Sağlık Çalışanlarının Koronavirüs-19 Aşıları Hakkındaki Bilgi Düzeyi ve Tutumlarının Değerlendirilmesi

Yıl 2023, Cilt: 18 Sayı: 1, 41 - 50, 16.03.2023

Emine Türkoğlu , Emine Kübra Dindar Demiray , Dilek Yılmaz , Sevil Alkan , Hatice Öntürk Akyüz , Osman Demir

https://doi.org/10.17517/ksutfd.1053968

Öz

Amaç: Sağlık çalışanları COVID-19 mücadelesinde ön saflarda yer almakta olup aşılanmaları hayati önem taşımaktadır. Üstelik hem konuşmaları hem davranışları ile pandeminin kontrolünde önemli rol üstlenmektedirler. Bu çalışmada sağlık çalışanlarının COVID-19 aşılanma durumları, bilgi düzeyleri ve bakış açılarının değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışma kesitsel ve tanımlayıcı bir tipte olup, 15-30 Temmuz 2021 tarihleri arasında Türkiye’deki tıp öğrencisi, asistan hekim, hemşirelik öğrencisi ve hemşirelere yönelik çevrimiçi bir anket formu üzerinden gerçekleştirilmiştir.
Bulgular: Toplam 822 sağlık çalışanında aşılanma oranı %79.2 idi. Sağlık çalışanları aşılar hakkında yeterince bilgi sahibi değildi (Doğru cevaplama oranları %21.6-73 arasındaydı). En önemli bilgi edinme kaynakları sosyal medya (%41.9) ile Sağlık Bakanı-Bilim Kurulu açıklamalarıydı (%29.5). Aşılanma oranı; 25 yaş üstündekilerde, asistan hekimlerde, batı bölgelerinde yaşayanlarda, COVID-19 hastalarına sağlık hizmeti verenlerde, daha önce COVID-19
geçirmeyenlerde ve bilgi sorularını doğru yanıtlayanlarda daha yüksekti (p=0.019, p<0.001, p<0.001, p=0.042, p<0.001, p<0.001). En önemli aşı tereddütü/reddi nedeni bilgi eksikliğiydi (%41.6).
Sonuç: Türkiye’deki sağlık çalışanlarının aşı tereddütü sosyal medyanın daha efektif kullanımı ve Sağlık Bakanı ile Bilim Kurulu’nun pandemi sürecini daha şeffaf ve hassas yönetmesi ile giderilebilir.

Anahtar Kelimeler

COVID-19 aşıları, Comirnaty, CoronaVac, Sağlık çalışanları, Aşı reddi

Determination of Knowledge Levels and Attitudes of Healthcare Workers on Coronavirus Disease-19 Vaccines

Öz

Objective: Healthcare workers (HCWs) are at the forefront of the fight against COVID-19, and vaccination is crucial. In addition, HCWs have the potential, both through their behaviours and their words, in controlling the pandemic. The aim of this study is to determine the vaccination statuses, knowledge levels and perspectives of HCWs regarding vaccination.
Materials and Methods: This was a descriptive and cross-sectional study designed for medical students, assistant physicians, nursing students and nurses, in Turkey, between July 15, 2021 and July 30, 2021, using an online questionnaire.
Results: Vaccination rate among 822 HCWs was 79.2%. HCWs did not have enough information about vaccines (correct response rates were between 21.6% and 73%). The most important sources of information were social media and the statements of Turkish Minister of Health and Scientific Committee (41.9% and 29.5%, respectively). Vaccination rate was statistically higher in HCWs over 25 years old, physicians, living in the western regions of Turkey, serving patients with COVID-19, those who did not have previous COVID-19, and those who answered the vaccination questions correctly (p=0.019, p<0.001, p<0.001, p=0.042, p<0.001, p<0.001, respectively). The most important reason for vaccine hesitation/rejection was lack of confidence (41.6%).
Conclusion: Vaccine hesitation among HCWs in Turkey can be eliminated by paying attention to the correct and effective use of social media, and the Ministry of Health and the Scientific Committee to pay attention to more transparent and precise management of the pandemic

