评论：改善儿童和成人的疫苗接种体验。
Commentary: Improving the vaccination experience for children and adults.
作者信息
Rand Cynthia M, Szilagyi Peter G
机构信息
Department of Pediatrics, University of Rochester Medical Center, Rochester, NY, USA.
Department of Pediatrics, University of California, Los Angeles, CA, USA.
出版信息
Hum Vaccin Immunother. 2025 Dec;21(1):2546743. doi: 10.1080/21645515.2025.2546743. Epub 2025 Aug 25.
Abstract
Approximately two out of three children and one out of four adults experience significant anxiety related to vaccination, which can result in vaccine avoidance. Promoting patient autonomy by empowering individuals to choose coping strategies that work best for them can enhance the overall vaccination experience. The CARD system is an innovative, patient-centered approach that improves the vaccination experience for both patients and healthcare providers.
摘要
大约三分之二的儿童和四分之一的成年人在接种疫苗时会经历严重焦虑，这可能导致他们拒绝接种疫苗。通过赋予个体选择最适合自己的应对策略的权力来促进患者自主性，可以提升整体接种体验。CARD系统是一种创新的、以患者为中心的方法，它改善了患者和医疗服务提供者的接种体验。
相似文献
1
Commentary: Improving the vaccination experience for children and adults.评论：改善儿童和成人的疫苗接种体验。
Hum Vaccin Immunother. 2025 Dec;21(1):2546743. doi: 10.1080/21645515.2025.2546743. Epub 2025 Aug 25.
3
Factors that influence caregivers' and adolescents' views and practices regarding human papillomavirus (HPV) vaccination for adolescents: a qualitative evidence synthesis.影响照顾者和青少年对青少年人乳头瘤病毒（HPV）疫苗接种的看法及做法的因素：一项定性证据综合分析
Cochrane Database Syst Rev. 2025 Apr 15;4(4):CD013430. doi: 10.1002/14651858.CD013430.pub2.
4
Effect of CARD (Comfort-Ask-Relax-Distract) on acceptance of school-based vaccinations: A controlled before and after study.CARD（安慰-询问-放松-分散注意力）对校内疫苗接种接受度的影响：一项前后对照研究。
Hum Vaccin Immunother. 2025 Dec;21(1):2516180. doi: 10.1080/21645515.2025.2516180. Epub 2025 Aug 6.
5
The experience of adults who choose watchful waiting or active surveillance as an approach to medical treatment: a qualitative systematic review.选择观察等待或主动监测作为治疗方法的成年人的经历：一项定性系统评价。
JBI Database System Rev Implement Rep. 2016 Feb;14(2):174-255. doi: 10.11124/jbisrir-2016-2270.
6
Face-to-face interventions for informing or educating parents about early childhood vaccination.针对向父母宣传或教育幼儿疫苗接种情况的面对面干预措施。
Cochrane Database Syst Rev. 2018 May 8;5(5):CD010038. doi: 10.1002/14651858.CD010038.pub3.
7
The attitude of the unvaccinated children's parents toward pediatric COVID-19 vaccination in Tabriz, Iran.伊朗大不里士未接种疫苗儿童的父母对儿童新冠疫苗接种的态度。
BMC Pediatr. 2025 Mar 28;25(1):248. doi: 10.1186/s12887-025-05615-7.
8
COVID-19 vaccine hesitancy: Meaning relations between responses in an epidemiological study and twitter messages.COVID-19 疫苗犹豫：在流行病学研究中反应与推特消息之间的关系含义。
Vaccine. 2024 Oct 24;42(24):126247. doi: 10.1016/j.vaccine.2024.126247. Epub 2024 Aug 27.
9
[Hesitancy and Refusal of the COVID-19 Vaccine Among Healthcare Professionals: A Cross-Sectional Study in a Portuguese Hospital].[医疗保健专业人员中对新冠疫苗的犹豫和拒绝：葡萄牙一家医院的横断面研究]
Acta Med Port. 2025 Apr 1;38(4):217-227. doi: 10.20344/amp.22540.
