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社区药剂师宣传免疫接种对老年人流感疫苗接种率的影响。

Impact of community pharmacists advocating immunization on influenza vaccination rates among the elderly.

作者信息

Usami Takashi, Hashiguchi Masayuki, Kouhara Tsuyoshi, Ishii Akira, Nagata Taizou, Mochizuki Mayumi

机构信息

Division for Evaluation and Analysis of Drug Information, Kitasato University School of Pharmacy, Tokyo, Japan.

出版信息

Yakugaku Zasshi. 2009 Sep;129(9):1063-8. doi: 10.1248/yakushi.129.1063.

DOI:10.1248/yakushi.129.1063
PMID:19721382
Abstract

This study was carried out to investigate whether the personal advocacy of influenza vaccination by community pharmacists to people aged 65 years and above affected the vaccination rate and number of influenza patients. A cluster randomized controlled trial was conducted with the cooperation of 84 community pharmacies in the wards of Suginami and Nerima, Tokyo. Participants were aged 65 years and above living in Suginami and Nerima wards, Tokyo, receiving dispensing services in their community pharmacies. The intervention was that pharmacists in the intervention pharmacy group provided information on the risk of influenza and benefits of influenza vaccination. Main outcome measures were the self-reported influenza vaccination rate in January 2004, and the number of participants with influenza, as confirmed by inspection of their prescriptions from January to May 2004. The vaccination rate in the intervention pharmacy group (81.6%) was significantly higher than that in the control pharmacy group (64.9%). The number of participants with influenza among the intervention group (2/881) was significantly lower than that among the control group (11/895). The personal advocacy of influenza vaccination by community pharmacists among people aged 65 years and above increases the vaccination rate and decreases the number of influenza patients.

摘要

本研究旨在调查社区药剂师针对65岁及以上人群进行流感疫苗接种的个人宣传是否会影响接种率及流感患者数量。在东京杉并区和练马区的病房内,与84家社区药房合作开展了一项整群随机对照试验。参与者为居住在东京杉并区和练马区病房、在其社区药房接受配药服务的65岁及以上人群。干预措施为干预药房组的药剂师提供流感风险及流感疫苗接种益处的信息。主要观察指标为2004年1月自我报告的流感疫苗接种率,以及通过检查2004年1月至5月的处方确认的流感参与者数量。干预药房组的接种率(81.6%)显著高于对照药房组(64.9%)。干预组中的流感参与者数量(2/881)显著低于对照组(11/895)。社区药剂师针对65岁及以上人群进行流感疫苗接种的个人宣传可提高接种率并减少流感患者数量。

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