衡阳三级甲等医院女护士对HPV疫苗相关知识态度及行为现状调查

Knowledge, attitude and practice about human papillomavirus vaccine among female nurses working in a tertiary hospital in Hengyang city

目的了解湖南省衡阳市三级甲等医院女护士人乳头瘤病毒(HPV)疫苗相关知识、态度和行为现状,为疫苗推广使用提供研究依据。方法 2017年11—12月采取便利抽样法随机抽取衡阳市某三级甲等医院286名女护士进行问卷调查。结果在286名护士中,所有护士都知道宫颈癌和HPV,护士对HPV认知水平与其所在科室相关,妇产科和肿瘤科护士HPV认知水平显著高于其他科室护士(P <0.05);182名(63.7%)护士听说过HPV疫苗,妇产科护士疫苗认知水平高于其他科室护士(χ~2=12.724,P=0.026);137名(48.0%)护士选择从网络中获取疫苗信息;252名(88.1%)护士愿意接种疫苗,20名(7.0%)护士完成疫苗第1剂接种;不愿意接种疫苗的原因是担心疫苗的安全性和价格。结论为了提高HPV疫苗接受度,应该发挥护士的积极作用,同时开展针对性健康教育,提高护士整体认知水平。

Objective To assess statuses of knowledge, attitude and practices about human papillomavirus（HPV） vaccine among female nurses working in a tertiary hospital in Hengyang city of Hunan province and to provide evidences for promoting application of HPV vaccine in China. Methods A total of 286 nurses working in a tertiary hospital were selected with convenience sampling for a questionnaire survey in Hengyang from November to December 2017. Results All the nurses were aware of cervical cancer and HPV and the awareness rate of HPV was relevant to the department in which the nurses worked, with a significantly higher awareness rate among the nurses working in obstetrics and gynecology and oncology department than that of the nurses in other departments（P〈0.05）. Of all the nurses, 182（63.7%） reported the cognition on HPV vaccine and a significantly higher cognition rate was observed among the nurses in obstetrics and gynecology department than among those in other departments（χ^2 = 12.724, P = 0.026）; 137（48.0%） nurses reported acquiring HPV vaccine related information via internet; and 252（88.1%） expressed a desire to have HPV vaccine inoculation, but only 20（7.0%） had actually received the first dose of HPV vaccine. The safety and cost of HPV vaccine were major concerns for the nurses being reluctant to get HPV vaccine inoculation. Conclusion Targeted health education on HPV vaccine should be conducted among nurses to improve their cognition level for promoting public acceptance of HPV vaccine inoculation in China.