成人自身免疫性炎症性风湿病的疫苗接种:医生的知识和态度如何?

IF 1.1 4区 医学 Q4 Medicine
Suade Özlem Badak
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引用次数: 0

摘要

目的:本研究的目的是评估初级保健医生(pcp)、内科专家(IMSs)和风湿病学家对成人自身免疫性炎症性风湿病(AIRD)患者接种疫苗的知识和做法,并强调接种疫苗的重要性。患者和方法:在2021年3月至2021年4月期间,共有310名IMSs、pcp和风湿病学家(132名男性,178名女性;平均年龄:37.4±9.5岁;范围为24至64岁)。研究中使用了基于网络的问卷调查。结果:87.7%的医生知道AIRD患者属于有接种指征的成年人,53.9%的医生知道推荐疫苗,53.2%的医生向患者推荐疫苗。不建议接种疫苗的最常见原因是对使用的药物有所保留(22.3%)和缺乏信息(17.7%)。那些执业时间较长的医生和年龄较大的医生对疫苗的了解比其他参与者少。59.7%的参与者认为患者的疫苗接种计划应由风湿病专家制定,50.7%的pcp不倾向于第一步接种计划疫苗。共有50%的参与者不建议接受免疫抑制治疗的患者在初级卫生保健机构接种COVID-19疫苗。结论:考虑到成人疫苗接种的主要障碍之一是医生拒绝推荐,我们的研究突出了医生在疫苗接种知识和方法上的缺失点。向更多的医生提供成人疫苗接种和高危人群免疫建议,并定期培训以防止毕业后知识丢失,可能有助于提高成人AIRD的疫苗接种率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vaccines in adults with autoimmune inflammatory rheumatic disease: What are the knowledge and attitudes of physicians?

Objectives: The aim of this study was to evaluate the knowledge and practices about vaccination in adults with autoimmune inflammatory rheumatic diseases (AIRD) among primary care physicians (PCPs), internal medicine specialists (IMSs), and rheumatologists and to emphasize the importance of vaccination.

Patients and methods: Between March 2021 and April 2021, a total of 310 IMSs, PCPs, and rheumatologists (132 males, 178 females; mean age: 37.4±9.5 years; range, 24 to 64 years) were included. A web-based questionnaire was used in the study.

Results: Of the physicians, 87.7% were aware of that patients with AIRD were among adults with vaccination indications, but 53.9% reported that they knew about recommended vaccines, and 53.2% recommended vaccines to their patients. The most common reasons for not recommending vaccination were reservations about the drugs used (22.3%) and lack of information (17.7%). Those with longer practice as physicians and older physicians had less knowledge about the vaccine than the other participants. While 59.7% of the participants thought that the vaccination plans of the patients should be made by the rheumatologist, the rate of PCPs who did not prefer to apply the planned vaccines in the first step was 50.7%. A total of 50% of the participants did not recommend the administration of the COVID-19 vaccine in a primary healthcare institution to those receiving immunosuppressive therapy.

Conclusion: Considering that one of the major obstacles to adult vaccination is the physician's refusal to recommend it, our study highlights the missing points in the vaccination knowledge and approach of physicians. Providing advice on adult vaccination and immunization of risky groups to more physicians and periodic training to prevent loss of knowledge after graduation may contribute to an increase in the vaccination rate of adults with AIRD.

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来源期刊
Archives of rheumatology
Archives of rheumatology Medicine-Rheumatology
CiteScore
2.00
自引率
9.10%
发文量
15
期刊介绍: The Archives of Rheumatology is an official journal of the Turkish League Against Rheumatism (TLAR) and is published quarterly in March, June, September, and December. It publishes original work on all aspects of rheumatology and disorders of the musculoskeletal system. The priority of the Archives of Rheumatology is to publish high-quality original research articles, especially in inflammatory rheumatic disorders. In addition to research articles, brief reports, reviews, editorials, letters to the editor can also be published. It is an independent peer-reviewed international journal printed in English. Manuscripts are refereed by a "double-blind peer-reviewed" process for both referees and authors. Editorial Board of the Archives of Rheumatology works under the principles of The World Association of Medical Editors (WAME), the International Council of Medical Journal Editors (ICMJE), and Committee on Publication Ethics (COPE).
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