O'Rorke C, Bourke W, Bedford D, Howell F
Our Lady's Hospital, Navan, Co. Meath.
Ir Med J. 2003 Jul-Aug;96(7):207-9.
Healthcare workers are recommended to receive influenza vaccination. The aims of this study were to assess the uptake of the influenza vaccine by healthcare workers in an acute hospital setting and ascertain factors as to why health care workers availed of the vaccine or not. The vaccine was available free of charge and the times when and the locations where the vaccine was available were well advertised. A questionnaire was distributed to a presenting sample of 300 healthcare workers at the end of December 2001 when the campaign was completed. A total of 228 (76.0%) responded. Almost two-thirds, 146(64.0%), had seen the notices about the availability of the vaccine and 175(76.8%) were aware that the vaccine was available free of charge. Forty (17.5%) received the vaccine. Professionals allied to medicine were more likely to have been vaccinated than other healthcare workers, whilst nurses were less likely to be vaccinated. The most common factors associated with not getting vaccinated were that the healthcare workers did not consider themselves at high risk and a fear of side effects of the vaccine. Nurses were more likely than other staff to cite side effects of the vaccine as a reason for not getting vaccinated (p < 0.03). A third of those who did not get the vaccine stated that they would consider getting the vaccine the following year compared to 26(65.0%) of those who got it in the current year. The main reason for getting the vaccine was to avoid influenza infection. If high uptake rates of influenza vaccine are to be achieved in healthcare workers creative and enduring methods will have to be employed.
建议医护人员接种流感疫苗。本研究的目的是评估急症医院环境中医护人员对流感疫苗的接种情况，并确定医护人员接种或未接种疫苗的原因。该疫苗免费提供，且疫苗接种的时间和地点都有广泛宣传。2001年12月底活动结束时，向300名医护人员发放了问卷。共有228人（76.0%）回复。近三分之二，即146人（64.0%）看到了关于疫苗可接种的通知，175人（76.8%）知道疫苗是免费提供的。40人（17.5%）接种了疫苗。医学相关专业人员比其他医护人员更有可能接种疫苗，而护士接种疫苗的可能性较小。与未接种疫苗相关的最常见因素是医护人员不认为自己处于高风险中以及对疫苗副作用的恐惧。护士比其他工作人员更有可能将疫苗副作用作为未接种疫苗的原因（p < 0.03）。三分之一未接种疫苗的人表示他们会考虑在次年接种疫苗，而本年度接种疫苗的人中有26人（65.0%）是这样。接种疫苗的主要原因是避免感染流感。要想在医护人员中实现高疫苗接种率，就必须采用有创造性且持久的方法。
