Ankara Med J. 2021; 21(4): 619-634 | DOI: 10.5505/amj.2021.74429

Kronik kalp hastalýðý olan hastalarda grip aþýsý olma oranlarý ve iliþkili faktörler: Üçüncü basamak bir hastaneden kesitsel bir çalýþma

Ahmet Yanýk¹, Mustafa Kürþat Þahin^2
1Saðlýk Bilimleri Üniversitesi, Samsun Eðitim ve Araþtýrma Hastanesi, Kardiyoloji Anabilim Dalý, Samsun
²Ondokuz Mayýs Üniversitesi, Týp Fakültesi, Aile Hekimliði Anabilim Dalý, Samsun

GÝRÝÞ ve AMAÇ: Kronik kalp hastalýðý (KKH) olan hastalar birçok kýlavuzda influenza aþýsý için öncelikli gruplardan biri olarak tanýmlanmýþtýr. Bu çalýþmanýn amacý, KKH'li hastalarda influenza aþýlama oranlarýný ve iliþkili faktörleri deðerlendirmektir.
YÖNTEM ve GEREÇLER: Bu kesitsel anket çalýþmasý Mayýs-Aðustos 2019 tarihleri arasýnda yapýlmýþtýr. Ankette sosyo-demografik özellikler, 2018-19 influenza sezonunda aþýlanma durumu, influenza aþýsýnýn önerilip önerilmediði ve aþý kabul veya ret nedenleri incelenmiþtir.
BULGULAR: Çalýþmaya katýlan 389 KKH hastasýnýn %62,21'i erkek, %45,24'ü ≥65 yaþýndaydý. Ýnfluenza aþýsý olma oraný %11,31 idi. Ýleri yaþ, hekim tarafýndan aþý önerisi, KKH hastalarý ile yaþayan aile bireylerinin daha önce aþýlanmýþ olmasý, kalp hastalýðý veya solunum yolu hastalýðý nedeniyle acil yatýþ ve grip aþýsýnýn ücretsiz olduðunun bilinmesi aþý kabulünü artýran faktörlerdi.
TARTIÞMA ve SONUÇ: Bu çalýþmada KKH hastalarýnda influenza aþýlama oraný beklenen düzeyin oldukça altýndadýr. Özellikle doktorlar veya diðer saðlýk çalýþanlarý tarafýndan influenza aþýsýnýn tavsiye edilmemesi veya yeterince teþvik edilmemesi, KKH hastalarý arasýnda influenza aþýlamasýnýn önündeki en büyük engel olarak görünmektedir.

Anahtar Kelimeler: Kalp hastalýðý, grip, kalp-damar hastalýðý, grip aþýlarý, aþý, aþý kapsamý

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Influenza vaccination rates and related factors in patients with chronic heart disease: A cross-sectional study from a tertiary hospital

Ahmet Yanýk¹, Mustafa Kürþat Þahin^2
1Department of Cardiology, Health Science University, Samsun Educational and Research Hospital, Samsun, Turkey
²Department of Family Medicine, Ondokuz Mayýs University, School of Medicine, Samsun, Turkey

INTRODUCTION: Patients with chronic heart disease (CHD) have been defined in many guidelines as one of the priority groups for influenza vaccination. The purpose of this study was to evaluate influenza vaccination rates and related factors in patients with CHD.
METHODS: This cross-sectional survey study was conducted between May and August 2019. The questionnaire investigated socio-demographic characteristics, vaccination status in the 2018-19 influenza season, whether the influenza vaccine had been recommended, and vaccine acceptance or refusal reasons.
RESULTS: Of the 389 CHD patients participating in the study, 62.21% were male, and 45.24% were aged ≥65. The influenza vaccine uptake rate was 11.31%. Advanced age, vaccination recommendation by a physician, family members living with CHD patients having been previously vaccinated, emergency hospitalization for heart disease or respiratory disease, and knowing that the influenza vaccine was free of charge were factors that increased vaccination acceptance.
DISCUSSION AND CONCLUSION: The influenza vaccination rate among the CHD patients in this study was well below the expected level. The influenza vaccine not being recommended or not sufficiently encouraged, especially by physicians or other healthcare workers, seems to represent the greatest obstacle to influenza vaccination among CHD patients.

Keywords: Heart disease, influenza, cardiovascular disease, influenza vaccines, vaccination, vaccination coverage

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