患者提醒/召回干预对免疫率的影响:一篇综述
P G Szilagyi1, C Bordley, J C Vann
1University of Rochester School of Medicine and Dentistry, Box 632, Strong Memorial Hospital, 601 Elmwood Ave, Rochester, NY 14642, USA. peter_szilagyi@urmc. rochester.edu
JAMA
|October 12, 2000
概括
患者提醒系统显著提高了各种人群和环境中的免疫率. 实施这些系统,如明信片或电话,对于提高疫苗接种率至关重要.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童和成人免疫率低于国家目标.
- 医疗保健专业人员对免疫提醒的使用是有限的.
- 在不同的环境和人群中,提醒的有效性尚未得到充分理解.
研究的目的:
- 评估患者提醒系统在提高免疫率方面的有效性.
- 为了比较不同类型的提醒在不同患者群体中的有效性.
主要方法:
- 从多个数据库中对英语语言研究 (RCT,控制前后,中断时间序列) 的系统审查.
- 包含标准基于可克伦协作指南的提醒/召回干预措施.
- 使用绝对百分点变化和赔率比率 (ORs) 的数据合成,并对类似研究进行元分析.
主要成果:
- 在41项符合条件的研究中,患者提醒系统改善了80%的免疫率.
- 增速在5-20个百分点之间,有效用于儿童和成人疫苗接种.
- 在学术,私人实践和公共卫生环境中,提醒是有效的,电话提醒最具影响力.
结论:
- 患者提醒系统在初级保健中有效提高免疫率.
- 初级保健医生应采用患者提醒系统,以加强疫苗接种.
相关概念视频
Vaccinations
44.1K
Overview
44.1K
Healthcare Associated Infections II: Preventive Measures
4.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.7K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.3K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.3K
Immunological Memory
12.3K
Immunological memory, a pivotal pillar of the adaptive immune system, is responsible for the body's ability to remember and respond more swiftly and effectively to previously encountered pathogens. This remarkable feature is what makes vaccines so effective in preventing diseases.
What is Immunological Memory?
Immunological memory is an integral function of the immune system that allows it to recognize and react more rapidly and effectively to pathogens previously encountered. This feature...
What is Immunological Memory?
Immunological memory is an integral function of the immune system that allows it to recognize and react more rapidly and effectively to pathogens previously encountered. This feature...
12.3K
Pneumonia V: Nursing management and Prevention
4.2K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
4.2K
Vaccines
98
Vaccines are among the most effective tools in preventive medicine, designed to prepare the immune system to recognize and combat infectious agents. By introducing antigens—substances that the immune system identifies as foreign—vaccines stimulate an adaptive immune response that leads to immunological memory. This immunological memory enables the body to mount a faster and more effective response upon future exposures to the actual pathogen.Vaccines can be categorized based on the...
98


