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在接受免疫抑制剂的被诊断患有自身免疫性疾病的患者中接种疫苗:最佳实践实施项目

Betty Loflin^1,2, Linda Upchurch^1,2, Michelle Palokas^1,2

¹School of Nursing, University of Mississippi Medical Center, Jackson, Mississippi, USA.

JBI evidence implementation

|January 2, 2024

概括

接种疫苗记录和提供者教育改善了免疫抑制患者的免疫率. 这一举措增强了最佳实践,降低了脆弱个体的感染风险.

科学领域:

类风湿病学类风湿病学
预防传染病预防传染病
基于证据的实践实施实施.

背景情况:

免疫抑制患者患有流感和COVID-19等感染的风险较高.
科学证明,最新的疫苗接种可以改善这一群体的健康状况,包括减少住院治疗.
一家社区风湿病诊所缺乏针对免疫抑制患者的特定疫苗接种记录,这可能导致不理想的免疫.

研究的目的:

促进基于证据的疫苗接种实践,用于接受免疫抑制治疗的自身免疫疾病患者.

主要方法:

利用JBI证据实施框架促进最佳疫苗接种实践.
进行了基线审计,以确定证据与现行实践之间的差距.
确定了障碍物和实施的战略,包括提供者教育和新的患者接收表格,随后进行实施后的审计.

主要成果:

基线对最佳实践的遵守率为67%.
确定的障碍包括提供者对建议的认识较低以及缺乏可定制的记录.
实施后的审计显示,合规性增加了83%,改善了16%.

结论:

一个基于证据的项目通过提供者教育和更新的患者病史表来改善疫苗接种实践.
建议包括一致使用新表格,并评估与电子健康记录集成的可定制电子表格.

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