Health behavior associated with influenza vaccination among healthcare workers in long-term-care facilities
Health behavior associated with influenza vaccination among healthcare workers in long-term-care facilities
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DOI：
10.1086/501980
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发表时间：
2002-10-01
影响因子：
4.5
通讯作者：
Naus, M
中科院分区：
文献类型：
--
作者：
Manuel, DG;Henry, B;Naus, M
目的：调查长期护理机构中医护人员 (HCW) 与流感疫苗接种相关的健康行为。设计：对医护人员进行横断面、自我管理的调查，并辅以焦点小组，以进一步调查对流感疫苗接种的态度。背景：两家长期护理机构参与了调查。焦点小组在两个设施之一举行。参与者：所有医护人员都被邀请参加调查，所有非管理人员都被邀请参加焦点小组。调查的回复率为 58%（401 人中的 231 人）。 结果：接种疫苗的医护人员对流感疫苗接种的态度更加积极，并且更加相信疫苗是有效的。宜必思不存在疫苗知识或潜在预防结果价值观方面的差异。未接种疫苗的受访者更有可能认为其他预防措施，例如洗手、服用维生素和补充剂、营养饮食、锻炼以及服用顺势疗法或自然疗法药物，比疫苗接种更有效。焦点小组的其他调查结果表明，医护人员认为，流感疫苗接种计划的主要目的是为了保护居民的健康，但要付出代价、潜在的伤害和工作人员的责任负担。 结论：本研究确定了提高医护人员疫苗接种率的挑战和机遇。强调疫苗接种对工作人员的健康益处的信息，例如将疫苗接种作为工作人员“健康”计划的一部分，可能会提高流感免疫计划的可信度和覆盖率。
OBJECTIVE: To investigate the health behavior associated with influenza vaccination among healthcare workers (HCWs) in long-term-care facilities.DESIGN: A cross-sectional, self-administered survey of HCWs, augmented with focus groups to further examine attitudes toward influenza vaccination.SETTING: Two long-term-care facilities participated in the survey. The focus groups were held at one of the two facilities.PARTICIPANTS: All HCWs were invited to participate in the survey and all nonmanagerial staff members were invited to participate in the focus groups. The response rate for the survey was 58% (231 of 401).RESULTS: Vaccinated HCWs had a more positive attitude toward influenza vaccination and a greater belief that the vaccine is effective. Ibis was not accompanied by differences in vaccine knowledge or values of potential preventive outcomes. Nonvaccinated respondents were more likely to believe that other preventive measures, such as washing hands, taking vitamins and supplements, eating a nutritious diet, exercising, and taking homeopathic or naturopathic medications, were more effective than vaccination. Additional findings from the focus groups suggest that HCWs believe that the main purpose of influenza vaccination programs is to protect residents' health at the expense, potential harm, and burden of responsibility of the staff.CONCLUSIONS: This study identifies challenges to and opportunities for improving vaccination rates among HCWs. A message that emphasizes the health benefits of vaccination to staff members, such as including vaccination as part of a staff "Well-ness" program, may improve the credibility of influenza immunization programs and coverage rates.