Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, USA.
Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Epilepsy Behav. 2022 Aug;133:108763. doi: 10.1016/j.yebeh.2022.108763. Epub 2022 May 19.
The aim of the current study was to inquire the questions and concerns of people with epilepsy (PWE) about COVID-19 vaccines in order to provide a more realistic list of their frequently asked questions (FAQs).
We surveyed all the consecutive PWE or their care-givers who were referred to our neurology clinics (Shiraz University of Medical Sciences) during January-February 2022. We collected their questions and concerns in relation to COVID vaccines based on a predesigned brief questionnaire. Informed consent to participate in the study was obtained from the participants.
In total, 452 people participated in the study; 291 people (64.4%) did not have any questions or concerns with regard to the COVID-19 vaccination. Having any questions or concerns about COVID-19 vaccination was significantly associated with not being vaccinated. Questions and concerns about the adverse effects of COVID-19 vaccines [seizure worsening, general adverse effects, long-term effects (e.g., infertility, cognitive dysfunction)] were by far the most common questions by people with epilepsy and their carers.
Our findings may be used by policy-makers to prepare appropriate educational materials to provide the best targeted and tailored information to people with epilepsy and their carers to convince them of the necessity and safety of COVID-19 vaccination. Such an educational material must include enough information on the associated adverse effects of COVID-19 vaccines and should also discuss some other important issues such as indications of these vaccines in special populations and drug-vaccine interactions.
本研究旨在探讨癫痫患者(PWE)对 COVID-19 疫苗的疑问和担忧,以便提供更真实的常见问题列表。
我们调查了 2022 年 1 月至 2 月期间在 Shiraz 医科大学附属医院神经科就诊的所有连续 PWE 或其照顾者。我们根据预先设计的简短问卷收集了与 COVID 疫苗相关的问题和担忧。参与者获得了参与研究的知情同意。
共有 452 人参与了研究;291 人(64.4%)对 COVID-19 疫苗接种没有任何疑问或担忧。对 COVID-19 疫苗接种有任何疑问或担忧与未接种疫苗显著相关。对 COVID-19 疫苗的不良反应(癫痫发作加重、一般不良反应、长期影响(如不孕、认知功能障碍))的担忧是癫痫患者及其照顾者最常见的问题。
我们的研究结果可被决策者用于准备适当的教育材料,为癫痫患者及其照顾者提供最佳的有针对性和定制化信息,以说服他们接种 COVID-19 疫苗的必要性和安全性。此类教育材料必须包含足够的关于 COVID-19 疫苗相关不良反应的信息,并应讨论一些其他重要问题,如这些疫苗在特殊人群中的适应证和药物疫苗相互作用。