Sağlık Profesyonelleri Covid-19 Aşı Uygulamaları Hakkında Ne Düşünüyor: Bir Üniversite Örneği

ÖZ Amaç: Sağlık çalışanlarının aşılanması bulaşıcı hastalıklar yönünden önem arz eder. Bu çalışmanın amacı bir üniversite hastanesindeki sağlık çalışanlarının Covid-19 aşısına ilişkin görüşlerini ve aşılmaya etki eden faktörleri incelemektir. Materyal ve metod: Kesitsel tasarımlı bu çalışma 07-11.12.2020 tarihleri arasında bir üniversite hastanesinde, gönüllü 183 sağlık çalışanı ile tamamlanmıştır. Çalışmada araştırmacılar tarafından geliştirilen 10 soruluk form kullanılmıştır. Bu çalışma Harran Üniversitesi Etik Kurulu tarafından onaylandı (09.11.2020; oturum: 19; karar no: HRU / 20.19.24). Ayrıca Sağlık Bakanlığı'ndan Covid-19 çalışma onayı alındı. Bulgular: Covid-19 aşısı yaptırmak isteyenlerin sıklığı %53,6 idi. Katılımcıların %74,9’u Covid-19 aşısının insidansı azaltmaya etkisi olacağını düşünüyordu. Covid-19 aşısı yaptırma durumu ile aşının Covid-19 insidansına etkisi arasında anlamlı bir fark olduğu saptandı(p<0,000). Covid-19 aşısı yaptırmayı, erkek cinsiyete sahip olma 2,721, pandemi döneminde aşı yaptırma 0,356 ve Covid-19 aşısının insidansı azaltmaya etkisi olduğunu düşünme 19,272 kat etkilemektedir. Katılımcılar en çok sevdiklerine hastalık bulaştırma kaygısı (%41,5) nedeni ile aşı olmak isterken, en çok yan etki kaygısı nedeniyle (%27,9) aşı olmak istemedikleri bildirmişlerdir. Sonuç: Toplumun rol model gördüğü sağlık çalışanlarının her ikisinden birinin aşı olmayı kabul etmemesi, Covid-19 pandemisinin kontrol altına alınma başarısını etkileyecektir. Sonuç olarak, bilimsel kanıtlarla aşılanma gerekliliğine ilişkin acil eylem planına ihtiyaç vardır.

Anahtar Kelimeler:

Aşılama, Covid-19, Pandemi, Sağlık profesyonelleri

What Do Health Care Professionals Think About Covid-19 Vaccine Applications: A University Example

Background: Vaccination of Health Care Professionals (HCPs) is of great importance for communicable diseases. This study aimed to investigate the views of HCPs working in a university hospital about the coronavirus disease 2019 (Covid-19) vaccine and to evaluate the factors affecting vaccination.Materials and Methods: This cross-sectional study was completed with 183 volunteers in a university hospital on 9–12 December 2020. A questionnaire consisting of 10 questions developed by the researchers was used in the study. The study was approved by the Harran University Ethics Committee (09.11.2020; session: 19; decision no: HRU / 20.19.24). In addition, the Republic of Turkey Ministry of Health's Covid-19 Study approval was received.Results: The rate of HCPs who were willing to get the Covid-19 vaccine was 53.6%. Of the participants, 74.9% thought that the Covid-19 vaccine would have an effect on reducing the incidence of Covid-19. There was a significant difference between the decision on getting the Covid-19 vaccine and the effect of the vaccine on the incidence of Covid-19 (p=0.000). Getting the Covid-19 vaccine was found to be affected 2.721-fold by the male gender, 0.356-fold by receiving vaccination during the pandemic period, and 19.272-fold by the thought that the Covid-19 vaccine would reduce the incidence. Participants mostly stated that they wanted to be vaccinated due to the fear of transmitting the disease to the loved ones (41.5%) whereas concerns about adverse events were the most common reason why the participants were unwilling to be vaccinated (27.9%).Conclusions: Vaccination refusal of one of every two HCPs, who are seen as a role model by society, will affect the success of controlling the Covid-19 pandemic. In conclusion, there is a need for an emergency action plan regarding the need for vaccination with scientific evidence.

