Strategy to increase vaccination coverage in diabetic patients at a public tertiary university hospital: A randomized controlled trial.

Autor:	Guerra GL; Postgraduate Program of Health Science, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil.; