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皮肤病学中对新冠疫苗的态度及疫苗犹豫:一项叙述性综述

Attitudes towards COVID Vaccine and Vaccine Hesitancy in Dermatology: A Narrative Review.

作者信息

Tay Woo Chiao, Bewley Anthony, Maul Julia-Tatjana, Oon Hazel H

机构信息

National Skin Centre, 1 Mandalay Road, Singapore 308205, Singapore.

Department of Dermatology, Barts Health NHS Trust, London E11 1NR, UK.

出版信息

Vaccines (Basel). 2023 Aug 15;11(8):1365. doi: 10.3390/vaccines11081365.

Abstract

Vaccine hesitancy has been a contentious issue even before the pandemic. The COVID-19 crisis has further amplified vaccine hesitancy, with worries about adverse effects, cultural and religious beliefs, and misinformation on social media. In dermatology, patients with pre-existing skin conditions may have specific concerns about the impact of the vaccine on their skin health. Factors such as cutaneous reactions, potential flares of underlying conditions, and fears of psoriasis worsening post-vaccination contribute to vaccine hesitancy. Healthcare professionals, including dermatologists, play a crucial role in addressing vaccine hesitancy by providing accurate information, addressing concerns, and understanding the psychological impact on patients. The concept of vaccine fatigue is also explored, noting the challenges in sustaining vaccine acceptance over time, especially with regards to booster vaccinations. Overcoming vaccine hesitancy requires trust-building, effective communication strategies, and collaboration between healthcare workers and non-healthcare individuals to combat misinformation. By recognizing and addressing psychological factors, dermatologists can increase vaccine acceptance and improve public health efforts.

摘要

甚至在疫情大流行之前,疫苗犹豫就已是一个有争议的问题。新冠疫情危机进一步加剧了疫苗犹豫,人们担心疫苗的不良反应、文化和宗教信仰以及社交媒体上的错误信息。在皮肤科领域,已有皮肤疾病的患者可能对疫苗对其皮肤健康的影响有特定担忧。诸如皮肤反应、潜在基础疾病的发作以及对接种疫苗后银屑病恶化的恐惧等因素导致了疫苗犹豫。包括皮肤科医生在内的医疗保健专业人员在解决疫苗犹豫问题方面发挥着关键作用,他们通过提供准确信息、解决担忧以及了解对患者的心理影响来做到这一点。文中还探讨了疫苗疲劳的概念,指出随着时间的推移维持疫苗接种意愿面临的挑战,尤其是在加强针接种方面。克服疫苗犹豫需要建立信任、有效的沟通策略以及医护人员和非医护人员之间的合作以对抗错误信息。通过认识并解决心理因素,皮肤科医生可以提高疫苗接种意愿并改善公共卫生工作。

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