From the Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Women & Infants Hospital, Providence, Rhode Island; Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh and Magee-Women's Hospital, Pittsburgh, Pennsylvania; and Departments of Medicine and Psychiatry, University of Pittsburgh School of Medicine, Center for Health Equity and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.
Obstet Gynecol. 2009 Nov;114(5):981-987. doi: 10.1097/AOG.0b013e3181bd89c2.
To explore obstetric health care workers' attitudes and beliefs regarding influenza vaccination in pregnancy.
A survey consisting of 16 multiple-choice questions was administered to nurses, medical and nursing assistants, receptionists, and clinical administrators in obstetric settings. Survey questions addressed general knowledge of influenza and recommendations for vaccination during pregnancy, as well as personal beliefs about the acceptability of the vaccine in the pregnant population. The study was conducted at two sites, Women & Infants Hospital in Providence, RI, and Magee-Women's Hospital in Pittsburgh, PA. Variables were compared by Fisher exact test.
Two hundred sixty-seven completed surveys were available for analysis, with a completion rate of 85%. Almost one third of health care workers surveyed do not believe that vaccines are a safe and effective way to decrease infections (31%) and a minority believe that vaccines are safe in pregnancy (36%). Just over half of health care workers know that pregnant women are at increased risk of complications from the flu (56.6%). Only 46% were able to correctly identify influenza symptoms, and only 65% would recommend influenza vaccination to a pregnant woman if indicated. A small percentage would be willing to give an avian influenza vaccine to pregnant women during a pandemic if it had not been tested in pregnancy (12.3%).
Many obstetric health care workers lack knowledge regarding the safety and importance of influenza vaccination during pregnancy. Misinformed or inadequately informed health care workers may represent a barrier to influenza vaccine coverage of pregnant women. This lack of knowledge among the health care workforce takes on added importance in the setting of the H1N1 2009 swine-origin influenza pandemic.
III.
探讨产科医护人员对孕妇流感疫苗接种的态度和信念。
对产科环境中的护士、医护助理、接待员和临床管理人员进行了一项包含 16 个多项选择题的调查。调查问题涉及流感的一般知识和对孕妇接种疫苗的建议，以及对孕妇人群接种疫苗的可接受性的个人信念。该研究在两个地点进行，罗得岛普罗维登斯的妇女与婴儿医院和宾夕法尼亚匹兹堡的 Magee-Women's 医院。使用 Fisher 精确检验比较变量。
共有 267 份完成的调查可供分析，完成率为 85%。接受调查的医护人员中，近三分之一的人不相信疫苗是减少感染的安全有效方法（31%），少数人认为疫苗在怀孕期间是安全的（36%）。超过一半的医护人员知道孕妇患流感并发症的风险增加（56.6%）。只有 46%的人能够正确识别流感症状，只有 65%的人在有指征时会建议孕妇接种流感疫苗。如果未在妊娠期间对其进行测试，只有 12.3%的人愿意在大流行期间为孕妇提供禽流感疫苗。
许多产科医护人员对孕妇流感疫苗接种的安全性和重要性缺乏了解。信息错误或信息不足的医护人员可能是孕妇流感疫苗接种覆盖率的障碍。在 H1N1 2009 年猪源流感大流行的背景下，医护人员的这种知识匮乏显得尤为重要。
III。
