医务人员流感疫苗接种原因的Meta整合

Meta synthesis of the cause of influenza vaccination for medical staff

目的整合医务人员接种流感疫苗原因分析的相关质性研究,为管理者如何提高医务人员流感疫苗接种率提供对策。方法检索PubMed、CINAHL、Web of Science、Embase、PsycINFO(Ovid)、ProQuest健康与医学期刊全文数据库、中国生物医学文献数据库(CBM)、CNKI、万方数据库中的相关质性研究,检索时间均为从建库至2020年1月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对文献进行质量评价,采取汇集性整合的方法进行结果整合。结果共纳入16项研究,最终提炼66个研究结果,归纳形成9个类别,并综合得出2个整合结果。整合结果1为个人的认知和信念,整合结果2为外在组织和社会影响。结论医务人员是否接种流感疫苗受多种影响因素,管理层面可通过多方位、多渠道加强流感防治和疫苗应用等相关培训,同时从社会组织层面加强对医护人员疫苗接种的支持,从而提高疫苗接种率。

Objective To integrate relevant qualitative research on the cause analysis of influenza vaccination for medical staff,and provide countermeasures for managers on how to improve the influenza vaccination rate of medical staff.Methods Relevant qualitative researches in PubMed,CINAHL,Web of Science,Embase,PsycINFO(Ovid),ProQuest Health and Medical Complete,China Biology Medicine disc(CBM),China National Knowledge Infrastructure(CNKI)and Wanfang Database were searched,and the retrieval time was from establishment to January 2020.The quality of literatures was evaluated using the quality evaluation standards of the qualitative researches of Joanna Briggs Institute Evidence-based Health Care Center in Australia,and the results were integrated by the method of collection and integration.Results A total of 16 studies were included,66 research results were finally refined,9 categories were formed,and 2 integrated results were obtained.Integration result 1 was personal cognition and belief,and integration result 2 was external organization and social influence.Conclusions Whether medical staff are vaccinated against influenza is affected by many factors.At the management level,relevant trainings on influenza prevention and vaccine application can be strengthened through multiple aspects and multiple channels,and at the same time,support for vaccination of medical staff from the social organization level can be strengthened to increase the vaccination rate.