Quigley R, Hayes B
Department of Occupational Health, Beaumont Hospital, Beaumont Road, Dublin 9.
Ir Med J. 2006 Jul-Aug;99(7):200-3.
Influenza vaccination of health care workers is recommended for their own protection and that of their patients. There is serendipitous protection for their contacts outside of work. Influenza vaccination uptake has been historically poor. A questionnaire study of healthcare staff at a tertiary referral hospital was carried out to evaluate knowledge of and attitudes to influenza and its vaccine. There was a 36% response rate to the questionnaire, but with reasonably proportionate representation of the various occupational groups. The mean acceptance of vaccine in respondents was 30%; however the vaccination rate for the hospital in 2003 was 16.2% indicating that non-vaccinees were under represented in the study sample.. Vaccine uptake increased with age. Occupationally, doctors, clerical and catering/household staff had higher than mean reported uptake of vaccine. Nurse respondents reported vaccine uptake of 22%. The role of these factors is examined in determining vaccine acceptance. A strong belief in the effectiveness of influenza vaccine was shown to be the strongest predictor of vaccine uptake with 66% of this group taking vaccine. A maximum score in an 8-question knowledge test was only associated with a 51% vaccine uptake. Implications for campaigns to improve uptake are discussed.
建议医护人员接种流感疫苗，这既是为了保护他们自己，也是为了保护他们的患者。对他们工作之外的接触者也有意外的保护作用。历史上流感疫苗的接种率一直很低。在一家三级转诊医院对医护人员进行了一项问卷调查研究，以评估他们对流感及其疫苗的了解和态度。问卷的回复率为36%，但各职业群体的代表性较为合理。受访者中疫苗的平均接受率为30%；然而，该医院2003年的疫苗接种率为16.2%，这表明未接种疫苗者在研究样本中的代表性不足。疫苗接种率随年龄增长而增加。在职业方面，医生、文职人员以及餐饮/家政人员报告的疫苗接种率高于平均水平。护士受访者报告的疫苗接种率为22%。在确定疫苗接受度时对这些因素的作用进行了研究。对流感疫苗有效性的强烈信念被证明是疫苗接种的最强预测因素，该群体中有66%的人接种了疫苗。在一项8道题的知识测试中获得最高分仅与51%的疫苗接种率相关。讨论了对提高接种率的宣传活动的影响。
