一个质量改进项目,针对大学生使用电子健康记录系统的疫苗可预防性传播感染.
Bianca Lowe1, Kassidy Horst2, Dawn Tassemeyer3
1University of Nebraska Medical Center College of Nursing-Lincoln Division, Lincoln, NE, USA bialowe@unmc.edu.
Journal of doctoral nursing practice
|September 29, 2025
概括
与乙型肝炎 (HepB) 相比,大学生对人类乳头瘤病毒 (HPV) 的疫苗接种率较低. 一个质量改进项目发现了HPV疫苗接种方面的差距,特别是在14岁之后开始接种疫苗的人群中.
科学领域:
- 公共卫生 公共卫生
- 免疫接种 免疫接种
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 乙型肝炎 (HepB) 和人类乳头瘤病毒 (HPV) 是可以通过疫苗预防的性传播感染.
- 13-17岁的青少年的HepB疫苗接种覆盖率高于HPV疫苗接种覆盖率.
研究的目的:
- 确定缺乏HepB和HPV疫苗接种的大学生.
- 在这个人口群体中解决疫苗接种教育需求.
- 通过质量改善项目提高疫苗接种率.
主要方法:
- 在2023年实施使用电子健康记录 (EHR) 系统的质量改进项目.
- 利用EHR系统和患者门户进行疫苗查和上传.
- 专注于一个大学健康诊所设置.
主要成果:
- 在2023年秋季,72%的学生已经记录了HepB保护,而HPV的55%.
- 在14岁后开始接种HPV疫苗的学生更有可能有不完整的系列 (17%).
结论:
- 一所大学的健康电子健康记录系统有助于识别疫苗保护不完全的学生.
- 早期开始HPV疫苗接种 (≤14岁) 与更高的完成率有关.
- 需要有针对性的干预措施来改善大学生HPV疫苗接种范围.
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