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哮喘患者及其父母和医生对流感疫苗接种的认知与态度。

Knowledge and attitudes among patients with asthma and parents and physicians towards influenza vaccination.

作者信息

Kaya A, Altınel N, Karakaya G, Çetinkaya F

机构信息

Sisli Etfal Education and Research Hospital, Department of Pediatric Immunology and Allergy, Istanbul, Turkey.

Bakırkoy Dr. Sadi Konuk Education and Research Hospital, Department of Pediatric Immunology and Allergy, Istanbul, Turkey.

出版信息

Allergol Immunopathol (Madr). 2017 May-Jun;45(3):240-243. doi: 10.1016/j.aller.2016.08.003. Epub 2016 Oct 24.

Abstract

BACKGROUND

Influenza is an infectious disease, dangerous for all people, especially for some risk groups such as patients with chronic diseases and health care workers. But most of the people under the risk of influenza, including health care workers are not immunised because of misinformation. In this study, we aimed to determine the knowledge, beliefs and attitudes of patients with allergic rhinitis and asthma and parents of such children related to influenza vaccination. Attitudes and beliefs of physicians treating these patients about influenza vaccination were also investigated.

METHODS

Two different questionnaires consisting of various items related to influenza vaccine were distributed to physicians and patients and parents of children with asthma and allergic disease.

RESULTS

The physicians group consisted of 189 physicians from various branches. About one third of physicians from various branches reported that they did not believe the vaccine's effectiveness. Most of the participating physicians did not immunise themselves with influenza vaccination despite the fact that any patient of theirs had died due to influenza infection. Although nearly half of the 183 patients had been vaccinated with influenza vaccine, only 27% of adults and 11.7% of children had been vaccinated annually.

CONCLUSIONS

Asthmatic patients are not immunised regularly with influenza vaccine due to misperceptions about vaccine effectiveness and fear of adverse effects. Another important reason of this is that most the physicians caring for these patients neither immunise themselves nor recommend the vaccine to their patients.

摘要

背景

流感是一种传染病,对所有人都有危险,尤其是对一些风险群体,如慢性病患者和医护人员。但包括医护人员在内的大多数有流感风险的人由于错误信息而未接种疫苗。在本研究中,我们旨在确定过敏性鼻炎和哮喘患者以及此类儿童的父母对流感疫苗接种的知识、信念和态度。还调查了治疗这些患者的医生对流感疫苗接种的态度和信念。

方法

向医生以及哮喘和过敏性疾病儿童的患者和父母发放了两份由与流感疫苗相关的各种项目组成的不同问卷。

结果

医生组由来自各个科室的189名医生组成。各科室约三分之一的医生表示他们不相信疫苗的有效性。尽管他们的任何一名患者因流感感染死亡,但大多数参与研究的医生自己并未接种流感疫苗。在183名患者中,近一半曾接种过流感疫苗,但只有27%的成年人和11.7%的儿童每年接种疫苗。

结论

由于对疫苗有效性的误解和对不良反应的恐惧,哮喘患者未定期接种流感疫苗。另一个重要原因是,大多数照顾这些患者的医生自己既不接种疫苗,也不向患者推荐疫苗。

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