Amin Hussein Saad, Arafa Mostafa Ahmed, Al-Omair Bader Mohammed
Department of Family and Community Medicine, College of Medicine, Chair for Medical Education Research and Development, King Saud University, Riyadh, Saudi Arabia.
Cancer Research Chair, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia.
J Family Med Prim Care. 2019 Jul;8(7):2294-2299. doi: 10.4103/jfmpc.jfmpc_343_19.
The aim of the study is to assess the awareness of family medicine residents about influenza and pneumococcal vaccination for high-risk patients and to verify the most significant variables that might affect residents' knowledge and the tools needed to enhance their practice.
This cross-sectional study was conducted at four major hospitals in Riyadh, Saudi Arabia, during the period, October through December 2017. A pretested self-administered questionnaire was handed to 180 family residents. Descriptive statistics were used to analyze the study data. The Chi-square test was used to compare categorical variables data. The One-way ANOVA test was used to detect the significant difference.
The overall knowledge of physicians about influenza and pneumococcal vaccines was inadequate and was more toward pneumococcal vaccine, in spite their respectable knowledge about the target population. The main reasons for non- prescribing of vaccines were forgetfulness (59.4%), the availability of vaccines (33.9%), and the patients' refusal (23.3%). The tools that might help for prescribing were the need for the presence of electronic reminder (69.4%) and the patients should follow a regular family physician (47.2%).
Knowledge and practice of influenza and pneumococcal vaccination are inadequate. This is mainly because of forgetfulness owing to minimal guideline awareness, lack of vaccine availability, and patients' refusal. The important recommendations to enhance vaccination practice among physicians are the implementation of electronic reminders, regular follow-up with the same physician in addition to educational programs during residency, and patient education about the importance of vaccinations as a means of disease prevention.
本研究旨在评估家庭医学住院医师对高危患者流感和肺炎球菌疫苗接种的认知情况,并验证可能影响住院医师知识水平的最重要变量以及提高其实践能力所需的工具。
本横断面研究于2017年10月至12月期间在沙特阿拉伯利雅得的四家主要医院进行。向180名家庭住院医师发放了一份经过预测试的自填式问卷。采用描述性统计分析研究数据。使用卡方检验比较分类变量数据。使用单因素方差分析检验检测显著差异。
尽管医生对目标人群有一定了解,但他们对流感和肺炎球菌疫苗的总体知识不足,且对肺炎球菌疫苗的了解更多。不接种疫苗的主要原因是遗忘(59.4%)、疫苗可及性(33.9%)和患者拒绝(23.3%)。可能有助于开处方的工具是需要有电子提醒(69.4%)以及患者应跟随固定的家庭医生(47.2%)。
流感和肺炎球菌疫苗接种的知识和实践不足。这主要是由于对指南的认识不足导致遗忘、疫苗可及性缺乏以及患者拒绝。提高医生疫苗接种实践的重要建议包括实施电子提醒、住院期间除了教育项目外还应由同一位医生定期随访,以及对患者进行关于疫苗接种作为疾病预防手段重要性的教育。