The effectiveness of vaccine day and educational interventions on influenza vaccine coverage among health care workers at long-term care facilities
The effectiveness of vaccine day and educational interventions on influenza vaccine coverage among health care workers at long-term care facilities
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DOI：
10.2105/ajph.2005.082073
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发表时间：
2007-04-01
影响因子：
12.7
通讯作者：
Vugia, Duc J.
中科院分区：
文献类型：
--
作者：
Kimura, Akiko C.;Nguyen, Christine N.;Vugia, Duc J.
目标.我们研究了南加州长期护理机构（LTCF）卫生保健工作者接种流感疫苗的障碍，并制定了简单有效的干预措施，以提高这些工作者的流感疫苗覆盖率。2002年，对LTCF的医护人员进行了关于流感和流感疫苗知识和态度的调查。研究结果用于制定2项干预措施、一项教育活动和疫苗日（一个广为宣传的为工作场所所有员工免费接种流感疫苗的日子）。招募70个设施参与干预试验，并随机分配到4个研究组。疫苗日和教育运动相结合在提高疫苗覆盖率方面最为有效（53%的覆盖率;流行率[PR] = 1.45; 95%置信区间[CI] = 1.24，131，而对照组的覆盖率为27%）。单独接种疫苗日也有效（46%覆盖率; PR= 1.41; 95%CI = 1.17，1.71）。单纯的教育活动不能有效提高覆盖率（34%覆盖率; PR = 1.18; 95%CI = 0.93，1.50）。LTCF卫生保健工作者的流感疫苗接种覆盖率可以通过在工作场所提供免费疫苗接种并广泛宣传疫苗日来提高。
Objectives. We examined barriers to influenza vaccination among long-term care facility (LTCF) health care workers in Southern California and developed simple, effective interventions to improve influenza vaccine coverage of these workers.Methods. In 2002, health care workers at LTCFs were surveyed regarding their knowledge and attitudes about influenza and the influenza vaccine. Results were used to develop 2 interventions, an educational campaign and Vaccine Day (a well-publicized day for free influenza vaccination of all employees at the worksite). Seventy facilities were recruited to participate in an intervention trial and randomly assigned to 4 study groups.Results. The combination of Vaccine Day and an educational campaign was most effective in increasing vaccine coverage (53% coverage; prevalence ratio [PR] = 1.45; 95% confidence interval [CI] = 1.24,131, compared with 27% coverage in the control group). Vaccine Day alone was also effective (46% coverage; PR= 1.41; 95% CI = 1.17,1.71). The educational campaign alone was not effective in improving coverage levels (34% coverage; PR = 1.18; 95% CI = 0.93, 1.50).Conclusion. Influenza vaccine coverage of LTCF health care workers can be improved by providing free vaccinations at the worksite with a well-publicized Vaccine Day.