为符合条件的 HIV 阳性成人接种 HPV 疫苗:最佳实践实施项目。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2023-12-29 DOI:10.1097/XEB.0000000000000403
Holly Walker, Candon Garbo, Michelle Palokas
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引用次数: 0

摘要

目的: 本最佳实践实施项目旨在向符合条件的 HIV 阳性患者推广人类乳头瘤病毒(HPV)疫苗接种的循证实践(EBPs):本最佳实践实施项目旨在向符合条件的 HIV 阳性患者推广人类乳头瘤病毒 (HPV) 疫苗接种的循证实践 (EBP):导言:HPV 引起的癌症在很大程度上可以通过对未接种 HPV 的个体进行预防性接种来预防。HIV 阳性患者的免疫抑制阻碍了 HPV 的清除,从而增加了罹患癌症的风险。照顾艾滋病病毒感染者的医疗机构必须采取干预措施,提高HPV疫苗接种率:该项目以 JBI 循证医疗模式和 JBI 的 "将研究应用于实践"(GRiP)工具为指导。通过基线审计,对照 EBPs 评估当前实践,并确定需要改进的领域。实施后进行跟踪审计,以确定 EBPs 的合规情况是否有所改善:基线审计显示,提高疫苗接种率的两个 EBPs 的平均达标率为 46%。结果:基线审计显示,两项提高疫苗接种率的 EBPs 的平均达标率为 46%。后续审计显示,EBPs 的平均符合率为 71%,比基线提高了 25%:结论:旨在促进艾滋病毒呈阳性者接种人乳头瘤病毒疫苗的干预措施可以降低罹患特定癌症的风险。该项目显示,在电子健康记录中经常访问的部分放置疫苗接种提醒和召回系统后,符合条件的 HIV 阳性患者接种 HPV 疫苗的 EBPs 依从性有所提高。不过,更可持续的解决方案是与信息技术人员合作,确保电子健康记录中的健康维护部分配置正确。
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HPV vaccination among eligible HIV-positive adults: a best practice implementation project.

Objective: The aim of this best practice implementation project was to promote evidence-based practices (EBPs) for human papilloma virus (HPV) vaccination among eligible HIV-positive patients.

Introduction: HPV-induced cancers are largely preventable by prophylactic vaccination of HPV-naïve individuals. Immunosuppression in HIV-positive patients prevents clearance of HPV, which increases the risk of developing cancer. Health care agencies caring for individuals living with HIV must implement interventions to enhance uptake of HPV vaccination.

Methods: This project was guided by the JBI Model of Evidence-Based Healthcare and JBI's Getting Research into Practice (GRiP) tool. A baseline audit was conducted to assess current practice against EBPs and to identify areas for improvement. A follow-up audit was used post-implementation to determine whether compliance with EBPs improved.

Results: The baseline audit revealed an average compliance rate of 46% with the two EBPs for increasing vaccination uptake. Three barriers to compliance were identified and strategies were implemented to address these barriers. The follow-up audit revealed 71% average compliance with the EBPs, a 25% increase from baseline.

Conclusions: Interventions aimed at promoting HPV vaccination among HIV-positive individuals can reduce the risk of specific cancers. This project revealed an increase in compliance with EBPs for HPV vaccination for eligible HIV-positive patients when a vaccination reminder and recall system was placed in a frequently visited section of the electronic health record. However, a more sustainable solution would be to collaborate with the information technology staff to ensure that the health maintenance section in the electronic health record is configured correctly.

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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
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