护理干预措施提高家庭远程医疗患者流感疫苗接种质量措施。
Nursing Interventions Increase Influenza Vaccination Quality Measures for Home Telehealth Patients.
机构信息
San Francisco Veterans Administration Health Care System, San Francisco, California.
出版信息
J Nurs Care Qual. 2022;37(1):47-53. doi: 10.1097/NCQ.0000000000000577.
BACKGROUND
Influenza vaccinations are a preventive health quality measure. Home telehealth nursing staff interventions can reduce influenza disease burden and complications.
PURPOSE
To improve seasonal flu vaccine rates using novel home telehealth clinical and technology interventions.
METHODS
A pre- and postintervention concurrent cohort study for 513 outpatients was conducted. Interventions included automated 2-way patient messaging using remote monitoring equipment, a new note template to record vaccination status in the electronic health record, and flu vaccine patient education.
RESULTS
Interventions resulted in vaccination rates of 70.4% for Veterans ages 19 to 65 years, and 81.7% for Veterans 66 years and older, exceeding national, regional, and local Veterans Administration targets.
CONCLUSIONS
Two-way messaging and standardized documentation increased rates. Declinations persisted despite education. Reasons included fear of side effects, and rarely leaving home due to the COVID-19 pandemic. Nursing interventions can increase influenza vaccination quality measures for primary care home telehealth patients.
背景
流感疫苗接种是一项预防保健质量措施。家庭远程健康护理人员的干预措施可以减轻流感疾病负担和并发症。
目的
利用新型家庭远程健康临床和技术干预措施提高季节性流感疫苗接种率。
方法
对 513 名门诊患者进行了干预前后的同期队列研究。干预措施包括使用远程监测设备的自动双向患者消息传递、记录电子健康记录中疫苗接种状态的新医嘱模板，以及流感疫苗患者教育。
结果
干预措施使 19 至 65 岁退伍军人的疫苗接种率达到 70.4%，66 岁及以上退伍军人的疫苗接种率达到 81.7%，超过了全国、地区和当地退伍军人事务部的目标。
结论
双向消息传递和标准化文档记录提高了接种率。尽管进行了教育，但仍有部分患者拒绝接种。原因包括对副作用的恐惧，以及由于 COVID-19 大流行很少离家。护理干预措施可以提高初级保健家庭远程健康患者的流感疫苗接种质量措施。
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