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Effects of Depressive and Anxiety-Related Behaviors in Patients Aged 30–75+ Who Have Experienced COVID-19 经历过 COVID-19 的 30-75 岁以上患者抑郁和焦虑相关行为的影响
Pub Date : 2024-07-10 DOI: 10.3390/covid4070072
Nderim Rizanaj, Fahri Gavazaj
This study investigated the prevalence, severity, and implications of depressive and anxiety behaviors among individuals aged 30–75+ who have recovered from COVID-19. The COVID-19 pandemic has exacerbated mental health challenges, prompting a critical examination of its psychological aftermath. Employing a quantitative research design, the study utilized a cross-sectional approach to gather data from 422 participants recruited through convenience sampling from healthcare facilities, community organizations, and online platforms. Participants, who had tested positive for COVID-19 and recovered, completed standardized assessments including the Patient Health Questionnaire (PHQ-9) for depressive symptoms and the Generalized Anxiety Disorder seven-item scale (GAD-7) for anxiety symptoms. Demographic variables were also collected to explore the correlations and potential risk factors using SPSS software. Key findings highlight significant levels of depressive and anxiety-related symptoms among the study population, emphasizing the necessity for tailored interventions and support services. The study’s limitations include the inability to establish causal relationships due to its cross-sectional nature and potential biases associated with convenience sampling. Nevertheless, the research underscores the urgent need for healthcare and mental health professionals to prioritize the psychological well-being of COVID-19 survivors through targeted strategies and resource allocation. By addressing these challenges, policymakers and practitioners can enhance the resilience and recovery of individuals affected by the pandemic’s psychological toll.
本研究调查了年龄在 30-75 岁以上的 COVID-19 康复者中抑郁和焦虑行为的发生率、严重程度及其影响。COVID-19 大流行加剧了心理健康方面的挑战,促使人们对其心理后果进行批判性研究。本研究采用定量研究设计,利用横断面方法从医疗机构、社区组织和网络平台上通过便利抽样招募的 422 名参与者中收集数据。COVID-19检测呈阳性并已康复的参与者完成了标准化评估,包括针对抑郁症状的 "患者健康问卷"(PHQ-9)和针对焦虑症状的 "广泛焦虑症七项量表"(GAD-7)。此外,还收集了人口统计学变量,以便使用 SPSS 软件探讨相关性和潜在风险因素。主要研究结果表明,研究人群中抑郁和焦虑相关症状的水平很高,这强调了有必要采取有针对性的干预措施和支持服务。这项研究的局限性包括:由于研究具有横断面性质,因此无法确定因果关系;方便取样可能会产生偏差。尽管如此,研究强调了医疗保健和心理健康专业人员迫切需要通过有针对性的策略和资源分配来优先考虑 COVID-19 幸存者的心理健康。通过应对这些挑战,政策制定者和从业人员可以提高受该流行病心理影响的个人的复原力和恢复能力。
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引用次数: 0
Exploring the Impact of Personal and Social Media-Based Factors on Judgments of Perceived Skepticism of COVID-19 探讨基于个人和社交媒体的因素对 COVID-19 的认知怀疑判断的影响
Pub Date : 2024-07-09 DOI: 10.3390/covid4070071
N. Vu, Brian Manata, Andrew High
Skepticism of COVID-19 has consequences for public health. We examined several variables that we reasoned were related to skepticism, including demographic factors, people’s perceptions and experiences related to COVID-19, and social media usage. The sample consisted of 294 participants recruited in April of 2020. Participants filled out a survey that included questions related to demographics, social media use, COVID-19 anxiety, COVID-19 interference, and COVID-19 skepticism. In the main, biological sex, ethnicity, and social media use were not significantly associated with skepticism regarding COVID-19. Alternatively, older participants and those who experienced greater anxiety related to the pandemic were less skeptical of COVID-19. Interestingly, people who experienced more interference in their lives because of COVID-19 were more skeptical of the pandemic. Finally, social media use moderated the influence of anxiety and interference on skepticism. The negative effect of anxiety on skepticism became weaker as people’s use of social media increased. The positive effect of interference related to COVID-19 on skepticism became stronger as people used more social media. Our findings underscore the importance of personal beliefs, attitudes, and experiences when explaining skepticism of the pandemic.
