eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Chinese Journal of Emergency and Critical Care Nursing ›› 2026, Vol. 7 ›› Issue (1): 42-48.doi: 10.3761/j.issn.2096-7446.2026.01.006

• Special Planning——Critical Pediatric Care • Previous Articles     Next Articles

A survey on vaccine hesitation and vaccination knowledge and behavior among parents of children after liver transplantation

WANG Fang1(), WU Jingyun1, LU Fangyan2,*(), WANG Yan1   

  1. 1. Liver Transplantation Centerthe First Affiliated Hospital of Zhejiang University School of MedicineHangzhou 310003, China
    2. Nursing Departmentthe First Affiliated Hospital of Zhejiang University School of MedicineHangzhou 310003, China
  • Received:2025-02-05 Online:2026-01-10 Published:2026-01-06
  • Contact: LU Fangyan,E-mail:2196032@zju.edu.cn
  • Supported by:
    Zhejiang Provincial Medical and Health Science and Technology Plan(2023KY105)

Abstract:

Objective To investigate the current situation of vaccine hesitancy,knowledge and behavior among parents of children after liver transplantation,and provide reference for standardizing vaccine administration for children after liver transplantation. Methods Convenience sampling was used to select 156 parents of hospitalized children after liver transplantation from a tertiary hospital in Zhejiang Province from October 2023 to June 2024 as the survey subjects. General information survey form,Child Parent Vaccine Hesitancy Scale,Child Parent Vaccine Knowledge Scale,and Child Parent Vaccine Behavior Scale were used for on-site questionnaire surveys. Univariate factor analysis and correlation analysis were conducted to investigate the influencing factors of vaccine hesitancy among parents of children after liver transplantation. Results The score of the vaccine hesitancy scale for parents of children after liver transplantation was (37.58±16.17) points,the score of vaccination knowledge for parents of children after liver transplantation was (10.41±3.40) points. The median vaccination behavior score was 60.00(53.00,64.00). The results of univariate analysis showed that there was a statistically significant difference(P<0.05) in the vaccine hesitancy score of parents among children undergoing liver transplantation based on age and postoperative time. The vaccine hesitancy score for parents of children undergoing liver transplantation was negatively correlated with the vaccination behavior score and vaccination knowledge score,while the vaccination behavior score was positively correlated with the vaccination knowledge score(P<0.01). Conclusion Parents of children after liver transplantation have a high degree of vaccine hesitancy,insufficient knowledge level,and their vaccination behavior needs to be strengthened. In clinical nursing work,attention should be paid to the issue of vaccination for children after liver transplantation,and the timing of vaccination education should be moved forward. Various communication modes should be used to reduce parents’ vaccine hesitancy early upon hospital admission,and online and offline joint interventions should be carried out to improve parents’ knowledge of vaccination. A social support system and information technology intervention should be established to improve vaccination behavior and enhance parents’ compliance with vaccination for children.

Key words: Liver Transplantation, Vaccination, Vaccine Hesitancy, Pediatric Nursing