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患者对成人疫苗接种的认知、态度及其疫苗接种状况:仍有很长的路要走?

Perceptions and Attitudes of Patients About Adult Vaccination and Their Vaccination Status: Still a Long Way to Go?

作者信息

Ozisik Lale, Calik Basaran Nursel, Oz S Gul, Sain Guven Gulay, Durusu Tanriover Mine

机构信息

Department of Internal Medicine, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

出版信息

Med Sci Monit. 2017 Jun 29;23:3178-3184. doi: 10.12659/msm.901856.

DOI:10.12659/msm.901856
PMID:28662014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5501072/
Abstract

BACKGROUND Immunization is one of the most effective public health measures to prevent disease, but vaccination rates in adult populations still remain below the targets. Patient and physician attitudes about vaccination are important for adult vaccination. In this study, we aimed to determine patient attitudes and perceptions about vaccination and the vaccination coverage rates of adult patients in a university hospital in Turkey. MATERIAL AND METHODS A survey was conducted between October 2014 and May 2015 at the Internal Medicine Outpatient Clinics of a university hospital. Adult patients were asked to fill out a questionnaire on their perceptions and attitudes about vaccination and their vaccination status. RESULTS We interviewed 512 patients ages 19-64 years. Eighty percent of the study population thought that adults should be vaccinated, while only 36.1% of the patients stated that vaccination was ever recommended to them in their adult life. Forty-eight percent of the patients stated that they were vaccinated at least once in their adulthood. The most commonly received vaccine was tetanus vaccine in general, while influenza vaccine was the leading vaccine among patients with chronic medical conditions. While 71.4% of the patients to whom vaccination was recommended received the vaccine, 34.9% of the patients received a vaccine without any recommendation. CONCLUSIONS Although the vaccine coverage rates among adults in this survey were low, the perceptions of patients about adult vaccination were mainly positive and of many of them positively reacted when their physician recommended a vaccine.

摘要

背景 免疫接种是预防疾病最有效的公共卫生措施之一,但成人人群的疫苗接种率仍低于目标水平。患者和医生对疫苗接种的态度对成人疫苗接种很重要。在本研究中,我们旨在确定土耳其一家大学医院成年患者对疫苗接种的态度和看法以及疫苗接种覆盖率。

材料与方法 2014年10月至2015年5月在一家大学医院的内科门诊进行了一项调查。成年患者被要求填写一份关于他们对疫苗接种的看法和态度以及疫苗接种状况的问卷。

结果 我们采访了512名年龄在19 - 64岁之间的患者。80%的研究人群认为成年人应该接种疫苗,而只有36.1%的患者表示在成年后曾有人向他们推荐过疫苗接种。48%的患者表示他们在成年后至少接种过一次疫苗。一般来说,最常接种的疫苗是破伤风疫苗,而流感疫苗是患有慢性疾病患者中接种率最高的疫苗。虽然71.4%被推荐接种疫苗的患者接种了疫苗,但34.9%的患者在没有任何推荐的情况下接种了疫苗。

结论 尽管本次调查中成年人的疫苗接种率较低,但患者对成人疫苗接种的看法主要是积极的,并且当医生推荐疫苗时,他们中的许多人会积极响应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888e/5501072/af0289d844f2/medscimonit-23-3178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888e/5501072/f60c84a34d86/medscimonit-23-3178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888e/5501072/bc1827b3b632/medscimonit-23-3178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888e/5501072/af0289d844f2/medscimonit-23-3178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888e/5501072/f60c84a34d86/medscimonit-23-3178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888e/5501072/bc1827b3b632/medscimonit-23-3178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888e/5501072/af0289d844f2/medscimonit-23-3178-g003.jpg

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