父母对英格兰新生儿BCG疫苗接种途径的看法:一种定性研究
Kate Bisset1, Georgia Chisnall2, Colin N J Campbell3
1London School of Hygiene and Tropical Medicine, London, UK. kate.bisset2@nhs.net.
由于严重联合免疫缺陷 (SCID) 查途径的变化,父母在接种Bacillus Calmette-Guérin (BCG) 疫苗时遇到了挑战,这影响了疫苗接种和结核病预防工作.
科学领域:
- 公共卫生 公共卫生
- 免疫接种实践 免疫接种实践
- 新生儿护理 新生儿护理
背景情况:
- 英格兰在2021年9月修订了新生儿Bacillus Calmette-Guérin (BCG) 疫苗接种途径.
- 这一变化是由国家对严重联合免疫缺陷 (SCID) 进行查的引入引起的.
- 在SCID结果 (14-17天) 后重新安排BCG疫苗接种,并从产科转移到社区诊所.
研究的目的:
- 探索家长在修订的新生儿BCG疫苗接种途径中所经历的经验.
- 根据新系统,识别进入BCG疫苗的障碍和促进因素.
主要方法:
- 一项定性研究,涉及30名家长的半结构面试.
- 在城市地区进行了采访,并实施了SCID查.
- 应用了使用"框架方法"的主题分析,并采用了诱导方法.
主要成果:
- 父母在很大程度上不知道SCID查和途径变化.
- 挑战包括令人困惑的资格,不一致的任命通知和物理访问障碍 (位置,运输).
- 有限的产前讨论和不一致的信息导致了"意外接种疫苗",影响了知情决策.
结论:
- 父母接受了SCID查的修订后的BCG时间表,但面临着独特的可访问性问题.
- 障碍和BCG计划与常规服务的分离,对父母的体验和疫苗接种产生了负面影响.
- 解决这些问题对于实现BCG吸收目标和支持结核病预防至关重要.
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