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研究生:林婷婷
研究生(外文):Lin,Ting-Ting
論文名稱:運用越語媒體提升新住民母親嬰幼兒流感疫苗接種知識和態度之研究
論文名稱(外文):The application of Vietnamese multimedia on promoting the knowledge and attitude of flu immunization for the new immigrant mothers with infants and young children
指導教授:黃玉珠黃玉珠引用關係
指導教授(外文):Huang Yu-Chu
口試委員:李慈音陳若琳
口試委員(外文):Lee,Tzu-YingChen,Jo-Lin
口試日期:2018-01-04
學位類別:碩士
校院名稱:輔仁大學
系所名稱:護理學系碩士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2018
畢業學年度:106
語文別:中文
論文頁數:148
中文關鍵詞:越裔婦女嬰幼兒流感疫苗越語媒體
外文關鍵詞:Vietnamese womenInfant flu vaccineVietnamese media
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背景:根據內政部移民署2017年的統計資料顯示,2017年11月底在我國外籍人士計有52萬9,685人,以東南亞籍入境者占外籍比率達86.1%,目前東南亞族裔的子女於台灣新生兒與學校人口數比例逐增,新住民對於獲取衛教資源之便利性及運用性仍顯不足。本研究嘗試以越語DVD媒體導入嬰幼兒流感防治宣導,期能促進越裔婦女對於嬰幼兒流感健康照護知識與注射態度之提升。
目的:了解越裔婦女基本屬性及嬰幼兒基本身體狀況,並且探討越語媒體宣導介入對越裔婦女之嬰幼兒流感疫苗接種的知識、態度之相關性,及越語媒體宣導之滿意度成效。
方法:本研究以介入橫斷性研究方式,將方便取樣個案分為實驗組及控制組各60人,總共收案120人。將修訂版「雲林縣衛生局研發之幼兒接種流感疫苗」之問卷內容為研究工具、國健署越語流感疫苗單張及越語媒體DVD為介入措施。
結果:(一)越裔婦女25-29歲、來台時間4-6年、國中學歷且多數已婚並有工作;丈夫年齡40-49歲、高中(職)學歷且勞動工作。兩組婦女基本屬性以「母親婚姻狀況」、「家庭月收入」、「家人協助照顧嬰幼兒」、「嬰幼兒年齡」與「嬰幼兒是否曾經接種過流行性感冒疫苗產生不良反應」具有顯著性差異。(二)越裔婦女之嬰幼兒流感疫苗接種知識,於越語媒體宣導衛教介入一周後知識後測有顯著差異。(三)兩組越裔婦女之嬰幼兒流感疫苗接種態度前測總分有顯著差異;及越語媒體宣導衛教介入後,四週後之態度後測亦有顯著性差異。(四)兩組越裔婦女對於越語媒體宣導衛教介入後,對於越語媒體宣導滿意度皆無差異。
討論與建議:越語媒體宣導對嬰幼兒流感疫苗接種之知識及態度並無統計學上影響差異,但「疫苗不良反應」及「疫苗副作用」對越裔婦女有否意願讓嬰幼兒流感疫苗接種仍具影響性;故提供新住民母語語音衛教方式仍是適宜的衛教宣導,不僅讓個案之知識直接幫助,也可再次複習進而強化嬰幼兒流感疫苗接種意願。而越裔婦女透過家庭支持及周遭獲得的經驗知識與態度是具有關聯性,建議宜開辦新住民醫療講座或提供專門窗口協助,落實多元友善的社會氛圍。
然而政府減少母語宣導單張與手冊印製,且縮減人力經費故通譯員無實地服務,致使新住民無法獲得具體的健康照護的知識技能。如何讓社區持續提供母語相關嬰幼兒流感相關講座,與培訓母語通譯員訓練,提高越裔婦女對流感疫苗的認知,使其態度能正向提高接種疫苗注射率;並進而教導正確洗手概念皆是最簡易有效的防疫策略。建議透過母語的教學傳達各種照護資源知能,才能夠精確傳遞正確訊息。
也建議因現今網路查詢便利的時代,可開發母語的醫療應用軟體(APP),提供新住民相關健康知能的衛教,鼓勵新住民配偶及公婆共同參與相關課程,提升家人及同儕的支持,相信達成友善醫療環境的情境才指日可待。

BACKGROUND
According to the statistics of the Migration Agency of the Ministry of the Interior, there are 529,685 newimmigrant by the end of November 2017, with a Southeastbound entry rate of 86.1%, to gain an increase of Southeast Asian children in Taiwan too, however, the accessibleand applicability of health education are still inadequate. This study attempts to introduce Vietnamese DVD media into infants and young children's flu prevention and promtionadvocacy, which expects to promote Vietnamese women's flu awareness and injecting attitude towards influenza in infants and young children.