Anahtar Kelimeler

COVID-19 vaccines, Comirnaty, CoronaVac, Healthcare workers, Vaccine hesitancy

Kaynakça

• Guo YR, Cao QD, Hong ZS, Tan YY, Chen SG, Jin HG et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak—an update on the status. Mil Med Res 2020;7:11.
• Turkish Republic Ministry of Health. Daily COVID-19 Chart, COVID-19 Information Platform. Avaliable from: https://covid19.saglik.gov.tr/. Accessed in 2021 ( Oct 22 ).
• World Health Organization (WHO). Advice for the public: Coronavirus disease (COVID-19). Avaliable from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public#:~:text=Clean%20your%20hands%20frequently%20with,self%2Disolate%20until%20you%20recover. Accessed in 2021 ( Oct 22 ).
• World Health Organization (WHO) Target Product Profiles for COVID-19 Vaccines. Avaliable from: https://cdn.who.int/media/docs/default-source/blue-print/who-target-product-profiles-for-covid-19-vaccines.pdf?sfvrsn=1d5da7ca_5&download=true. Accessed in 2021 (Oct 23).
• Akar Ş, Akçalı S, Özkaya Y, Gezginci FM, Özyurt BC, Deniz G et al. Factors Affecting side effects, seroconversion rates and antibody response after inactivated SARS-CoV-2 vaccination in healthcare workers. Mikrobiyol Bul 2021;55(4):519-38.
• Polack FP, Thomas SJ, Kitchin N, Absalon J, Gurtman A, Lockhart S et al. Safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine. N Engl J Med 2020;383:2603–15.
• Saure D, O’Ryan M, Torres JP, Zuniga M, Santelices E, Basso LJ. Dymanic IgG seropositivity after rollout of CoronaVac and BNT162b2 COVID-19 vaccines in Chile: A sentinal surveillance study. Lancet Infect Dis 2022 Jan;22(1):56-63.
• Unicef. WASH and infection prevention and control in health-care facilities. Avaliable from: https://www.unicef.org/media/66386/file/WASH-COVID-19-infection-prevention-and-control-in-health-care-facilities-2020.pdf. Accessed in 2021 (Oct 24).
• Pan-American Health Organization (PAHO)/World Health Organization (WHO) 2020. COVID-19 has Infected Some 570.000 Health Workers and Killed 2,500 in the Americas. Available from: https://www. paho.org/en/news/2-9-2020-covid-19-has-infected-some-570000-health-workers-and-killed-2500- americas-paho. Available from: Accessed in 2021(Oct 24).
• Turkish Medical Association. COVID-19 pandemic 18 month assessment report. Avaliable from:https://www.ttb.org.tr/userfiles/files/COVID-19%20Pandemisi%2018%20Ay%20Deg%CC%86erasyon%20Raporu%20ME%20(1).pdf. Accessed in 2021 (Oct 24).
• Turkish Medical Association. Avalieble from: https://siyahkurdele.com/. Accessed in 2021 (Oct 31).
• World Health Organization (WHO). COVID-19 vaccines: Safety surveillance manual. Module: COVID-19 vaccine safety communication. Avaliable from: https://www.who.int/vaccine_safety/committee/Module_Communication.pdf?ua=1.Accessed in 2021 (Oct 24).
• Karafillakis E, Dinca I, Apfel F, Bouckenooghe A, Noriega F, Jackson N. Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine 2016; 34(41):5013–5020.
• Kwok KO, Li KK, Wei W. Tang A, Wong SYS, Lee SS. Editor's Choice: Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey. Int J Nurs Stud 2021;114:103854.
• Tomljenovic M, Petrovic G, Antoljak N, Hansen L. Vaccination attitudes, beliefs and behaviours among primary health care workers in northern Croatia. Vaccine 2021:39(4);738–745.
• Angelo AT, Alemayehu DS, Dachew AM. Health care workers intention to accept COVID-19 vaccine and associated factors in southwestern Ethiopia, 2021. PLoS ONE 2021:16(9):e0257109.
• Yilmaz S, Çolak FÜ, Yilmaz E, Ak R, Hökenek NM, Altintas MM. Vaccine hesitancy of health-care workers: Another challenge in the fight against COVID-19 in Istanbul. Disaster Med Public Health Prep 2021:1-7.
• Lucia VC, Kelekar A, Afonso NM. COVID-19 vaccine hesitancy among medical students. J Public Health (Oxf) 2021;43(3):445-449.
• Jain J, Saurabh S, Kumar P. COVID-19 vaccine hesitancy among medical students in India. Epidemiol Infect 2021;149:e132.
• Velikonja NV, Dobrowolska B, Stanisavljevi´c S, Erjavec K, Velikonja VG, Verdenik I. Attitudes of nursing students towards vaccination and other preventive measures for limitation of COVID-19 pandemic: Cross-sectional study in three European countries. Healthcare 2021:9(7);781.
• Özceylan G, Toprak D, Esen ES. Vaccine rejection and hesitation in Turkey. Hum Vaccin Immunother 2020;16(5):1034-1039.
• Dror AA, Eisenbach N, Taiber S. Morozov NG, Mizrachi M, Zigron A et al. Vaccine hesitancy: The next challenge in the fight against COVID-19. Eur J Epidemiol 2020:35(8);775–779.
• Anderson PO. Maternal vaccination and breastfeeding. Breastfeed Med 2019;14(4):215-217.
• Durusu Tanriover M, Doğanay HL, Akova M, Guner HR, Azap A, Akhan S et al. Efficacy and safety of an inactivated whole-virion SARS-CoV-2 vaccine (CoronaVac): Interim results of a double-blind, randomised, placebo-controlled, phase 3 trial in Turkey. Lancet 2021;398(10296):213-222.
• Banerji A, Wickner PG, Saff R, Stone Jr CA, Robinson LB, Long AA et al. mRNA Vaccines to prevent COVID-19 disease and reported allergic reactions: current evidence and suggested approach. J Allergy Clin Immunol Pract 2021;9(4):1423-1437.
• Vasileiou E, Simpson CR, Shi T, Kerr S, Agrawal U, Akbari A et al. Interim findings from first-dose mass COVID-19 vaccination roll-out and COVID-19 hospital admissions in Scotland: A national prospective cohort study. Lancet 2021:397(10285);1646-1657.
• Violi F, Cammisotto V, Pastori D, Pignatelli P. Thrombosis in pre- and post-vaccination phase of COVID-19. Eur Heart J Suppl 2021:23(Suppl E):184-188.
• Barda N, Dagan N, Ben-Shlomo Y, Kepten E, Waxman J, Ohana R et al. Safety of the BNT162b2 mRNA Covid-19 Vaccine in a Nationwide Setting. N Engl J Med 2021;385:1078-1090.