10
Parents' and informal caregivers' views and experiences of communication about routine childhood vaccination: a synthesis of qualitative evidence.父母及非正式照料者关于儿童常规疫苗接种沟通的观点与经历：定性证据综述
Cochrane Database Syst Rev. 2017 Feb 7;2(2):CD011787. doi: 10.1002/14651858.CD011787.pub2.
本文引用的文献
1
Using the CARD system for university-based pop-up vaccination clinics: A two-stage hybrid effectiveness-implementation study.在大学临时接种诊所中使用CARD系统：一项两阶段混合效果-实施研究。
Hum Vaccin Immunother. 2025 Dec;21(1):2509484. doi: 10.1080/21645515.2025.2509484. Epub 2025 Aug 7.
2
Development and refinement of an online CARD (Comfort Ask Relax Distract) course for organizations and providers delivering vaccinations and other needle procedures.为提供疫苗接种及其他注射程序的机构和服务提供者开发并完善一门在线CARD（舒适、询问、放松、分散注意力）课程。
Hum Vaccin Immunother. 2025 Dec;21(1):2491853. doi: 10.1080/21645515.2025.2491853. Epub 2025 Aug 6.
3
Effect of CARD (Comfort-Ask-Relax-Distract) on acceptance of school-based vaccinations: A controlled before and after study.CARD（安慰-询问-放松-分散注意力）对校内疫苗接种接受度的影响：一项前后对照研究。
Hum Vaccin Immunother. 2025 Dec;21(1):2516180. doi: 10.1080/21645515.2025.2516180. Epub 2025 Aug 6.
4
CARD (Comfort Ask Relax Distract) and community pharmacy vaccinations: Evaluation of effectiveness outcomes from a cluster randomized trial.CARD（舒适、询问、放松、分散注意力）与社区药房疫苗接种：一项整群随机试验的有效性结果评估
Hum Vaccin Immunother. 2025 Dec;21(1):2488064. doi: 10.1080/21645515.2025.2488064. Epub 2025 Aug 6.
5
CARD (Comfort Ask Relax Distract) and community pharmacy vaccinations: Evaluation of implementation outcomes from a cluster randomized trial.CARD（安慰、询问、放松、分散注意力）与社区药房疫苗接种：一项整群随机试验的实施结果评估
Hum Vaccin Immunother. 2025 Dec;21(1):2503524. doi: 10.1080/21645515.2025.2503524. Epub 2025 May 15.
6
CARD (Comfort Ask Relax Distract) for school-based immunizations in Calgary, Canada: a pragmatic cluster trial.加拿大卡尔加里基于学校的免疫接种中的 CARD（舒适询问放松分散注意力）：一项实用的群组试验。
Pain. 2024 Mar 1;165(3):644-656. doi: 10.1097/j.pain.0000000000003050. Epub 2023 Oct 12.
7
Let's Stop the Pain: A Trauma-Informed Care Approach to Pediatric Vaccination.让我们停止疼痛：一种基于创伤知情护理的儿科疫苗接种方法。
Clin Pediatr (Phila). 2024 May;63(4):444-446. doi: 10.1177/00099228231191939. Epub 2023 Aug 7.
8
CARD (Comfort Ask Relax Distract) for community pharmacy vaccinations in children: Effect on immunization stress-related responses and satisfaction.用于社区药房儿童疫苗接种的CARD（安慰、询问、放松、分散注意力）：对免疫应激相关反应和满意度的影响。
Can Pharm J (Ott). 2022 Nov 28;156(1 Suppl):27S-35S. doi: 10.1177/17151635221137682. eCollection 2023 Jan-Feb.
9
Simulation-based training for continuing professional development within a primary care context: a systematic review.基于模拟的基层医疗环境下继续职业发展培训：一项系统综述
Educ Prim Care. 2023 Mar;34(2):64-73. doi: 10.1080/14739879.2022.2161424. Epub 2023 Feb 2.
10
COVID-19 Vaccination Delivery in Long-Term-Care using the CARD (Comfort Ask Relax Distract) System: Mixed Methods study of Implementation Drivers.使用CARD（安慰、询问、放松、分散注意力）系统在长期护理机构中进行新冠疫苗接种：实施驱动因素的混合方法研究
Can J Pain. 2022 Oct 19;6(1):173-184. doi: 10.1080/24740527.2022.2115880. eCollection 2022.
Zotero 插件