对 COVID-19 持怀疑态度会影响公众健康。我们研究了与怀疑态度相关的几个变量,包括人口统计因素、人们对 COVID-19 的看法和经历以及社交媒体的使用情况。样本由 2020 年 4 月招募的 294 名参与者组成。参与者填写了一份调查问卷,其中包括与人口统计学、社交媒体使用、COVID-19焦虑、COVID-19干扰和COVID-19怀疑论相关的问题。主要结果显示,生理性别、种族和社交媒体使用情况与对 COVID-19 的怀疑态度没有明显关联。另外,年龄较大和对大流行病焦虑程度较高的参与者对 COVID-19 的怀疑程度较低。有趣的是,因 COVID-19 而生活受到更多干扰的人对该流行病的怀疑程度更高。最后,社交媒体的使用调节了焦虑和干扰对怀疑论的影响。焦虑对怀疑论的负面影响随着人们使用社交媒体的增加而减弱。随着人们使用社交媒体的增加,与 COVID-19 相关的干扰对怀疑论的积极影响也变得更强。我们的研究结果强调了个人信仰、态度和经历在解释对大流行病的怀疑态度时的重要性。
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引用次数: 0
“The Right to Our Own Body Is Over”: Justifications of COVID-19 Vaccine Opponents on Israeli Social Media "我们对自己身体的权利已经结束":COVID-19疫苗反对者在以色列社交媒体上的辩解
Pub Date : 2024-07-07 DOI: 10.20944/preprints202403.1576.v1
L. Inchi, Amit Rottman, Chen Zarecki
Vaccines decrease morbidity and mortality. Nevertheless, their benefits depend on public response. During COVID-19, vaccine hesitancy and refusal were rampant, threatening public health. A thorough understanding of opponents’ arguments is required to address the diffusion of unreliable information on social media and prevent vaccine hesitancy from developing into vaccine refusal. The focus on the opponents’ viewpoints and their justifications makes the study unique. Accordingly, textual content analysis of reader comments on three health-related Israeli Facebook pages was conducted. Data collection encompassed the Israeli COVID-19 vaccination period from October 2020 to May 2022. The comments were analyzed according to the health beliefs model (HBM). We found that vaccine opponents were characterized by low perceptions of the severity of the disease combined with high perceptions of the damages of the vaccine; low perceived benefits of vaccine compliance; vaccine hesitancy and fear along with public distrust as barriers to change; and call for action to resist the vaccine and spread related anti-establishment views on the web. Hesitancy was found to develop into public distrust in the state systems and escalate into conspiracy beliefs and anti-vaccination activism. These results are important and instructive that early detection is necessary to prevent future vaccine resistance.
疫苗可降低发病率和死亡率。然而,疫苗的益处取决于公众的反应。在 COVID-19 期间,疫苗犹豫和拒绝接种现象十分普遍,威胁着公众健康。要解决社交媒体上不可靠信息的传播问题,防止疫苗犹豫不决发展为拒绝接种疫苗,就必须全面了解反对者的论点。对反对者观点及其理由的关注使本研究具有独特性。因此,我们对三个与健康相关的以色列 Facebook 页面上的读者评论进行了文本内容分析。数据收集涵盖了 2020 年 10 月至 2022 年 5 月的以色列 COVID-19 疫苗接种期。我们根据健康信念模型(HBM)对这些评论进行了分析。我们发现,疫苗反对者的特点是:对疾病严重性的认知较低,而对疫苗损害的认知较高;对接种疫苗的益处认知较低;疫苗犹豫和恐惧以及公众的不信任是改变的障碍;呼吁采取行动抵制疫苗并在网络上传播相关的反建制观点。研究发现,犹豫不决会发展成公众对国家制度的不信任,并升级为阴谋论和反疫苗行动主义。这些结果具有重要的启示意义,即有必要及早发现,以防止未来出现疫苗抵制现象。
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引用次数: 0
Insights into Positive Mental Health Amid the COVID-19 Pandemic: Evidence from a Study in Croatia 洞察 COVID-19 大流行中的积极心理健康:来自克罗地亚研究的证据
Pub Date : 2024-07-07 DOI: 10.3390/covid4070069
Ž. Jovanović, Marija Spevan, Sandra Bošković, Deana Švaljug, Bojan Miletić
Objective: The COVID-19 pandemic has raised significant concerns about public health, particularly in terms of mental well-being due to heightened fear and uncertainty. The findings of this study are based on a survey conducted to evaluate the mental health status of the general population in Croatia during the COVID-19 pandemic. Methods: A survey conducted randomly and cross-sectionally included 588 respondents from all 21 counties in Croatia. The survey gathered demographic data and assessed various factors related to pandemic response measures and mental health using the Mental Health Continuum—Short Form (MHC-SF) scale. Results: Despite feeling adequately informed about COVID-19 (76.0%), most respondents (60.8%) expressed concerns about their loved ones during the pandemic. There were significant numbers who felt there was no risk of infection (50.9%) or believed they would not get infected (40.2%), while 72.4% were content with government measures. A statistical analysis indicated that mental health was not significantly different between genders, but age-related differences were evident, with those under 21 experiencing the most distress. The lowest level of psychological and social well-being was observed in respondents who were unemployed. Conclusions: The study identifies vulnerable groups in the Croatian population during the pandemic, including younger individuals, those on parental leave, students, and the unemployed, who exhibited worse mental health. The importance of implementing targeted mental health interventions to support these vulnerable groups is highlighted by these findings.
