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免疫接种一线的医护人员:疫苗接种的障碍与实现全面覆盖之路。

Healthcare personnel on the frontline of immunization: Barriers to vaccination and the path to full coverage.

作者信息

Aksu Saliha Büşra, Özmen Sever Seda, Gelmez Taş Beray, Demir İlknur, Zeren Öztürk Güzin

机构信息

Sisli Hamidiye Etfal Training and Research Hospital, Health Sciences University, Sisli, Turkey.

出版信息

Hum Vaccin Immunother. 2025 Dec;21(1):2525618. doi: 10.1080/21645515.2025.2525618. Epub 2025 Jul 2.

Abstract

This study assessed vaccination attitudes, behaviors, and influencing factors among 2,100 healthcare personnel (HCP) at Şişli Hamidiye Etfal Training and Research Hospital. Data were collected through structured interviews and analyzed using SPSS (Version 26.0). Although 86.4% of HCP acknowledged the importance of vaccines, only 72.6% had received at least one, and just 3.9% were completely vaccinated against hepatitis A, hepatitis B, tetanus, measles-mumps-rubella, and varicella. Full vaccination rates were higher among women, physicians, outpatient clinic staff, and alcohol users but declined with age and professional experience ( < .01). Barriers to influenza vaccination included fear of side effects (53.2%), perceived lack of necessity (21.2%), and insufficient information (11.0%). Physicians were 2.1 times more likely to be completely vaccinated than other HCP (OR: 2.148,  = .005). Despite strong vaccine awareness, immunization rates remain suboptimal. Targeted educatiunization rates remain suboptimal. Targeted educational efforts are essential to improve vaccine uptake and enhance HCP's role in patient immunization advocacy.

摘要

本研究评估了希什利哈米迪耶埃法尔培训与研究医院2100名医护人员的疫苗接种态度、行为及影响因素。通过结构化访谈收集数据,并使用SPSS(26.0版)进行分析。尽管86.4%的医护人员认可疫苗的重要性,但只有72.6%的人接种过至少一种疫苗,仅有3.9%的人完成了甲型肝炎、乙型肝炎、破伤风、麻疹-腮腺炎-风疹和水痘的全部疫苗接种。女性、医生、门诊工作人员和饮酒者的全程接种率较高,但随年龄和专业经验的增加而下降(<0.01)。流感疫苗接种的障碍包括担心副作用(53.2%)、认为没有必要(21.2%)和信息不足(11.0%)。医生完全接种疫苗的可能性是其他医护人员的2.1倍(比值比:2.148,P = 0.005)。尽管对疫苗的认知度很高,但免疫接种率仍不理想。有针对性的教育努力对于提高疫苗接种率和增强医护人员在患者免疫接种宣传中的作用至关重要。

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