CARD (Comfort Ask Relax Distract) 和社区药房疫苗接种:从一个集群随机试验的有效性结果的评估
Anna Taddio1,2, James Morrison3, Charlotte Logeman2
1Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.
Human vaccines & immunotherapeutics
|August 6, 2025
概括
舒适要求放松分散 (CARD) 系统显著改善了社区药房的疫苗接种体验,更多接种者报告了更好的体验和减少疼痛,恐惧和头. 这一基于证据的协议建议用于标准护理,以提高疫苗的输送.
科学领域:
- 药房实践 在药房实践.
- 公共卫生 公共卫生
- 临床干预 临床干预
背景情况:
- 社区药房是关键的疫苗接种地点,但对接种者和提供者来说可能是压力.
- 舒适要求放松分散 (CARD) 系统是一个基于证据的协议,以减轻与疫苗接种相关的压力.
- 改善疫苗接种经验对于疫苗接受和公共卫生至关重要.
研究的目的:
- 评估CARD系统在改善社区药房疫苗接种经验方面的有效性.
- 评估CARD系统对接种疫苗的患者症状的影响,包括疼痛,恐惧和头.
- 确定在CARD系统干预中应对策略的使用情况.
主要方法:
- 一个混合有效性实施集群随机试验在安大略省25家药房进行.
- 药房被随机分配,接受CARD培训和资源,或作为对照.
- 有效性结果包括疫苗接种者体验评级,症状评分 (疼痛,恐惧,头) 和记录的应对策略.
主要成果:
- 与对照组相比,在CARD组中更多的接种疫苗的接种者报告了更好的接种体验 (48.8%对28.0%,p=0.003).
- 在多个年龄组和女性中,在CARD组观察到较低的平均疼痛得分.
- 在CARD组的年轻成年人 (20-39岁) 中,减少了恐惧和头的得分,并增加了应对策略的使用.
结论:
- 卡德系统显著提高了社区药房的疫苗接种体验.
- 实施CARD系统可以减少接种疫苗的人的疼痛,恐惧和头.
- 建议使用CARD系统作为社区药房疫苗接种的护理标准,以改善患者的治疗结果.
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