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    CMUR > China Medical University Hospital > Jurnal articles >  Item 310903500/4029


    Please use this identifier to cite or link to this item: http://ir.cmu.edu.tw/ir/handle/310903500/4029


    Title: 中部某醫學中心護理人員接種流感疫苗後引發不適反應之研究
    Other Titles: Post-influenza Vaccination Symptoms among Nurses at a Medical Center
    Authors: 楊瓊芳(June-Fong Yang);莊淑婷;許玲女;劉彥芳;柯雅禎;郭憲文(Hsien-Wen Kuo)*
    Contributors: 台中附設醫院
    Keywords: influenza vaccination;post-influenza vaccination symptoms;nurses;medical center
    Date: 2007-03
    Issue Date: 2009-08-20 19:15:31 (UTC+8)
    Abstract: ç›®çš„　探討護理人員接受流行性感冒疫苗接種後產生相關反應及接種後六個月內感染感冒的情形，以提供護理人員在接種流感時之參考。方法　針對中部某醫學中心的護理人員以問卷調查方式進行資料收集，共回收有效問卷846份，資料內容包括基本資料、護理人員過去施打其它疫苗的經驗與反應程度、護理人員此次接種流感疫苗的經驗與反應程度、疫苗接種後6個月感染感冒情況等，再以SPSS/PC 10.0版套裝軟體進行統計分析。結果　846位護理人員中87.8%接受流感疫苗接種，33.8%產生程度不同之不適反應症狀，當中31.7%注射部位腫脹，9.4%使用藥物以減輕不適症狀，13%護理人員使用藥物並請假休息1-2天，不適反應症狀自我感受程度為中度，流感疫苗接種後6個月內有52.9%護理人員感染印象深刻的感冒症狀，症狀中以喉嚨痛最多佔67.5%，咳嗽次之佔66.1%與流鼻水佔62.9%，因不適反應症狀求醫診治或請假者有55.4%。在多變項邏輯式迴歸分析得知護理人員施打疫苗引起感冒不適反應症狀與其過去施打疫苗發生不適反應症狀有顯著性之相關（對比值＝12.89，p<0.01）。結論　結果顯示護理人員流行性感冒疫苗接種後產生的不適症狀相較其它文獻結果偏高，對於醫護人員接種流行性感冒疫苗時，應事前考量過去疫苗接種不適反應症狀之經驗，以確保病人安全照護品質。
    Purpose. To investigate the symptoms following influenza vaccination administered to nurses at a medical center in central Taiwan. Methods. A total of 846 nurses were selected from a medical center. A self-administered questionnaire was uesd to gather data regarding demographics, post-influenza vaccination symptoms, whether subjects suffered a common cold within six months of the influenza vaccination, and history of vaccinations. Results. A total of 87.8% of the nurses had received influenza vaccinations; of them 33.8% suffered adverse influenza symptoms. Of those who suffered adverse symptoms, 31.7% complained of swelling at the injection point and 9.4% indicated the desire to take pain relieving medication to alleviate the symptoms. A total of 3 nurses required medication and two days of rest. Sore throat was the major symptom (67.5%), followed by cough (66.1%) and runny nose (62.9%). Overall, 55.4% either took medicine or required a period of rest after having the influenza vaccination. Multivariate logistic regression indicated that development of a common cold within six months of having received an influenza vaccination correlated significantly with patients' histories of post-vaccination symptoms. Conclusions. The proportion of nurses who suffered from adverse post-influenza vaccination symptoms was relatively high. We recommend that all people undergoing influenza vaccination provide a history of previous post-vaccination symptoms and be carefully monitored after the injection.
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