目的:COVID-19 大流行引起了人们对公众健康的极大关注,尤其是由于恐惧和不确定性的加剧而导致的心理健康问题。本研究以一项调查为基础,旨在评估 COVID-19 大流行期间克罗地亚普通人群的心理健康状况。调查方法随机横向调查了克罗地亚所有 21 个县的 588 名受访者。调查收集了人口统计学数据,并使用心理健康连续简表 (MHC-SF) 量表评估了与大流行应对措施和心理健康有关的各种因素。调查结果显示尽管受访者(76.0%)对 COVID-19 有充分的了解,但大多数受访者(60.8%)表示在大流行期间担心自己的亲人。认为没有感染风险(50.9%)或相信自己不会感染(40.2%)的受访者为数不少,而 72.4% 的受访者对政府采取的措施表示满意。统计分析表明,不同性别之间的心理健康状况没有明显差异,但年龄差异明显,21 岁以下人群的心理压力最大。失业受访者的心理和社会福利水平最低。结论这项研究确定了大流行期间克罗地亚人口中的弱势群体,包括年轻人、休育儿假者、学生和失业者,他们的心理健康状况较差。这些发现凸显了实施有针对性的心理健康干预措施以支持这些弱势群体的重要性。
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引用次数: 0
“Being There for Each Other”: Hospital Nurses’ Struggle during the COVID-19 Pandemic "守望相助":医院护士在 COVID-19 大流行期间的斗争
Pub Date : 2024-07-06 DOI: 10.3390/covid4070068
H. Admi, L. Inchi, S. Bord, S. Shahrabani
This study aims to explore the experiences of frontline hospital nurses over 18 months of struggle with the COVID-19 pandemic. The qualitative thematic analysis method was applied. Twenty-three nurses from nine tertiary hospitals in Israel were interviewed using semi-structured interviews via the ZOOM platform between August and September 2021. Interviews were video recorded and transcribed verbatim. Trustworthiness was assured by using qualitative criteria and the COREQ checklist. Results: Both negative and positive experiences were reported: threat and uncertainty along with awareness of their important mission; anxiety and helplessness alongside courage and heroism. Personal management strategies emerged: regulating overwhelming emotions and managing work–life balance. Team support emerged as the most meaningful source of nurses’ struggle with the pandemic. A sense of intimacy and solidarity enabled the processing of the shared traumatic experiences. Conclusions: A deeper understanding of nurses’ experiences through the pandemic was gained. Informal peer support has proven effective in struggling with the events. Formal interventions, such as affective–cognitive processing of traumatic events, need to be integrated into practice. Healthcare policymakers should promote better support for caregivers, which will contribute to their well-being and impact the quality of care they provide.
