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利用最佳实践应对 COVID-19 疫苗犹豫:采用动机性访谈方法的案例。

Using Best Practices to Address COVID-19 Vaccine Hesitancy: The Case for the Motivational Interviewing Approach.

机构信息

UPMC Health Plan, Pittsburgh, PA, USA.

University of Tennessee Health Science Center, Memphis, TN, USA.

出版信息

Health Promot Pract. 2021 Sep;22(5):611-615. doi: 10.1177/15248399211016463. Epub 2021 May 8.

Abstract

Future control of the coronavirus disease 2019 (COVID-19) pandemic is dependent on the uptake of the COVID-19 vaccine. Many factors have swayed the public's perception of this coronavirus and the new vaccinations, including misinformation, heightened emotions, and the divisive and tumultuous partisan climate. As such, vaccine hesitancy may be more prevalent for the COVID-19 vaccine than others. Healthcare workers are trusted sources of information and have the opportunity to influence an individual's choice to take the vaccine. For those who initially present as unwilling to be vaccinated, trying to persuade them with facts and scare tactics may cause more resistance. By using the communication approach of motivational interviewing, practitioners can support autonomy to reduce defensiveness, use a guiding style to elicit ambivalence and provide information, address personal agency to ensure that their patients understand that their efforts can reduce risk, and evoke a person's own argument for vaccination to decrease vaccine hesitancy.

摘要

未来对 2019 冠状病毒病(COVID-19)大流行的控制取决于 COVID-19 疫苗的接种情况。许多因素影响了公众对这种冠状病毒和新疫苗的看法,包括错误信息、情绪高涨以及分裂和动荡的党派气氛。因此,与其他疫苗相比,COVID-19 疫苗的犹豫可能更为普遍。医疗保健工作者是信息的可靠来源,并有机会影响个人接种疫苗的选择。对于那些最初表示不愿意接种疫苗的人,试图用事实和恐吓策略来说服他们可能会引起更多的抵制。通过使用动机性访谈的沟通方法,从业者可以支持自主性以减少防御性,使用引导风格来引出矛盾心理并提供信息,解决个人能动性问题以确保患者了解他们的努力可以降低风险,并唤起人们自己对疫苗接种的论点,以减少疫苗犹豫。

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