Costantino Claudio, Amodio Emanuele, Calamusa Giuseppe, Vitale Francesco, Mazzucco Walter
Department of Science for Health Promotion and Mother to Child Care G. D'Alessandro, University of Palermo, Via del Vespro n 133, ZIP code 90127, Palermo, Italy.
BMC Med Educ. 2016 Jan 29;16:38. doi: 10.1186/s12909-016-0558-8.
Although influenza vaccination has been demonstrated to be safe and effective, vaccination coverage rates among health care workers and among medical residents appear generally low. Several investigations have been performed worldwide to analyze the healthcare workers' educational deficiencies. This multicentre survey aimed to investigate at a nationwide level training quality and work environment associated with seasonal influenza vaccination uptake among Italian medical residents.
A retrospective cohort study was carried out from April 2012 to June 2012 on medical residents regularly attending the post-graduate medical schools of 18 Italian Universities via an anonymous, self administered, web-based questionnaire. Data have been analyzed by using the R statistical software package.
A total of 2506 out of 10,854 medical residents (23.1%) have been recruited. The quality of training on influenza and influenza vaccination was reported as "fair" or "poor" during both pre-graduate (40.7% of respondents) and post-graduate medical school (59.6% of respondents). Vaccination uptake was associated with adherence to seasonal 2011/2012 influenza vaccination of medical school tutors (adjusted OR = 4.4; 95% CI = 1.35-14.26) and other medical residents (adjusted OR = 2.2; 95% CI = 1.14-4.23). Moreover, influenza vaccination uptake was also associated with correct knowledge about the virus composition of 2011/2012 influenza vaccine (adjusted OR = 2.43; 95% CI = 1.64-2.58) and consultation of scientific sources or Institutional recommendations on influenza vaccination (adjusted OR = 6.96; 95% CI = 3.38-214.36).
Medical residency represents an opportunity to implement educational and training interventions aiming to promote appropriate professional behaviors and skills. Our study suggest that appropriate training, adequate education and proactive coworkers feelings can improve influenza vaccination attitudes towards young doctor.
尽管流感疫苗接种已被证明是安全有效的，但医护人员和住院医师的疫苗接种覆盖率普遍较低。全球已开展了多项调查，以分析医护人员的教育缺陷。这项多中心调查旨在在全国范围内调查与意大利住院医师季节性流感疫苗接种率相关的培训质量和工作环境。
2012年4月至2012年6月，通过匿名的、自我管理的网络问卷，对定期参加18所意大利大学研究生医学院课程的住院医师进行了一项回顾性队列研究。使用R统计软件包对数据进行了分析。
在10854名住院医师中，共招募了2506名（23.1%）。在研究生前（40.7%的受访者）和研究生医学院期间（59.6%的受访者），关于流感和流感疫苗接种的培训质量被报告为“一般”或“较差”。疫苗接种率与医学院导师对2011/2012年季节性流感疫苗的接种依从性（调整后的比值比=4.4；95%可信区间=1.35-14.26）以及其他住院医师的接种依从性（调整后的比值比=2.2；95%可信区间=1.14-4.23）相关。此外，流感疫苗接种率还与对2011/2012年流感疫苗病毒成分的正确认识（调整后的比值比=2.43；95%可信区间=1.64-2.58）以及参考科学资料或机构关于流感疫苗接种的建议（调整后的比值比=6.96；95%可信区间=3.38-214.36）相关。
住院医师培训是实施旨在促进适当专业行为和技能的教育及培训干预措施的一个契机。我们的研究表明，适当的培训、充分的教育以及积极的同事氛围可以改善年轻医生对流感疫苗接种的态度。