本研究旨在探讨医院一线护士在与 COVID-19 大流行病斗争的 18 个月中的经历。研究采用了定性专题分析方法。2021 年 8 月至 9 月期间,研究人员通过 ZOOM 平台对以色列九家三级医院的 23 名护士进行了半结构化访谈。对访谈进行了录像和逐字转录。采用定性标准和 COREQ 检查表确保访谈的可信度。结果报告中既有消极经历,也有积极经历:既有威胁和不确定性,也有对其重要使命的认识;既有焦虑和无助,也有勇气和英雄主义。出现了个人管理策略:调节难以承受的情绪,管理好工作与生活的平衡。团队支持是护士与大流行病抗争的最有意义的源泉。亲密感和团结感使他们能够处理共同的创伤经历。结论我们对护士在大流行病中的经历有了更深入的了解。事实证明,非正式的同伴支持在与大流行病抗争方面是有效的。正式的干预措施,如对创伤事件的情感-认知处理,需要融入到实践中。医疗保健政策制定者应促进为护理人员提供更好的支持,这将有助于他们的福祉并影响他们提供的护理质量。
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引用次数: 0
Prevalence and Predictors of Long COVID-19 and the Average Time to Diagnosis in the General Population: A Systematic Review, Meta-Analysis and Meta-Regression 普通人群中长 COVID-19 的流行率和预测因素以及平均诊断时间:系统回顾、元分析和元回归
Pub Date : 2024-07-05 DOI: 10.3390/covid4070067
J. Muthuka, J. M. Nzioki, Jack Oluoch Kelly, Everlyn Nyamai Musangi, Lucy Chepkemei Chebungei, Rosemary Nabaweesi, Michael Kibet Kiptoo
Objectives: We aimed to assess the prevalence of long COVID-19 and estimate the average time to its diagnosis and meta-regression for covariates. Methods: We conducted a systematic review, meta-analysis, and meta-regression from 43 studies (367,236 patients) (June 2020–August 2022). With the random-effects model, the pooled prevalence of long COVID-19 was measured. Publication bias was ascertained, and meta-regression analysis was performed on predetermined covariates. The trial was registered with PROSPERO (CRD42022328509). Results: The pooled prevalence of long COVID-19 was 42.5% (95% CI 36% to 49.3%), with 25% and 66% at four and two months, respectively. Mostly, long COVID-19 signs and symptoms occurred at three (54.3%) to six (57%) months (p < 0.0001), further increasing at 12 months (57.9%, p = 0.0148). Hypertension was significantly associated with long COVID-19 at 32% (0.322 (95% CI 0.166, 0.532) (p < 0.001) and hospital re-admission contributed to 17% (Q = 8.70, df = 1, p = 0.0032) (R2 = 0.17). All the covariates explained at least some of the variance in effect size on long COVID-19 at 53% (Q = 38.81, df = 19, p = 0.0047) (R2 analog = 0.53). Conclusion: The prevalence of long COVID-19 was 42.5% when linked with a cardiovascular disorder. Hospital re-admission majorly predicted the incidence of long COVID-19. Clinical and methodological characteristics in a specific study contributed to over 50% of long COVID-19 events, with most signs and symptoms occurring between 3 and 6 months and increasing at 12 months.
目的:我们旨在评估长COVID-19的患病率,估算其确诊的平均时间,并对相关因素进行元回归。方法我们对 43 项研究(367236 名患者)(2020 年 6 月至 2022 年 8 月)进行了系统回顾、荟萃分析和元回归。通过随机效应模型,我们测算出了长 COVID-19 的总体患病率。确定了发表偏倚,并根据预先确定的协变量进行了元回归分析。该试验已在 PROSPERO 注册(CRD42022328509)。结果长COVID-19的汇总患病率为42.5%(95% CI为36%至49.3%),四个月和两个月时的患病率分别为25%和66%。大多数情况下,长 COVID-19 症状和体征出现在 3 个月(54.3%)至 6 个月(57%)(p < 0.0001),在 12 个月时进一步增加(57.9%,p = 0.0148)。高血压与长 COVID-19 显著相关,占 32% (0.322 (95% CI 0.166, 0.532) (p < 0.001),再次入院占 17% (Q = 8.70, df = 1, p = 0.0032) (R2 = 0.17)。所有协变量对长 COVID-19 的效应大小变异的解释率至少为 53%(Q = 38.81,df = 19,p = 0.0047)(R2 模拟 = 0.53)。结论与心血管疾病相关的长 COVID-19 患病率为 42.5%。再次入院在很大程度上预测了长 COVID-19 的发生率。一项特定研究中的临床和方法学特征导致了50%以上的长COVID-19事件,大多数体征和症状发生在3至6个月之间,并在12个月时有所增加。
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引用次数: 0
Images of Chest Computer Tomography (CT) and Radiation (X-ray) Demonstrating Clinical Manifestations of COVID-19: Review Article 显示 COVID-19 临床表现的胸部计算机断层扫描(CT)和放射线(X 光)图像:评论文章
Pub Date : 2024-07-02 DOI: 10.3390/covid4070066
A. Oglat