PURPOSE
1.Tounderstand Vietnamese women and the physical condition of infants and young children
2.To explore Vietnamese women's flu awareness and injecting attitude towards influenza in infants and young children
3.To comparerelevance oftradition healthleaflet and theVietnamese media coverage of intervention ofinfants and young children of influenza vaccination knowledge and attitude
4.To investigate the mothers’ satisfaction to use Vietnamese media

METHOD
The cross-session research method was used in this study, a total of 120convenient samples were invited and further divided into two groups, one experimental group and the control group. And arevised questionnaire of the "Flu Vaccination for Young Children" whichdeveloped by Yunlin County Health Bureau was used as a research tool, and the CDC Vietnamese version offlu vaccine leaflet and the Vietnamese language DVD as intervention tool.

RESULTS
1.Vietnamese women aged 25-29 years and stay in Taiwan for more than 4-6 years, most of them are married and have working experience.The majority of women who’s husband aged between 40-49 years old, high school education and with a job as the labor workers. In addition,the characteristics of women in both groups were statistically significant with "marital status of mother", "family monthly income", "family support for infant", "age of infants and young children" and "whether infants or young children were vaccinated with influenza vaccine before.".
2.Knowledge of flu vaccination for infants and young children of Vietnamese women was significantly different after the one-week intervention of Vietnamese language media in advocating health education.
3.There was a significant difference in pre-test knowledge scores of flu vaccination among infants and young children in the two groups of Vietnamese women.
4.No differences of satisfaction in two groups women in term of the Vietnamese media and health leaflet.

DISCUSSIONAND SUGGESTION
The Vietnamese media did not make the difference of mothers between influenza vaccination knowledge and attitudes in infants and young children. However, "Vaccine Adverse Drug Reaction" and "Vaccine side Effect" have the intention of Vietnamese women to make influenza vaccination in infants and young children still be influential. The provision of new immigrantvocal-based education is still appropriate for health education and advocacy. This not only directly help the new immigrant health knowledge, but can be reviewed again to reinforce the willingness of influenza vaccination in infants and young children. In addition, theimmigrantwomen are relatedhighly through their family support and experience gained around them. It is advisable to provide medical seminars for neo-residents or provide one stopwindow assistance to implement a multi-dimensional and friendly social environment.
Furthermore, due to Taiwan Government has reduced the number of multi languages leaflets and handbooks printed, and alsothe reduction of community service interpreters’manpower, resulting in the inability of new immigrantto acquire specific health care knowledge and skills. How to enable the community to continuously provide suitable language lectures even the useage ofe file program whichrelated infant and child flu for improving Vietnamese women's awareness of influenza vaccines and make their attitudes positively.
Finally, teach the concept of correct hand washing are the easiest and most effective anti-epidemic strategies since in this current study shows there are still a lot of immigrant mothers without letting young children wash hands before and after taking food or after loo; therefore, how we accurately transmit the correct message and further education is important.
In the current era of Internet search convenience, suggest the health professionals can develop native-speaking medical applications (APP) to provide health education for neo-residents and encourage their spouses and in-laws to participate in relevant programsso as to enhance family and peer support. The context of a friendly medical environment is just around the corner.

摘要
ABSTRACT
第一章 緒論
第一節 研究背景與動機
第二節 研究目的
第二章 文獻探討
第一節 相關嬰幼兒流感疫苗與疫苗接種之文獻探討
第二節 跨文化照護之文獻評析
第三節 多媒體衛教宣導之文獻回顧
第三章 研究方法
第一節 研究架構與研究設計
第二節 名詞解釋
第三節 研究對象
第四節 研究過程
第五節 研究工具及信、效度
第六節 資料分析方法
第七節 研究倫理
第四章 研究結果
第一節 越裔婦女基本屬性之描述性統計
第二節 兩組越裔婦女基本屬性之比較與同質性檢定
第三節 兩組越裔婦女於嬰幼兒流感疫苗接種知識、態度與越語媒體宣導滿意度平均數比較
第四節 越裔婦女基本屬性與嬰幼兒流感疫苗接種知識、態度與越語媒體滿意度之相關性分析
第五節 越裔婦女之嬰幼兒流感疫苗接種知識、態度前後測與越語媒體滿意度二次後測之相關性分析
第六節 越裔婦女基本屬性對嬰幼兒流感疫苗接種知識及態度之多元迴歸分析
第五章 研究討論
第一節 越裔婦女基本屬性、嬰幼兒體質及生活習慣之探討
第二節 越裔婦女對嬰幼兒流感疫苗接種的知識及態度之相關討論
第三節 越裔婦女對於越語媒體宣導之滿意度成效探討
第四節 越語媒體DVD介入對嬰幼兒流感疫苗接種知識及態度的影響
第六章 結論
第七章 研究限制與建議
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