从癌症患者的角度确定流感和肺炎球菌疫苗接种的障碍:药剂师是否可以发挥作用?

IF 1 Q4 PHARMACOLOGY & PHARMACY
Kristoffer Johnstone BPharm, GDPHTM, MSHP, FANZCAP (OncHaem), John Smithson BNSc, BPharm, PhD, Joyce Cooper PhD, BSc (Pharmacy), GDCLinPharm, GCClinEpi, GCTertiaryTeach, FSHP, Beverley Glass BPharm, BSc (Chemistry), PhD, ARPharmS, FPS
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引用次数: 0

摘要

背景:流感和肺炎球菌疾病的常规免疫接种有可能降低癌症患者的发病率和死亡率。目的:本综述旨在从癌症患者的角度确定流感和肺炎球菌疫苗接种的屏障,并讨论药师在影响这些屏障方面的潜在作用。系统检索MEDLINE (Ovid)、Cochrane Library、Informit (health)、PubMed和CINAHL (complete)等7个数据库,检索时间为数据库建立至2023年6月6日。搜索词包括:“癌症”、“疫苗”、“流感”、“肺炎球菌”和“屏障”。用英文发表的文章从癌症患者的角度描述了接种疫苗的障碍。对障碍进行了专题分析。结果25篇文章符合纳入标准。在文献中确定的障碍被分析为三个关键主题:医疗保健专业人员,患者和医疗保健系统障碍。一个关键的卫生保健专业障碍是缺乏来自治疗肿瘤学家或血液学家的建议。患者的障碍包括缺乏关于作为患者癌症治疗一部分的疫苗接种指征的信息以及对副作用的恐惧。据报告,获得疫苗接种服务是卫生保健系统的一个障碍。结论本综述强调了癌症患者接种流感和肺炎球菌疫苗的重大障碍。医疗保健专业人员、患者和卫生系统被确定为主要障碍。提高疫苗接种率的推动因素包括对患者进行教育、增加卫生保健专业人员的疫苗建议以及改善获取途径。尽管药剂师在解决这些障碍方面有潜在的作用,但他们参与的可行性和影响需要进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Scoping the barriers to influenza and pneumococcal vaccinations from the perspectives of patients with cancer: is there a role for the pharmacist?

Scoping the barriers to influenza and pneumococcal vaccinations from the perspectives of patients with cancer: is there a role for the pharmacist?

Background

Routine immunisation for influenza and pneumococcal disease has the potential to reduce morbidity and mortality in patients with cancer.

Aim

This scoping review aims to determine barriers to influenza and pneumococcal vaccinations from the perspective of patients with cancer and to discuss the potential role of the pharmacist in impacting these barriers.

Design

A systematic search of seven databases, including MEDLINE (Ovid), Cochrane Library, Informit (health), PubMed, and CINAHL (complete), from database inception to 6 June 2023 was conducted. Search terms included: 'cancer', 'vaccination', 'influenza', 'pneumococcal', and 'barrier'. Articles published in English that describe barriers to receiving vaccinations from the perspectives of patients with cancers were included. Barriers were thematically analysed.

Results

Twenty-five articles met the inclusion criteria. Barriers identified in the literature were analysed into three key themes: healthcare professionals, patients, and healthcare system barriers. A key healthcare professional barrier was lack of recommendations from the treating oncologist or haematologist. Patient barriers included lack of information about the indication for vaccination as part of patients' cancer treatment and fear of side effects. Access to vaccination services was reported as a healthcare system barrier.

Conclusion

This scoping review highlights the significant barriers to influenza and pneumococcal vaccination according to patients with cancer. Healthcare professionals, patients, and health systems were identified as key barriers. Enablers to improve vaccination rates include patient education, increased healthcare professional vaccine recommendations, and improved access. Although pharmacists have a potential role to play in addressing these barriers, the feasibility and impact of their involvement requires further research.

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来源期刊
Journal of Pharmacy Practice and Research
Journal of Pharmacy Practice and Research Health Professions-Pharmacy
CiteScore
1.60
自引率
9.50%
发文量
68
期刊介绍: The purpose of this document is to describe the structure, function and operations of the Journal of Pharmacy Practice and Research, the official journal of the Society of Hospital Pharmacists of Australia (SHPA). It is owned, published by and copyrighted to SHPA. However, the Journal is to some extent unique within SHPA in that it ‘…has complete editorial freedom in terms of content and is not under the direction of the Society or its Council in such matters…’. This statement, originally based on a Role Statement for the Editor-in-Chief 1993, is also based on the definition of ‘editorial independence’ from the World Association of Medical Editors and adopted by the International Committee of Medical Journal Editors.
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