健康信念程度與流感疫苗接種之差異 29 伍、第二型糖尿病患者流感疫苗接種行為之預測因子 30 第二節 40-64歲之流感疫苗接種情形與各變項之分析 31 壹、40-64歲其人口學等變項與流感疫苗接種之差異 31 貳、40-64歲之健康信念程度與流感疫苗接種之差異 32 參、40-64歲第二型糖尿病患者流感疫苗接種行為之預測因子 33 第三節 65歲以上之流感疫苗接種情形與各變項之分析 34 壹、65歲以上其人口學等變項與流感疫苗接種之差異 34 貳、65歲以上之健康信念程度與流感疫苗接種之差異 35 參、65歲以上第二型糖尿病患者流感疫苗接種行為之預測因子 36 第四節 健康信念在流感疫苗接種經驗之差異 37 第五章 討論 38 第一節 流感疫苗接種率 38 第二節 健康信念與接種流感疫苗之相關 39 第三節 接種流感疫苗之預測因子 40 第四節 不接種流感疫苗可能因素 41 第五節 研究限制 42 第六章 結論與建議 43 第一節 結論 43 第二節 建議 44 參考文獻 73

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