Muslih ÜRÜN, İsmail BEYPINAR, Sena Ece DAVARCI, Hacer DEMİR, Meltem BAYKARA

Kanser hastalarında aşılanma durumu ve aşılanmayı etkileyen faktörlerin değerlendirilmesi

Amaç: COVID-19 pandemisi, doğrudan enfeksiyona yol açarak veya sağlık sisteminde aksamayla beraber sekonder olarak kanser hastalarının ölüm oranını artırdı. SARS-CoV-2’nin yol açtığı enfeksiyona karşı etkili aşıların geliştirilmesinden sonar ölüm oranları düştü. Bu çalışmada kanser hastalarının aşı olup olmadığını incelemeye çalıştık.Yöntemler: Türkiye’de iki medikal onkoloji merkezindeki hastaların aşıya yönelik tutumları ve aşılamayı etkileyen faktörleri araştırmak amacıyla kanserli hastalara anket uygulandı.Bulgular: Çalışmaya iki yüz yetmiş bir hasta dahil edildi. Hastaların aşıya yönelik tutumlarında kanser türüne göre farklılık gözlenmedi. Hastaların %83’ü COVID-19’a karşı aşılanmıştı. Çalışma popülasyonunun %75’ine mümkün olan en kısa sürede aşı uygulanmıştı. Çalışma grubunda aşıdan kaçınmanın en önemli nedeni kemoterapi almaktı (p=0,002). Yeterli dozda aşısı olan ve olmayan hastalar arasında COVID-19 tedavisinin türü açısından anlamlı bir fark yoktu. Aşılamayı etkileyen en olumsuz faktör aktif kemoterapi tedavisiydi. Sosyal ilişkiler ve geleneksel medya aşılama için en olumlu etkenlerdi.Sonuç: Tedavi gören veya remisyonda olan hastalar için aşılanma hayati önem taşımaktadır. Hastalar kemoterapi alacak olsalar bile aşı konusunda bilgilendirilmeli ve aşı için teşvik edilmelidir.

Anahtar Kelimeler:

covid-19, aşı, kanser

The evaluation of vaccination status and the factors affecting vaccination in cancer patients

Aim: Coronavirus disease 2019 (COVID-19) pandemic increased the mortality of cancer patients by causing direct infection or collateral damage to the healthcare system. After the development of effective vaccines against COVID-19 infection, mortality rates declined. In this study, we try to investigate the vaccination among cancer patients.Methods: A survey was applied to patients with cancer in order to investigate the attitudes towards vaccination and the factors effecting vaccination in two medical oncology centers in Turkey.Results: 271 patients were included in the study. No difference was observed in the attitudes of patients towards vaccination according to cancer type. 83% of the patients were vaccinated against COVID-19. In 75% of the study population, vaccine was administered in the earliest available time. Receiving chemotherapy was the most significant reason to avoid vaccination among the study group (p=0,002). There was no significant difference in terms of treatment type for COVID-19 between patients with or without adequate vaccination. The most negative factor affecting vaccination was active chemotherapy treatment. Social relations and traditional media were the most positive factors for vaccination.Discussion: Vaccination is of vital importance for patients who are treated or on remission. Even if patients are to receive chemotherapy, they should be informed about vaccination and should be encouraged for vaccination.

Keywords:

COVID-19, vaccine, cancer,

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