Apart from reverse-transcription polymerase chain reaction (RT-PCR) testing, chest radiographs (CXR) and computed tomography (CT) scans were employed as crucial diagnostic methods for detecting the 2019 new coronavirus disease (COVID-19). Our objective is to examine three notable COVID-19 instances from patients across the globe, along with their CXR and CT data. The evaluation of the imaging characteristics of the reported instances was the primary objective of a methodical examination of the literature. We located more than several articles that had been published between 2020 and 2023. After the papers were examined, three major cases were chosen, including a COVID-19 assessment of imaging features (chest X-ray and CT scan). Corona viral diseases (COVID-19) pose a significant risk to healthcare facilities, especially when the patient has additional medical issues. It is challenging to understand the various chest radiography results because of the use of specialized and ambiguous terminology such as “airspace disease”, “pneumonia”, “infiltrates”, “patchy opacities”, and “hazy opacities”. The current investigation considered peer-reviewed case reports with Images features. Study designs, including reporting cases, were considered for imaging feature analysis.
除了反转录聚合酶链反应(RT-PCR)检测外,胸片(CXR)和计算机断层扫描(CT)也是检测 2019 年新型冠状病毒病(COVID-19)的重要诊断方法。我们的目标是研究全球患者中三个值得注意的 COVID-19 病例及其 CXR 和 CT 数据。评估报告病例的影像学特征是我们对文献进行系统研究的主要目的。我们找到了 2020 年至 2023 年间发表的多篇文章。在对这些论文进行研究后,我们选择了三个主要病例,其中包括对成像特征(胸部X光和CT扫描)的COVID-19评估。电晕病毒病(COVID-19)给医疗机构带来了巨大风险,尤其是当患者还有其他医疗问题时。由于使用了 "气室疾病"、"肺炎"、"浸润"、"斑片状不透明性 "和 "混浊不透明性 "等专业且含糊不清的术语,要理解各种胸部 X 射线检查结果具有挑战性。本次调查考虑了具有图像特征的同行评审病例报告。在进行影像特征分析时,考虑了包括报告病例在内的研究设计。
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引用次数: 0
Comparing the Change in R0 for the COVID-19 Pandemic in Eight Countries Using an SIR Model for Specific Periods 使用 SIR 模型比较八个国家特定时期 COVID-19 大流行的 R0 变化情况
Pub Date : 2024-07-01 DOI: 10.3390/covid4070065
Tak Ching Leung
The reproduction number, R0, is an important parameter in epidemic models. It is interpreted as the average number of new cases resulted from each infected individual during the course of infection. In this paper, the R0 estimates since the outbreak of COVID-19 till 10 August 2020 for eight countries were computed using the package R{eSIR}. The computed values were examined and compared with the daily R0 estimates obtained by a static SIR model by aligning the days of infection, assuming a fixed number of days for the infected person to become confirmed/recover/die. The results showed that running R{eSIR} to obtain R0 estimates provided an easy mean of exploring epidemic data. Care must be taken in the interpretation of R0 as a measure of severity of the spread of an epidemic. Other factors, such as imported cases, need to be considered.
繁殖数 R0 是流行病模型中的一个重要参数。它被解释为在感染过程中每个受感染个体产生的新病例的平均数量。本文使用 R{eSIR} 软件包计算了八个国家自 COVID-19 爆发至 2020 年 8 月 10 日的 R0 估计值。在假定感染者确诊/康复/死亡的天数固定的情况下,通过调整感染天数,将计算值与静态 SIR 模型获得的每日 R0 估计值进行了检验和比较。结果表明,运行 R{eSIR} 获得 R0 估计值是探索流行病数据的一种简便方法。在解释 R0 作为流行病传播严重程度的衡量标准时必须谨慎。还需要考虑其他因素,如输入病例。
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引用次数: 0
Deepening Divides or Inciting Change? Ongoing Impacts of COVID-19 on Teaching and Teacher Education in the United States 加深分歧还是推动变革?COVID-19 对美国教学和师范教育的持续影响
Pub Date : 2024-06-08 DOI: 10.3390/covid4060051
Noah Borrero
Through the lenses of teaching and teacher education, this article explores the evolving impacts of the COVID-19 pandemic on education. Challenges associated with COVID-19 in schooling, learning, teaching, and teacher education are highlighted to showcase ongoing systemic inadequacies and emerging opportunities for change. Cultural assets are presented as a theoretical framework for bridging gaps between individualistic and collective approaches to learning. Specific classroom projects that foster cultural assets are connected with a larger educational movement for Ethnic Studies in public education in the United States to provide examples of ways that education can evolve in more equitable ways into the future.
