Kluczna Agnieszka, Orzeł Rafał, Bardowska Anna, Dzierżanowski Tomasz
Department of Palliative Medicine, Institute of Sciences, University of Opole, 45-052 Opole, Poland.
Laboratory of Palliative Medicine, Department of Social Medicine and Public Health, Medical University of Warsaw, 02-007 Warsaw, Poland.
Vaccines (Basel). 2023 Jul 12;11(7):1235. doi: 10.3390/vaccines11071235.
Palliative care patients are an immunocompromised population, so the cocooning strategy of vaccinating those around them is a suitable protective strategy against infections. This is especially significant for infectious diseases such as influenza and COVID-19, which pose a challenge to the healthcare system. In order to improve the patient's quality of life, it is necessary to develop research-based, defined strategies. This questionnaire-based study was conducted to determine the level of knowledge about influenza and SARS-CoV-2 coronavirus vaccination among the factual caregivers and medical staff in the palliative care setting. The survey revealed that the sources of knowledge about vaccination varied and depended on one's role. Doctors and nurses used professional literature, while other medical professionals relied on the Internet, mass media, and information from family and friends. The study also showed that adherence to vaccination guidelines was not associated with COVID-19 incidence. The overall opinion on vaccination was positive, but the degree of acceptance varied by the role. Palliative care nurses and caregivers were the groups that were the least accepting of vaccination. To improve the acceptance of vaccinations, a remedial program based on professional education should be implemented using the sources declared by the respondents. It may help improve the quality of life for palliative care patients and prevent the spread of infectious diseases.
姑息治疗患者属于免疫功能低下人群，因此对其周围人群进行疫苗接种的“蚕茧”策略是预防感染的合适保护策略。这对于流感和新冠疫情等对医疗系统构成挑战的传染病尤为重要。为了提高患者的生活质量，有必要制定基于研究的明确策略。这项基于问卷调查的研究旨在确定姑息治疗环境中的实际护理人员和医务人员对流感和新冠病毒疫苗接种的了解程度。调查显示，疫苗接种知识的来源各不相同，且取决于个人角色。医生和护士使用专业文献，而其他医疗专业人员则依赖互联网、大众媒体以及家人和朋友提供的信息。研究还表明，遵守疫苗接种指南与新冠疫情发病率无关。对疫苗接种的总体看法是积极的，但接受程度因角色而异。姑息治疗护士和护理人员是对接种疫苗接受度最低的群体。为了提高对疫苗接种的接受度，应根据受访者声明的来源实施基于专业教育的补救计划。这可能有助于提高姑息治疗患者的生活质量，并防止传染病的传播。
