在第三级中心对心力衰竭患者的疫苗接种范围的评估
Adrien Maire1, Nicolas Chapet1, Sylvain Aguilhon2
1Clinical Pharmacy Department, University Hospital of Montpellier, Montpellier, France.
Heliyon
|July 31, 2023
概括
心力衰竭患者的疫苗接种覆盖率较低,远程监测患者的疫苗接种率较高. 提高意识并让包括药剂师和全科医生在内的医疗保健团队参与,可以增加疫苗接种率.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
背景情况:
- 尽管有建议,心力衰竭 (HF) 患者的疫苗接种覆盖率 (VC) 仍然不够理想.
- 在HF患者中有限的VC构成了严重的公共卫生问题.
研究的目的:
- 在HF患者中对流感和肺炎球菌进行VC评估.
- 在这个人群中识别疫苗接种障碍.
- 探索改善疫苗接种率的策略.
主要方法:
- 在一所大学医院进行了一项横截面的描述性研究.
- 335名HF患者接受了关于疫苗接种状态,态度和意愿的采访.
- 患者被分为心脏病学单位 (CU) 和远程监测计划 (TP) 组.
主要成果:
- 总体而言,流感VC为65%,肺炎球菌VC为22%.
- 与CU患者 (60%流感,11%肺炎球菌) 相比,TP患者的VC (72%流感,35%肺炎球菌) 较高.
- 缺乏意识是主要障碍;69%的未接种疫苗的患者更喜欢由全科医生接种疫苗.
结论:
- 在HF患者中VC不足突出了针对性干预的需要.
- 远程监控可能有助于更好地管理疫苗接种.
- 医疗保健团队,包括临床药剂师和全科医生,对于通过提高意识和可访问性来改善VC至关重要.
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