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医护人员对 COVID-19 疫苗的态度及相关因素:系统综述。

Attitudes of healthcare workers toward the COVID-19 vaccine and related factors: A systematic review.

机构信息

Department of Public Health Nursing, Faculty of Health Science, Sakarya University, Sakarya, Turkey.

出版信息

Public Health Nurs. 2024 Jan-Feb;41(1):10-21. doi: 10.1111/phn.13250. Epub 2023 Sep 5.

Abstract

AIM AND OBJECTIVES

This systematic review aims to examine healthcare professionals' attitudes toward the COVID-19 vaccine and related factors.

BACKGROUND

Healthcare workers have priority among risky groups accepted as candidates for early vaccination. Therefore, it is important to consider health professionals' attitudes toward COVID-19 vaccination to better address barriers to widespread vaccination.

MATERIALS AND METHODS

Six databases were searched for articles published between January 01, 2020, and February 31, 2022, and 1161 studies were reached. As a result of the evaluations, 10 studies were included in the systematic review. Nine studies are cross-sectional, and one is a descriptive study. A 9-item Critical Appraisal Checklist for Analytical Cross Sectional Studies from the Joanna Briggs Institute MAStARI Critical Assessment Tools (JBI-MAStARI) was used for quality assessment. High-quality studies with an average or higher methodological quality score were included in the systematic review. The PRISMA guideline was followed while selecting studies.

RESULTS

Positive attitudes of healthcare professionals toward the COVID-19 vaccine ranged from 10% to 93.7%, and negative attitudes varied between 6.3% and 41.0%. Factors such as the male gender, being a physician, advanced age, previous influenza vaccination history, and presence of chronic disease were found to be associated with vaccine acceptance. Factors such as doubt about the efficacy of the COVID-19 vaccine, safety concerns, and fear of unknown side effects of the vaccine were associated with COVID-19 vaccine hesitancy.

CONCLUSION

There is a need for confidence-building interventions and tailored communication strategies, including personalized training to change the ambiguous attitudes of healthcare professionals, increase vaccine uptake, and cope with the multifaceted impact of infection.

PROSPERO REGISTRATION NUMBER

CRD42021290482.

摘要

目的和目标

本系统评价旨在研究医疗保健专业人员对 COVID-19 疫苗的态度及其相关因素。

背景

医护人员是被认为是早期接种疫苗的高危人群之一。因此,考虑卫生专业人员对 COVID-19 疫苗的态度对于更好地解决广泛接种疫苗的障碍非常重要。

材料和方法

从 2020 年 1 月 1 日至 2022 年 2 月 31 日,在六个数据库中搜索已发表的文章,并获得了 1161 项研究。经过评估,有 10 项研究被纳入系统评价。其中 9 项为横断面研究,1 项为描述性研究。采用 Joanna Briggs 研究所 MAStARI 批判性评估工具(JBI-MAStARI)的 9 项分析性横断面研究的关键评估清单对研究进行质量评估。高质量的研究,其方法学质量评分平均或更高,被纳入系统评价。在选择研究时遵循 PRISMA 指南。

结果

医疗保健专业人员对 COVID-19 疫苗的积极态度从 10%到 93.7%不等,而消极态度从 6.3%到 41.0%不等。男性、医生、年龄较大、既往流感疫苗接种史和患有慢性病等因素与疫苗接种率相关。对 COVID-19 疫苗疗效的怀疑、安全性问题以及对疫苗未知副作用的恐惧等因素与 COVID-19 疫苗犹豫有关。

结论

需要采取建立信心的干预措施和量身定制的沟通策略,包括个性化培训,以改变医疗保健专业人员模棱两可的态度,提高疫苗接种率,并应对感染的多方面影响。

PROSPERO 注册号:CRD42021290482。

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