评估一款“严肃游戏”对护理专业学生流感疫苗接种知识和接受度的影响。
Evaluation of a 'serious game' on nursing student knowledge and uptake of influenza vaccination.
机构信息
School of Nursing and Midwifery, Queen's University Belfast, Belfast, United Kingdom.
出版信息
PLoS One. 2021 Jan 14;16(1):e0245389. doi: 10.1371/journal.pone.0245389. eCollection 2021.
BACKGROUND
Influenza is a serious global healthcare issue that is associated with between 290,000 to 650,000 deaths annually. The aim of this study is to evaluate the effect of a 'serious game' about influenza, on nursing student attitude, knowledge and uptake of the influenza vaccination.
METHODS
1306 undergraduate nursing students were invited, via email, to play an online game about influenza between September 2018 and March 2019. 430 nursing students accessed the game and completed an 8-item questionnaire measuring their attitudes to influenza between September 2018 and March 2019. In April 2019, 356 nursing students from this sample completed a follow-up 2-item questionnaire about their uptake of the influenza vaccination. A larger separate 40-item knowledge questionnaire was completed by a year one cohort of 124 nursing students in August 2018 prior to receiving access to the game and then after access to the game had ended, in April 2019. This sample was selected to determine the extent to which the game improved knowledge about influenza amongst a homogenous group.
RESULTS
In the year preceding this study, 36.7% of the sample received an influenza vaccination. This increased to 47.8% after accessing to the game. Nursing students reported perceived improvements in their knowledge, intention to get the vaccination and intention to recommend the vaccination to their patients after playing the game. Nursing students who completed the 40-item pre- and post-knowledge questionnaire scored an average of 68.6% before receiving access to the game and 85.2% after. Using Paired T-Tests statistical analysis, it was determined that this 16.6% increase was highly statistically significant (P < 0.001).
CONCLUSIONS
The research highlights that the influenza game can improve knowledge and intention to become vaccinated. This study suggests that improvement in influenza knowledge is likely to encourage more nursing students to receive the influenza vaccination.
背景
流感是一个严重的全球健康问题，每年导致 29 万至 65 万人死亡。本研究旨在评估一款关于流感的“严肃游戏”对护理学生对流感疫苗接种的态度、知识和接受程度的影响。
方法
2018 年 9 月至 2019 年 3 月期间，通过电子邮件邀请 1306 名本科护理学生玩一款关于流感的在线游戏。430 名护理学生访问了该游戏，并在 2018 年 9 月至 2019 年 3 月期间完成了一份包含 8 个项目的问卷，以测量他们对流感的态度。2019 年 4 月，从该样本中随机抽取的 356 名护理学生完成了一份关于他们接种流感疫苗的后续 2 个项目的问卷。2018 年 8 月，在接触游戏之前，一个更大的、独立的 40 项知识问卷由 124 名护理学生完成，然后在 2019 年 4 月游戏结束后再次完成。该样本被选中是为了确定游戏在一个同质群体中提高流感知识的程度。
结果
在本研究之前的一年中，样本中有 36.7%的人接种了流感疫苗。在接触游戏后，这一比例增加到 47.8%。护理学生报告说，在玩游戏后，他们的知识、接种疫苗的意愿和向患者推荐疫苗的意愿有所提高。完成 40 项预、后知识问卷的护理学生在接触游戏前平均得分为 68.6%，接触游戏后得分为 85.2%。使用配对 t 检验的统计分析，确定这 16.6%的增长具有高度统计学意义（P <0.001）。
结论
研究结果表明，流感游戏可以提高知识和接种疫苗的意愿。本研究表明，流感知识的提高可能会鼓励更多的护理学生接种流感疫苗。
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