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医生对老年人常规疫苗接种计划的认知和态度。

The Awareness and Attitude of Physicians to Older Adult Routine Vaccination Scheme.

机构信息

Division of Geriatric Medicine, Department of Internal Medicine, Adana City Training and Research Hospital, Adana, Turkey.

Division of Rheumatology, Department of Internal Medicine, Adana City Training and Research Hospital, Adana, Turkey.

出版信息

Clin Interv Aging. 2022 Oct 31;17:1581-1588. doi: 10.2147/CIA.S382311. eCollection 2022.

Abstract

PURPOSE

Immunization is one of the main components of preventive medicine measures. Influenza, pneumococcal, tetanus, and shingles vaccines are recommended for older adults routinely. This study aimed to show the knowledge and attitudes of the physicians to older adults' vaccination schemes.

PATIENTS AND METHODS

An electronic self-reported questionnaire was sent to physicians between March and July 2021 in Turkey. Sociodemographic characteristics, professional experience, area of expertise, and practice setting of the participants were recorded. As multiple-choice questions; the routinely recommended vaccines, and vaccines suggested in their daily practice before and after the COVID-19 pandemic were enquired.

RESULTS

A total of 435 participants were included in the study. 43.9% of the patients were primary family physicians, and 36.8% were internists. 63.4% of the participants had reported reviewing the National Vaccination Scheme. 94.5% of the medical doctors indicated that they had recommended any vaccination to their patients. 20.9% of the practitioners could select four or five of the routinely recommended vaccines. Reviewing the National Adult Vaccination Scheme and being an internist were positively related to predicting the recommended vaccines. The recommendation rates of influenza and pneumococcal conjugate (PCV13) were seen at 88% and 78%, respectively. Except for PCV13, recommendation rates of other routine vaccines were decreased after the pandemic.

CONCLUSION

Awareness of routine vaccination schedules should be improved among health-care professionals, and reminders for immunization should be provided periodically in each health-care setting.

摘要

目的

免疫接种是预防医学措施的主要组成部分之一。流感、肺炎球菌、破伤风和带状疱疹疫苗被推荐给老年人常规接种。本研究旨在展示医生对老年人疫苗接种计划的知识和态度。

患者和方法

2021 年 3 月至 7 月期间,在土耳其向医生发送了电子自我报告问卷。记录了参与者的社会人口统计学特征、专业经验、专业领域和实践环境。作为多项选择题,询问了常规推荐的疫苗,以及 COVID-19 大流行前后他们在日常实践中建议的疫苗。

结果

共有 435 名参与者纳入研究。43.9%的患者是初级家庭医生,36.8%是内科医生。63.4%的参与者报告审查了国家疫苗接种计划。94.5%的医生表示他们曾向患者推荐过任何疫苗接种。20.9%的医生可以选择四到五种常规推荐的疫苗。审查国家成人疫苗接种计划和内科医生身份与预测推荐疫苗呈正相关。流感和肺炎球菌结合疫苗(PCV13)的推荐率分别为 88%和 78%。除 PCV13 外,其他常规疫苗的推荐率在大流行后有所下降。

结论

应提高医疗保健专业人员对常规疫苗接种计划的认识,并应在每个医疗保健场所定期提供免疫接种提醒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ed/9635550/3fd4fa6cfaa3/CIA-17-1581-g0001.jpg

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