Pediatrik Kanser Hastalarının Ebeveynlerinin Sürekli Kaygı Düzeyleri ve Aşı Karşıtlığı

Özlem Tezol, Funda Erkasar, E. Çitak
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引用次数: 3

Abstract

Cancer and cancer treatment in childhood cause decline or disappearance of vaccine antibodies.Childhood cancer survivors need revaccination for protection against life-threatening infections.In recent years anti-vaccination has become widespread.We aimed to investigate trait anxiety level and anti-vaccination in mothers of pediatric cancer patients. A descriptive questionnaire and State Trait Anxiety Inventory were conducted to mothers of 66 pediatric cancer patients who were under anticancer therapy.Anti-vaccination group defined as following:mothers who have revaccine hesitancy and refusal for their children after anticancer therapy and/or mothers who have vaccine hesitancy and refusal for sibling(s) of their children with cancer and/or mothers who have vaccine hesitancy and refusal for a newborn child in the event of giving birth to. Diagnosis were leucemia in 50%,lymphoma in 12.2%,brain tumor in 10.65%,solid tumors in 27.2% of patients.The most frequent information source that mothers consult about cancer and vaccines was health professionals.15% of mothers were in the opinion that vaccines may be carcinogenic,3% of mothers were in the opinion that previous vaccinations played a role in their childrens’ cancer and 22.7% of them were irresolute on this topic.The percentage of mothers who have revaccine hesitancy or refusal for their children after anticancer therapy was 12.1,the percentage of mothers who have vaccine hesitancy or refusal for sibling(s) of their children with cancer was 8.2,the percentage of mothers who have vaccine hesitancy or refusal for a newborn child in the event of giving birth to was 12.1. Fifteen (22.7%) mothers took part in the anti-vaccination group.Patients’ age,gender,diagnosis,parental ages,parental education levels,familial income levels,number of children in the family,frequency of consulting health professionals,and trait anxiety scores were statistically similar between the groups with anti-vaccination and vaccination acceptance (p>0.05). Larger sample sized and comprehensive searches are required to achieve revaccination and protect childhood cancer survivors from anti-vaccination movement.
儿童时期的癌症和癌症治疗导致疫苗抗体下降或消失。儿童癌症幸存者需要重新接种疫苗,以防止危及生命的感染。近年来,反疫苗接种已变得普遍。我们的目的是调查儿童癌症患者母亲的特质焦虑水平和抗疫苗接种。采用描述性问卷和状态-特质焦虑量表对66例正在接受抗癌治疗的儿童癌症患者的母亲进行调查。抗疫苗接种组定义如下:在抗癌治疗后对其子女有再疫苗接种犹豫和拒绝的母亲和/或对其患癌症子女的兄弟姐妹有疫苗接种犹豫和拒绝的母亲和/或在分娩时对新生儿有疫苗接种犹豫和拒绝的母亲。诊断为白血病占50%,淋巴瘤占12.2%,脑瘤占10.65%,实体瘤占27.2%。母亲咨询有关癌症和疫苗的最常见信息来源是保健专业人员。15%的母亲认为疫苗可能致癌,3%的母亲认为以前的疫苗接种在其子女的癌症中起作用,22.7%的母亲对此问题犹豫不决。在接受抗癌治疗后,对子女再次接种疫苗犹豫不决或拒绝接种的母亲比例为12.1,对患有癌症的子女的兄弟姐妹接种疫苗犹豫不决或拒绝接种的母亲比例为8.2,在分娩时对新生儿接种疫苗犹豫不决或拒绝接种的母亲比例为12.1。15名(22.7%)母亲参加了反疫苗接种组。患者年龄、性别、诊断、父母年龄、父母受教育程度、家庭收入水平、家庭子女数、就诊频率、特质焦虑评分在抗接种组和接受接种组之间差异有统计学意义(p>0.05)。需要更大的样本量和全面的搜索来实现重新接种并保护儿童癌症幸存者免受反疫苗接种运动的影响。
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