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Aile hekimliğinde grip ve grip aşısı: Bilmek uygulama için yeterli mi?

Influenza and influenza vaccine in family practice: is knowledge sufficient for practice?

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2012

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: In the risk groups, seasonal influenza not only pres¬ents health risk but also causes social and economical impact. Influenza is a vaccine preventable occupational disease for physi¬cians. Therefore, physicians play an important role in transmission of influenza and in influencing their patients to protect them¬selves against influenza. The aim of this study was to investigate the knowledge level and behaviors of physicians towards influen¬za and influenza vaccination. Methods: In this cross-sectional analytical study, physicians in two metropolises completed a web based questionnaire designed to determine the demographics, the knowledge level and behav¬iors of physicians towards influenza. Data were analyzed by 16.0 version of SPSS program. Chi-square and t test were used to determine the statistical significance of the results. Results were accepted as statistically significant if p value was lower than 0.05. Results: Out of 911 family practitioners included in the study, 45.7% were receiving vaccination regularly. The knowledge level of 75.3% participants was high, 20.6% medium and 4.1% low. Increased knowledge level was correlated with increased vaccination rate. In addition, those who were vaccinated regularly believed more strongly that health care workers should get vaccinated, patients should be informed about influenza and vaccination, encouraged to get vaccinated, and influenza vaccination should be paid for by the insurance companies (p<0.05). Physicians with high knowledge, rec¬ommended vaccination to their patients during the influenza season and followed their patients more effectivelly compared to those with less knowledge of influenza (p<0.05). Physicians who did not regu¬larly get vaccinated themselves agreed that vaccination should only be recommended for those in risk groups, or during strong epi¬demics or only when it was requested by the patients (p<0.05). Conclusions: Although knowledge level of the physicians is impor¬tant in prevention of influenza it is not sufficient. Increasing knowl¬edge level with current information is important however, there should be multidirectional trainings targeting to change the attitute and behaviors of the physicians towards influenza vaccination.
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Abstract (Original Language): 
Amaç: Mevsimsel grip özellikle risk gruplarında sağlık üzerine doğrudan etkisinin yanı sıra sosyal ve ekonomik açılardan da önemli kayıplara neden olan bir enfeksiyon hastalığıdır. Grip, hekimler için bir meslek hastalığı olarak sayılabileceği gibi, bulaştırmada aracı olabilmeleri ve hastalarını gripten korunmaya yönlen-direbilmeleri açılarından da önemli bir konumları vardır. Bu çalışmada aile hekimlerinin grip hastalığı ve aşısı ile ilgili bilgi tutum ve davranışları araştırılmıştır. Yöntem: Kesitsel analitik olarak planlanan çalışmada, iki metropol ilde çalışan aile hekimlerine internet üzerinden demografik bilgiler, tutum ve davranış özellikleri ile, bilgi düzeylerini araştırmaya yönelik bir anket uygulanmıştır. Veriler SPSS programının 16.0 versiyonuna girilerek önemlilik testlerinde y2 ve t testi kullanılmıştır. istatistiksel önemlilik için p<0.05 kabul edilmiştir. Bulgular: Çalışmaya katılan 911 aile hekiminin %45.7'si her yıl düzenli aşı olduklarını belirtirken %75.3'ünün bilgi düzeyi yüksek, %20.6'sının orta, %4.1'inin düşük olduğu saptanmıştır. Bilgi düzeyi artışı ile aşı olma arasında anlamlı bir ilişki gözlenirken düzenli aşı yaptıran hekimlerin: sağlık çalışanlarının düzenli aşı yaptırması, hastalarını aşı olmaları için ikna etmeleri, hastalarını grip hastalığı ve aşısı ile ilgili bilgilendirmeleri ve grip aşısının sigorta şirketle¬rince ödeme kapsamında bulundurulması gerektiğine daha çok katıldıkları saptanmıştır (p<0.05). Bu gruptaki hekimler mevsimi geldiğinde tüm hastalarına grip aşısı olmalarını önerme, aşı önerdikleri hastalarını izleme konularında daha öne geçmişlerdir (p<0.05). Düzenli aşı yaptırmayan hekimlerin ise grip aşısını sade¬ce risk gruplarına veya sadece salgın olduğunda önerme ya da an¬cak hastanın talebi olursa önerme parametrelerine daha çok katıl¬dıkları belirlenmiştir (p<0.05). Sonuç: Hekimlerin grip ve grip aşısı ile ilgili bilgi düzeyleri gribin önlenmesine katkı sağlamakla birlikte yeterli olmamaktadır. Gele¬cekte hekimlerin bu alandaki tıbbi bilgilerini geliştirmek ve güncel-lemek üzere çeşitli eğitimlerin sürdürülmesinin yanı sıra tutum ve davranışlarını değiştirmeye yönelik çok yönlü etkinliklere gereksi¬nim vardır.
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  • 4
157-163
  • Turkish

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