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영幼兒 豫防接種에 對한 어머니의 知議, 態度 및 豫防接種 實施에 關한 調査

A Study on the Knowledge, Attitude and Practice of Mothers about the Vaccination in Children

공중보건잡지 1976년 13권 2호 p.259 ~ 270
김혜성,
소속 상세정보
김혜성 (  ) - 서울대학교 보건대학원

Abstract


A study was carried out to investigate the general knowledge and attitude about the side effects, and the practice of immunization pertaining to B.C.G., D.P.T., poliomyelitis, measles, smallpox, mumps, cholera, typhoid fever and encephalitis possessed by mothers with the last-born child aged within 48 months old.
Mothers residing in the apartments located in Taegu were selected, and the total number of respondents in the study was 256.
The investigation was conducted during the period from March 15 to 30, 1976 through home visit interviews.
The findings of this study are summarized as following:
1. As to the place where these children were immunized, 85.9% had received immunization at hospital or clinics and 14.1% at health centers.
2. The most common side effect of immunizations was "high fever with crying and teasing (45.7%)", while the remaining symptom included "high fever and eruption (12%)", and "vomiting (10%)".
3. As to the causes of side effects, many (43.7%) appeared to think 1) that it was due to individual sensitivity 2) inadequate sterilization and technique.
4. The majority of respondents (81.6%) was found to believe that immunization is necessary and side reactions is expected to occur.
5. The percentages of subjects with correct knowledge about B.C.G., D.P.T.b and Lirugen were 84.4% 48.4% and 32.6%.
Such knowledge was found to be related with educational level of mothers and mothers with older last-born and number of children as the knowledge increased the level of education increased while the knowledge decreased when number of children and the age of last-born child increase.
6. The percentages of subjects knowing who knows the availability of vaccines about measles, poliomyelitis, pulmonary tuberculosis, diphtheria, typhoid fever, pertussis, cholera, smallpox, mumps and encephalitis turned out to be 95.7%, 94.5%, 91.0%, 89.8%, 89.1%, 87.9%, 85.2%, 84.8%, 83.6%, 72.3% and respectively.
7. The percentages of subjects with accurate knowledge about the number of immunization required for measles, poliomyelitis, D.P.T., B.C.G., typhoid fever, smallpox cholera, mumps and encephalitis were 71.9%, 71.5%, 71.1%, 68.8%, 53.9%, 52.7%, 49.2%, 38.7% and 34.8% respectively.
Such knowledge was found to be related closely with the level of subjects´ education, however, subjects from primary school showed high frequencies in cholera and typhoid fever.
8. The percentages of subjects who see the necessity of vaccination were 94.5%, 94.1%, 93.8%, 93%, 93%, 86.7%, 85.5%, 85.2%, 74.2% and 68.4% for poliomyelitis, measles, pertussis, pulmonary tuberculosis, diphtheria, typhoid fever, tetanus, cholera or smallpox, mumps and encephalitis.
9. The percentages of immunization practice in the last-born children were found to be 83.1%, 86%, 80.9%, 62.5%, 37.1%, 36%, 33.6% and 21.9% for poliomyelitis or D.P.T., B.C.G., measles, smallpox, typhoid fever, chola, mumps and encephalitis.
The rate of immunization in general was higher among mothers with high level of education except cases in cholera and typhoid fever.
Although the findings of the study indicated that mothers in general did not seem to complain about the technical errors in immunization in relation to side effects, it is recommended to review the technique presently adopted to limit the possible side effects at minimum level.
Health education program seems to be necessary in order to increase the rate of vaccination basically required for children.

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