Impact assessment of an education course on vaccinations in a population of pregnant women: a pilot study.

Impact assessment of an education course on vaccinations in a population of pregnant women: a pilot study.
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DOI:
10.15167/2421-4248/jpmh2019.60.1.1093
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发表时间:
2019-03-01
影响因子:
--
通讯作者:
Boccalini, S
Boccalini, S
中科院分区:
其他
文献类型:
--
作者:
Bechini, A;Moscadelli, A;Boccalini, S

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前言:虽然疫苗接种的好处已经被广泛证明,但由于许多人对疫苗接种缺乏了解和负面看法,疫苗接种率仍然不令人满意。我们评估了一门教育课程对孕妇接种疫苗的影响。方法:共有214名孕妇被邀请参加这一项目,该项目在意大利佛罗伦萨卡雷吉大学医院妇产科进行。对干预前后的妇女进行匿名问卷调查,对干预前后的回答进行描述性和统计学分析。结果:调查对象对预防接种计划的依从性良好(98%):最初,调查对象对接种疫苗并不怀有敌意,但许多人(43%)对接种知识知晓率较低或知晓率较低。教育干预产生了积极的影响。干预后,认为自己的疫苗接种知识水平差或不足的妇女减少了30%,对研究的各个方面,特别是对孕期接种疫苗的决定犹豫不决的受访者减少了。结论:犹豫不决源于缺乏准确的信息。医疗保健专业人员需要提高他们的沟通技能。在孕期进行适当的教育,当女性更容易接受教育时,可能会产生非常积极的影响。在规划为孕妇准备分娩的课程时,需要考虑这些意见,意大利的其他母婴中心也是如此。
INTRODUCTION: Although the benefits of vaccinations have been extensively demonstrated, vaccination coverage remains unsatisfactory as result of many people's poor knowledge and negative perception of vaccination.We evaluated the impact of an education course on vaccinations in a population of pregnant women.METHODS: A total of 214 pregnant women were invited to participate in this project, which was undertaken at the Obstetrics and Gynaecology Department of Careggi University Hospital in Florence (Italy). Anonymous questionnaires were administered to women before and after the intervention.A descriptive and statistical analysis was carried out in order to compare the responses obtained before and after the intervention.RESULTS: Adherence to the initiative was good (98%): initially, the respondents were not hostile to vaccinations, though many (43%) were poorly or insufficiently informed. The educational intervention had a positive impact. After the intervention, the number of women who rated their level of knowledge of vaccinations as poor or insufficient had decreased by 30% and the number of "hesitant" respondents had decreased with respect to all aspects of the study, especially the decision to be vaccinated during pregnancy.CONCLUSIONS: Hesitancy stems from a lack of accurate information. Healthcare professionals need to improve their communication skills. Appropriate education during pregnancy, when women are more receptive, may have a highly positive impact. These observations need to be considered in the planning of courses to prepare pregnant women for delivery also in other maternal-foetal centres in Italy.