[Influenza vaccination in high-risk groups. Role of the nursing staff]. / Vacunación antigripal en grupos de alto riesgo. Papel del personal de enfermería.

OBJECTIVE: To evaluate the impact of Nursing advice on the attitude taken to anti-flu vaccination by the group of high-risk patients at our Health Centre, as well as the effectiveness of this staff's retrieval of non-vaccinated patients. DESIGN: Study of a sample of a crossover type with a control group. Prospective intervention study with no control. SETTING: Primary Care. Candelaria Health Centre (Sevilla). PATIENTS: a) A random sample stratified by age and consisting of 126 vaccinated and 252 non-vaccinated patients with high-risk criteria for anti-flu vaccination (cardiovascular and chronic pulmonary pathologies); b) intervention to try and change the attitude of 78 non-vaccinated patients who were examined at the Nursing Station. INTERVENTION: Back-up by means of a direct interview or telephone call. MEASUREMENTS AND MAIN RESULTS: The distribution of the "included in the Nursing Station" factor was studied through a sample of vaccinated and non-vaccinated patients, who were homogeneous regarding age, gender, risk factor and nursing quota. 42.86% of those vaccinated were examined at the Nursing station as against 27.38% of those not vaccinated (O.R. 1.99, C.I. 1.27-3.11). The overall effectiveness of the retrieval was 42.31%, with a noteworthy 86.96% success obtained by the direct interview back-up at the Nursing station. CONCLUSIONS: The results of the study point to the positive effect of nursing professionals on compliance with anti-flu vaccination. Moreover they are a useful part of strategies for retrieving patients with negative attitudes towards vaccination.

[The evaluation of noncompliance in an anti-influenza vaccination program]. / Evaluación del incumplimiento en un programa de vacunación antigripal.

The article presents an evaluation of an anti-influenza vaccination programme in a population at risk, with a special study of the general characteristics of the group of non-complying patients, and the possible relation of these characteristics with their conduct. Moreover, a study was made of the possible motives for not complying with the vaccination programme by means of a survey carried out by post and telephone in a representative sample of 108 individuals. A 34.77% of the registered population did not receive the anti-influenza vaccine, corresponding largely with the youngest age group (15 to 44 years) and there were no significant differences determined by sex or risk factor or doctor. A positive response was received from 75% of those surveyed, and the basic conclusions drawn were a low proportion of information error attributable to the programme (2.94%), and patient refusal as the principal cause of non-compliance (54.41%), followed by "other reasons" (hospitalisation, absence from home, etc.) (32.35%). The strategies that may be followed in the face of this problem require definition of the group of non-compliers, further understanding of the motives for their conduct, and educational measures to change their attitude. 95.9%). Incidence of hypertension and hyperlipemia was 56.2% and 47.3%. Late vascular events varied between 2.6% (nephropathy) and 19.5% (retinopathy). A total of 101 patients (44.6%) were unaware of the existence of diabetic health education programmes. Moreover, 68 (30.3%) declared that they had never received any previous information about their diabetes. Practical skills were evaluated on an individual basis.