Jung Younghee, Kwon Mihye, Song Jeongmi
Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea; Department of Internal Medicine, Konyang University Hospital, Daejeon, Republic of Korea.
Department of Internal Medicine, Konyang University Hospital, Daejeon, Republic of Korea.
Am J Infect Control. 2017 Jun 1;45(6):635-641. doi: 10.1016/j.ajic.2016.11.012. Epub 2017 Jan 4.
The influenza vaccination rate among health care workers (HCWs) remains suboptimal. We attempted to increase vaccine uptake in HCWs by nonmandatory measures, including 1-on-1 counseling.
In 2015 we used a stepwise approach including (1) text messaging on the last day of the vaccination period, (2) extending the vaccination period by 3 days, (3) education for the low uptake group, and (4) 1-on-1 counseling for unvaccinated HCWs after the 3 interventions.
There were 1,433 HCWs included. By the end of the initial 3 days, the uptake rate was 80.0% (1,146/1,433). During an extension for a further 3 days, 33 additional HCWs received the vaccine. One month after starting the vaccination, 90.1% (1,291/1,433) of the HCWs were vaccinated, but this included only 76.1% (210/276) of the doctors (lowest among HCWs). After 3 educational presentations targeted at the unvaccinated doctors, no additional individuals were vaccinated in the following 2 weeks. After 1-on-1 counseling for unvaccinated HCWs, the overall vaccination rate increased to 94.7% (1,357/1,433) in 2015, higher than in the previous year (82.5%, P < .001). Of the unvaccinated doctors, 63.2% (43/68) were vaccinated, therefore achieving 92.4% (255/276) compliance, higher than the 56.5% in the previous year (152/269, P < .001).
Stepwise intervention including 1-on-1 counseling is effective in increasing influenza vaccination rates among HCWs.
医护人员的流感疫苗接种率仍未达到最佳水平。我们试图通过非强制性措施提高医护人员的疫苗接种率，包括一对一咨询。
2015年，我们采用了逐步推进的方法，包括（1）在接种期的最后一天发送短信，（2）将接种期延长3天，（3）对低接种率群体进行教育，以及（4）在三项干预措施实施后，对未接种疫苗的医护人员进行一对一咨询。
共纳入1433名医护人员。在最初3天结束时，接种率为80.0%（1146/1433）。在接下来延长的3天里，又有33名医护人员接种了疫苗。开始接种疫苗一个月后，90.1%（1291/1433）的医护人员接种了疫苗，但其中医生仅占76.1%（210/276）（在医护人员中接种率最低）。在针对未接种疫苗的医生进行了3次教育讲座后，在接下来的2周内没有新增人员接种疫苗。在对未接种疫苗的医护人员进行一对一咨询后，2015年的总体接种率提高到了94.7%（1357/1433），高于上一年（82.5%，P < 0.001）。在未接种疫苗的医生中，63.2%（43/68）接种了疫苗，因此实现了92.4%（255/276）的依从率，高于上一年的56.5%（152/269，P < 0.001）。
包括一对一咨询在内的逐步干预措施对于提高医护人员的流感疫苗接种率是有效的。
