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首页> 美国卫生研究院文献>Human Vaccines Immunotherapeutics >Increased vaccine uptake and less perceived barriers toward vaccination in long-term care facilities that use multi-intervention manual for influenza campaigns
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Increased vaccine uptake and less perceived barriers toward vaccination in long-term care facilities that use multi-intervention manual for influenza campaigns

机译：在使用多种干预手册中为流感活动使用多种干预手册增加疫苗摄取和较少的疫苗接种障碍

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Seasonal influenza is an annually recurring threat to residents of long-term care facilities (LTCFs) since high age and chronic disease diminish immune response following vaccination. Although immunization of healthcare workers (HCWs) has proven to be an added value, coverage rates remain low. A ready-to-use instruction manual was designed to facilitate the implementation of interventions known to increase vaccination coverage in healthcare institutions. It includes easy-access vaccination, role model involvement, personalized promotional material, education and extensive communication. We evaluated this manual during the 2017-vaccination campaign in 11 LTCFs in Belgium. Vaccination coverage before and after the campaign was recorded by the LTCFs and the usefulness of the manual was assessed by interviewing the organizers of the local campaigns. Attitudes toward vaccination and reasons for vaccination were evaluated with a quantitative survey in HCWs before and after the campaign. The mean vaccination coverage reported by the LTCFs was 54% (range: 35–72%) in 2016 and 68% (range: 45–81%) in 2017. After the campaign, HCWs were less likely to expect side effects after influenza vaccination (OR (95%CI): 0.4 (0.2–0.9)) or to oppose vaccination (OR (95%CI): 0.3 (0.1–0.9)). The majority (>60%) indicated to be well informed about the risks of influenza and the efficacy of the vaccine. The main reason for vaccination in those who previously refused it was resident protection. The manual was found useful by the organizers of the campaigns. We conclude that the use of an intervention manual may support vaccination uptake and decrease perceived barriers toward influenza vaccination in countries without mandatory vaccination in HCWs.
机译：由于高龄和慢性疾病在接种后，季节性流感对长期护理设施（LTCFS）的居民进行了每年对居民的严重威胁。虽然医疗保健工人（HCW）的免疫已被证明是一个附加值，但覆盖率仍然低。旨在提高即用的使用说明书，促进了解医疗机构中已知疫苗接种覆盖的干预措施。它包括易于访问的疫苗接种，角色模型参与，个性化促销材料，教育和广泛的沟通。在比利时11 LTCFS的2017年疫苗接种活动期间，我们在2017年疫苗接种活动中进行了评估。在LTCFS录制活动之前和之后的疫苗接种覆盖率，通过访谈当地活动的组织者来评估手册的有用性。在活动之前和之后的H​​CW中的定量调查评估了对疫苗接种的态度和疫苗接种原因。 LTCF报告的平均疫苗接种覆盖率在2016年的54％（范围：35-72％），2017年68％（范围：45-81％）。在竞选之后，流感疫苗接种后，HCW可能预期副作用（或（95％CI）：0.4（0.2-0.9））或反对疫苗接种（或（95％CI）：0.3（0.1-0.9））。大多数（> 60％）表示，富于流感风险和疫苗的疗效。那些以前拒绝其居民保护的人疫苗接种的主要原因。该手册被发现由活动的组织者有用。我们得出结论，使用干预手册可以支持疫苗接种吸收并降低国家在国内的流感疫苗接种的感知障碍，而没有强制性的疫苗接种。

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