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[关于卫生专业人员对流感疫苗接种官方建议态度的问卷设计与验证]

[Design and validation of a questionnaire on the attitudes of health professionals towards the official recommendation of influenza vaccination].

作者信息

Fernández-Prada María, González-Cabrera Joaquín, Gil de Miguel Ángel, Huerta-González Ismael

机构信息

Servicio de Medicina Preventiva y Salud Pública. Hospital Vital Álvarez Buylla. Mieres. Asturias. España.

Departamento de Psicología de la Educación y Psicobiología. Facultad de Educación. Universidad Internacional de la Rioja. Logroño. La Rioja. España.

出版信息

Rev Esp Salud Publica. 2019 Apr 24;93:e201904023.

Abstract

OBJECTIVE

Actually, there are no studies related to the attitudes of health professionals towards the official recommendation of influenza vaccination, despite the fact that there are numerous investigations that have addressed their own attitude towards vaccination. The objective is to design the Questionnaire on the Attitudes of Healthcare Professionals towards the Official Flu Vaccination Recommendations (CAPSVA).

METHODS

Quasi-experimental study. The control group includedInstrumental study was conducted between February and March 2019 with 288 professionals of Medicine, Nursing and Pharmacy of the Principado of Asturias (Spain). The sampling was non-probabilistic of incidental type. After content validation, a tool was designed with 16 items in three dimensions. Reliability (alpha ordinal) and internal validity (exploratory factorial analysis using the parallel analysis method) analyses were performed, as well as frequency analysis and mean comparisons.

RESULTS

The exploratory factor analysis yielded a 3-factor solution that explained 79.38% of the total variance. The ordinal alpha ranged from 0,72 to 0,80. The test-retest recorded a value of r= 0,804 (p < 0,001). There were no statistically significant differences when comparing according to sex (p = 0,952), professional group (p = 0,563) or having received influenza vaccination in the last campaign (p = 0,861). There were these differences when comparing the number of years of professional practice (p = 0,003) and having received specific training in vaccines in the last year (p = 0,004). More than 90% of the participants valued positively the influenza vaccination strategy of the Autonomous Community of study (quadrivalent vaccine for < 65 years and adjuvant trivalent for ≥65 years).

CONCLUSIONS

A questionnaire with sufficient guarantees of reliability and internal validity is available to evaluate the attitudes of health professionals towards the official recommendation of influenza vaccination.

摘要

目的

实际上,尽管有许多研究探讨了卫生专业人员对疫苗接种的自身态度,但尚无关于卫生专业人员对官方流感疫苗接种建议态度的相关研究。目的是设计卫生保健专业人员对官方流感疫苗接种建议的态度问卷(CAPSVA)。

方法

准实验研究。对照组包括2019年2月至3月对西班牙阿斯图里亚斯公国的288名医学、护理和药学专业人员进行的工具性研究。抽样为非概率的偶遇型。在进行内容验证后,设计了一个包含三个维度16个条目的工具。进行了信度(α序数)和内部效度(使用平行分析方法的探索性因子分析)分析,以及频率分析和均值比较。

结果

探索性因子分析得出一个三因子解决方案,解释了总方差的79.38%。序数α范围为0.72至0.80。重测记录的r值为0.804(p<0.001)。按性别(p = 0.952)、专业组(p = 0.563)或在上次活动中是否接种流感疫苗(p = 0.861)进行比较时,无统计学显著差异。在比较专业实践年限(p = 0.003)和去年是否接受过疫苗方面的特定培训(p = 0.004)时存在这些差异。超过90%的参与者对研究所在自治区的流感疫苗接种策略给予积极评价(65岁以下接种四价疫苗,65岁及以上接种佐剂三价疫苗)。

结论

有一个具有足够信度和内部效度保证的问卷可用于评估卫生专业人员对官方流感疫苗接种建议的态度。

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