本文通过教学和师范教育的视角,探讨了 COVID-19 大流行病对教育的不断演变的影响。文章强调了 COVID-19 在学校教育、学习、教学和师范教育方面带来的挑战,以展示当前系统性的不足和新出现的变革机遇。文化资产作为一个理论框架被提出来,用于弥合个人主义和集体主义学习方法之间的差距。将促进文化资产的具体课堂项目与美国公共教育中更广泛的种族研究教育运动联系起来,为教育在未来以更公平的方式发展提供范例。
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引用次数: 0
Psychological Determinants of COVID-19 Vaccination Uptake among Pregnant Women in Kenya: A Comprehensive Model Integrating Health Belief Model Constructs, Anticipated Regret, and Trust in Health Authorities 肯尼亚孕妇接种 COVID-19 疫苗的心理决定因素:整合健康信念模型结构、预期后悔和对卫生机构信任的综合模型
Pub Date : 2024-06-05 DOI: 10.3390/covid4060050
S. Ayieko, Christine Markham, Kimberly Baker, Sarah E. Messiah
Pregnant women, considered at risk of COVID-19 complications because of the immunosuppressive and physiological changes in pregnancy, were initially hesitant to receive COVID-19 vaccination. This study assessed the association between COVID-19 vaccination uptake, psychological determinants (health belief model (HBM) constructs, anticipated regret, trust in health authorities), and provider recommendation among pregnant women in Kenya. Using data from a cross-sectional study, we conducted correlations, binary and multivariable logistic regressions, and moderation analysis to explore relationships between COVID-19 vaccination and psychological variables. Of the 115 pregnant women, 64% reported receiving provider recommendations for COVID-19 vaccination. There were weak positive correlations between the variables. Participants with high anticipated regret scores were more likely to receive COVID-19 vaccination compared to their peers (AOR = 4.27; 95% CI, 1.23–14.85), while provider recommendation increased the odds of COVID-19 vaccination (OR = 3.70; 95% CI, 1.53–8.92). None of the HBM constructs were significantly associated with COVID-19 vaccination. The findings related to psychological variables require the reconceptualization of theory-informed interventions to streamline healthcare provision. The critical role of healthcare providers in COVID-19 vaccination recommendations suggests a need to empower health practitioners with effective communication skills to improve maternal health outcomes.
由于妊娠期的免疫抑制和生理变化,孕妇被认为有发生 COVID-19 并发症的风险,因此她们最初对接种 COVID-19 疫苗犹豫不决。本研究评估了肯尼亚孕妇中 COVID-19 疫苗接种率、心理决定因素(健康信念模型(HBM)构建、预期后悔、对卫生机构的信任)和提供者推荐之间的关联。利用一项横断面研究的数据,我们进行了相关性、二元和多变量逻辑回归以及调节分析,以探讨 COVID-19 疫苗接种与心理变量之间的关系。在 115 名孕妇中,64% 的人表示接受了医疗服务提供者关于接种 COVID-19 疫苗的建议。这些变量之间存在微弱的正相关。与同龄人相比,预期遗憾得分高的参与者更有可能接种 COVID-19 疫苗(AOR = 4.27;95% CI,1.23-14.85),而医疗服务提供者的建议会增加接种 COVID-19 疫苗的几率(OR = 3.70;95% CI,1.53-8.92)。没有一个 HBM 构建与 COVID-19 疫苗接种有显著相关性。与心理变量相关的研究结果要求我们重新认识以理论为依据的干预措施,以简化医疗保健服务的提供。医疗保健提供者在 COVID-19 疫苗接种建议中的关键作用表明,有必要赋予医疗保健从业人员有效的沟通技巧,以改善孕产妇的健康状况。
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引用次数: 0
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