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医护人员疫苗接种率:干预前后研究评估现场疫苗接种专用诊所的影响。

Vaccination coverage among health-care workers: pre-post intervention study to assess impact of an on-site vaccination-dedicated clinic.

机构信息

Department of Health Sciences, University of Catanzaro "Magna Græcia", Catanzaro (Italy).

Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Cosenza (Italy).

出版信息

Expert Rev Vaccines. 2021 Jun;20(6):753-759. doi: 10.1080/14760584.2021.1915776. Epub 2021 May 4.

DOI:10.1080/14760584.2021.1915776
PMID:33896347
Abstract

BACKGROUND

Several studies have revealed low vaccinations coverage among health-care workers (HCWs) for all vaccinations. The aim of our study was to evaluate the impact of the implementation of an on-site vaccination-dedicated clinic on the vaccination coverage rates of HCWs.

RESEARCH DESIGN AND METHODS

A quasi-experimental pre-post intervention study was carried out among undergraduate and postgraduate students attending medical and health-care professions schools.

RESULTS

We enrolled 804 students, 404 in the control and 400 in the experimental group. A significantly higher increase of vaccination coverage in the experimental group than in the control group for all the investigated vaccinations ( < 0.001) was found. The odds of adherence to vaccinations in the experimental group, compared to the control group, ranged from 6.9-fold (95% CI 3.51-13.44) to 18.9-fold (95% CI 10.85-32.96). The increase in the coverage rate in the control group was between 2.5% and 3.5%, whereas in the experimental group, higher increases were found, ranging from 34.8% to 71%.

CONCLUSIONS

The extraordinary increase in the adherence to HCWs recommended vaccinations found in the study seems to indicate a significant role of enabling factors in the complex process of decision-making and implementation of health-related behaviors.

摘要

背景

多项研究表明,医护人员(HCWs)的所有疫苗接种覆盖率都较低。我们的研究旨在评估在现场设立专门疫苗接种诊所对 HCWs 疫苗接种覆盖率的影响。

研究设计和方法

这是一项在医学和医疗保健专业学校就读的本科生和研究生中进行的准实验性前后干预研究。

结果

我们共招募了 804 名学生,其中对照组 404 名,实验组 400 名。与对照组相比,实验组所有调查疫苗的接种覆盖率均显著增加(<0.001)。与对照组相比,实验组对疫苗接种的依从性的优势比范围为 6.9 倍(95%CI 3.51-13.44)至 18.9 倍(95%CI 10.85-32.96)。对照组的覆盖率增加了 2.5%至 3.5%,而实验组的覆盖率增加幅度更大,从 34.8%到 71%不等。

结论

研究中发现的 HCWs 推荐疫苗接种率的显著增加,似乎表明促进因素在健康相关行为决策和实施的复杂过程中发挥了重要作用。

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