卡德 (舒适-询问-放松-分散) 对接受学校接种疫苗的影响:一项受控的前后研究
Anna Taddio1,2, Karen Mulvey3, Victoria Gudzak1
1Leslie Dan Faculty of Pharmacy, University of Toronto, Canada, Toronto.
Human vaccines & immunotherapeutics
|August 6, 2025
概括
舒适要求放松分散 (CARD) 系统通过减少注射疼痛和恐惧,有效地增加了儿童在学校接种疫苗的数量. 这一干预措施改善了HPV,乙型肝炎和脑膜炎球菌疫苗的疫苗覆盖率.
科学领域:
- 儿科健康 儿科健康
- 公共卫生干预措施 公共卫生干预措施
- 疫苗接种计划 疫苗接种计划
背景情况:
- 注射疼痛和恐惧是儿童在学校接种疫苗的重要障碍.
- 这些障碍可能导致拒绝接种疫苗,免疫率降低.
- 舒适要求放松分散 (CARD) 系统提供了减轻这些问题的策略.
研究的目的:
- 评估CARD系统对学校接种疫苗计划中疫苗接种的影响.
- 评估CARD干预措施是否可以提高关键儿童疫苗的覆盖率.
- 在实用,现实世界的环境中确定CARD的有效性.
主要方法:
- 在加拿大安大略省的67所学校中采用了受控的前后研究设计.
- 学校被分配到CARD干预组或基于先前接种疫苗的对照组.
- 干预措施包括学生教育,家长沟通和接种疫苗期间的面对面应对策略.
主要成果:
- 实施CARD系统的学校在HPV (+9.8%),乙型肝炎 (+8.1%) 和脑膜炎球菌合物-ACYW (+5.3%) 的疫苗覆盖率显著增加.
- 对照学校对这些疫苗的覆盖率稳定或下降.
- 虽然CARD学校的基线覆盖率较低,但干预后的吸收率在各组之间没有显著差异,这表明干预的成功.
结论:
- 卡德系统是提高学校接种疫苗的有效策略.
- 实施CARD干预措施可以帮助克服与注射疼痛和恐惧有关的障碍.
- 建议进行进一步的研究,以评估CARD在不同地理位置的有效性.
更多相关视频
09:55Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
1.7K
06:42Continuous Theta Burst Stimulation of the Posterior Medial Frontal Cortex to Experimentally Reduce Ideological Threat Responses
Published on: September 28, 2018
11.7K
相关概念视频
Vaccinations
45.3K
Overview
45.3K
Ethical Dilemmas I
1.0K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.0K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
174
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
174
Active versus Passive Immunity
3.8K
Immunity, along with the ability to limit pathogen growth to prevent significant body tissue damage, can be gained either by (1) actively developing an immune response within the individual after exposure to a pathogen or after getting vaccinated or (2) passively transferring immune components from an immune individual to one who is nonimmune. Both these forms of immunity can be found naturally and in medical practices.
Active Immunity
Active immunity refers to the resistance one develops...
Active Immunity
Active immunity refers to the resistance one develops...
3.8K
