Blendell Robin L, Fehr Jessica L
Unity Health Care, Washington, District of Columbia,USA.
J Perinat Neonatal Nurs. 2012 Jul-Sep;26(3):230-41. doi: 10.1097/JPN.0b013e3182611b7b.
Data regarding rates of vaccination among children and pregnant women show that there has been a decrease in the number of vaccinations being administered in these vulnerable populations. Surveys of parents elicit a wide variety of concerns and fears driving vaccine refusal, many of which have been refuted by research. It has been demonstrated that healthcare providers are a major source of information for patients who have questions about vaccinations. Given the established vital role of vaccinations in preventing the spread of diseases with serious morbidity and mortality profiles, it is important that healthcare providers understand and feel comfortable discussing the principles of vaccination, the recommended vaccine schedules, and the effects of vaccinations. This article provides an overview of vaccination principles, reviews the potential health and financial costs of nonvaccination, and addresses a number of common concerns cited by parents and pregnant women who are considering vaccine abstention or alternate vaccination scheduling. The information in this article will enable healthcare providers to accurately counsel patients about vaccination choices.
有关儿童和孕妇疫苗接种率的数据显示，这些弱势群体中的疫苗接种数量有所下降。对家长的调查引发了导致拒绝接种疫苗的各种各样的担忧和恐惧，其中许多已被研究驳斥。事实证明，医疗服务提供者是有疫苗接种问题的患者的主要信息来源。鉴于疫苗接种在预防具有严重发病率和死亡率的疾病传播方面已确立的至关重要作用，医疗服务提供者了解并能自如地讨论疫苗接种原则、推荐的疫苗接种时间表以及疫苗接种的效果非常重要。本文概述了疫苗接种原则，回顾了不接种疫苗的潜在健康和经济成本，并探讨了考虑不接种疫苗或更改疫苗接种时间表的家长和孕妇提出的一些常见担忧。本文中的信息将使医疗服务提供者能够就疫苗接种选择向患者提供准确的咨询。
