医护人员在提高公众接种疫苗方面发挥着至关重要的作用,但这些工人参与疫苗接种相关行为的全貌尚未得到适当识别。根据健康行为改变的综合理论,自我导向学习可能是促进参与疫苗接种相关行为的一种有前途的干预措施,但自我导向学习与此类行为之间的关联尚不清楚.这项研究旨在确定中国医护人员参与抗击疫苗可预防疾病的行为水平,并评估以疫苗为重点的SDL的频率与参与疫苗接种相关行为之间的关系。
2022年1月27日至2月21日,使用调查平台“wjx”进行了在线横断面调查。“受访者仅限于18-65岁的医护人员。构建了桑基图和条形图以确定疫苗接种相关行为链中的参与模式。拟合了无条件二元逻辑回归模型,以确定进行以疫苗为中心的自我指导学习的频率与参与疫苗接种相关行为之间的关联。
在2,248名调查受访者中,对2,065的数据进行了分析。接受过流感或肺炎球菌疫苗接种的参与者,常规推荐给患者接种疫苗,跟踪患者的疫苗接种状况,推荐有效率占43.2%,50.8%,40.3%,占总参与者的36.4%,分别。当只考虑那些经常提出这样建议的人时,进行跟踪和有效推荐的比例为28.8%和26.2%,分别。与进行自我导向学习相比,“从不少于一次/六个月”,“每周进行一次以上的自我导向学习”与接种疫苗呈正相关(或,95%CI:2.30,1.74-3.03),常规推荐接种疫苗(或,95%CI:4.46,3.30-6.04),并跟踪如此推荐的患者的状态(或,95%CI:6.18,4.35-8.76)。
中国医护人员参与疫苗接种相关行为的模式必须得到改善。参与自我导向学习的频率更高,与更积极地参与疫苗接种相关行为有关。这意味着提高这种频率可能是一种有希望的干预措施,可以促进这方面的行为改变,并最终增加疫苗接种覆盖率。
Healthcare workers play an essential role in improving the public\'s vaccination uptake, but the full picture of such workers\' engagement in vaccination-related behaviors has not been appropriately identified. According to the Integrated Theory of Health Behavior Change, self-directed learning may be a promising intervention for fostering engagement in vaccination-related behaviors, but the association between self-directed learning and such behaviors remains unclear. This study aimed to determine Chinese healthcare workers\' level of engagement in behaviors for combatting vaccine-preventable diseases and assess the association between frequency of performing vaccine-focused SDL and engagement in vaccination-related behaviors.
An online cross-sectional survey was conducted from January 27 to February 21, 2022, using the survey platform \"wjx.\" Respondents were restricted to healthcare workers aged 18-65 years. A Sankey diagram and bar plots were constructed to determine patterns of engagement in a vaccination-related-behavior chain. Unconditional binary logistic regression models were fitted to determine the association between frequency of performing vaccine-focused self-directed learning and engagement in vaccination-related behaviors.
Of the 2,248 survey respondents, data for 2,065 were analyzed. Participants who had received influenza or pneumococcal vaccination, routinely recommended vaccination to patients, tracked patients\' vaccination status, and recommended efficiently accounted for 43.2%, 50.8%, 40.3%, and 36.4% of the total participants, respectively. When only considering those who routinely made such recommendations, the proportion of those who performed tracking and efficient recommendation was 28.8% and 26.2%, respectively. When compared to performing self-directed learning \"never to less than once/six months,\" performing self-directed learning \"more than once/week\" was positively associated with being vaccinated (OR, 95% CI: 2.30, 1.74-3.03), routinely recommending vaccination (OR, 95% CI: 4.46, 3.30-6.04), and tracking the status of patients so recommended (OR, 95% CI: 6.18, 4.35-8.76).
Chinese healthcare workers\' pattern of engagement in vaccination-related behaviors must be improved. Higher frequencies of engagement in self-directed learning are associated with more active engagement in vaccination-related behaviors, meaning raising such frequencies could be a promising intervention for fostering behavior changes in this regard and ultimately increasing vaccination coverage.