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慢性身体疾病患者的抑郁和接种疫苗行为 - 一个横截面调查
Simon Keppeler1, Linda Sanftenberg1, Philipp Sckopke2
1Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany.
慢性病患者的抑郁症对接种疫苗行为总体影响微不足道,因为信心和医疗保健利用效应相互抵触. 干预措施应侧重于提高初级保健机构对疫苗的信心.
科学领域:
- 主要护理医学 医疗保健
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 慢性病患者容易患上疫苗可以预防的疾病,因此他们的疫苗接种状况至关重要.
- 抑郁症是慢性病患者常见的并发症,通常在接种疫苗的初级保健机构中进行管理.
研究的目的:
- 为了研究抑郁症和COVID-19和流感疫苗接种行为之间的关系,在初级保健中成年慢性病患者.
- 了解心理因素 (信心,约束) 和医疗保健利用在这种关联中的调解作用.
主要方法:
- 一项对795名慢性病患者的初级保健患者进行的横截面调查.
- 使用PHQ9尺度评估抑郁症,疫苗接种的心理先例,医疗保健利用率和疫苗接种状况.
- 使用描述性统计和混合线性/物流模型进行统计分析.
主要成果:
- 心理因素,特别是疫苗信心和感知限制,介导了抑郁症和接种疫苗行为之间的负面关联.
- 医疗保健利用与疫苗接种行为有积极的关联,调解了抑郁症的影响.
- 发现抑郁症对接种疫苗行为的总体直接影响是可以忽略不计的.
结论:
- 疫苗接种准备和医疗保健利用的对立影响表明,抑郁症对不同人群的疫苗接种行为的总影响是可变的.
- 未来的研究应该探索疫苗接种行为在这个脆弱群体的额外预测因素.
- 初级保健机构非常适合实施基于沟通的干预措施,以提高疫苗的信心,并利用提醒系统来减少限制,从而改善慢性病患者接受疫苗的情况.
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