Keywords:

Covid-19, Pandemic, Vaccination,

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1. Wuhan Municipal Health Commission. Report of novel coronavirus-infected pneumonia in China. Published January 20, 2020. Accessed January 31, 2020 https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200121-sitrep-1-2019-ncov.pdf
2. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; doi: 10.1056/NEJMoa2001017.
3. Salvatori G, Luberto L, Maffei M, Aurisicchio L. Roscilli G, Palombı F, et al.SARS-CoV-2 SPIKE PROTEIN: an optimal immunological target for vaccines. J Transl Med 2020; 18: 222.
4. Liu X, Liu C, Liu G, Luo W, Xia N. COVID-19: Progress in diagnostics, therapy and vaccination. Theranostics 2020; 10(17), 7821–7835. https://doi.org/10.7150/thno.47987 5
5. Dini G, Toletone A, Sticchi L, Orsi A, Bragazzi NL, Durando P. Influenza vaccination in healthcare workers:A comprehensive critical appraisal of the literature. Human vaccines & immunotherapeutics 2018; 14(3), 772–789. https://doi.org/10.1080/2164 5515.2017.13484 42
6. Fu C, W Zheng Sen P, Shumping L, Xiaohui S, Ping L. Acceptance and preference for COVID-19 vaccination in health-care workers (HCWs). Med Rxi v 2020; 04.09.20060103; doi: https://doi.org/10.1101/2020.04.09.20060103
7. Haykır Solay A, Uzar H. Acar A, Eser F, Duman Z, & Sencan I, et al. Health Workers’ Attitudes Toward Influenza Vaccine, Vaccination Rates, and Incidence of Nosocomial Influenza in a Tertiary Care Center. Journal of ANKEM 2020; 10.5222/ankem.2020.006.
8. Keske Ş, Mutters NT, Tsioutis C, Ergönül Ö. EUCIC influenza vaccination survey team. Influenza vaccination among infection control teams: A EUCIC survey prior to COVID-19 pandemic. Vaccine 2020; Dec 14;38(52):8357-8361. doi: 10.1016/j.vaccine.2020.11.003.
9. Azap A. How to Prevent Influenza Among Health Care Workers. Turkey Clinics J Inf Dis-Special Topics. 2015;8(1):15-9 2015; 8(1): 15-9.
10. Kul G, Korkmaz N. The Approach of Health Care Workers to Influenza Vaccination J Contemp Med 2020;10(3):421-424 DOI: 10.16899/jcm.675013
11. Influenza Vaccination Information for Health Care Workers. https: //www. cdc.gov/f lu/professi onals/healthcareworkers.htm
12. Grech V, Gauci C, Agius S. Vaccine hesitancy among Maltese healthcare workers toward influenza and novel COVID-19 vaccination. Early Hum Dev. 2020; Oct 1:105213. doi: 10.1016/j.earlhumdev.2020.105213.
13. Bish A, Yardley L, Nicoll A, Michie S. Factors associated with uptake of vaccination against pandemic influenza: A systematic review, Vaccine, 2011; 29 (38) ; 6472-84, doi.org/10.1016/j.vaccine.2011.06.107
14. Lau LHW, Lee SS, Wong NS. The continuum of influenza vaccine hesitancy among nursing professionals in Hong Kong Vaccine. 2020; S0264-410X (20)31079-3. doi: https://doi.org/10.1016/j.vaccine. 2020.08.038.
15. Di Martino G, Di Giovanni P, Di Girolamo A, et al. Knowledge and attitude towards vaccination among healthcare workers: a multicenter cross-sectional study in a Southern Italian Region. Vaccines (Basel). 2020;8(2):248. doi: https://doi.org/10.3390/vaccines8020248
16. C Turner, R McClure. Age and gender differences in risk-taking behaviour as an explanation for high incidence of motor vehicle crashes as a driver in young males, Inj. Control. Saf. Promot. 2003;10(3):123–130, https://doi.org/10.1076/icsp.10. 3.123.14560
17. Caddy Sarah. Developing a vaccine for covid-19 BMJ 2020; 369:m1790
18. Günal Ö, Türe E, Bayburtlu M, Arslan U, Demirağ MD, Taşkın MH, et al. Evaluation of Patients Diagnosed with COVID-19 in Terms of Risk Factors. Mikrobiyol Bul 2020;54(4):629-637/doi: 10.5578/mb.70086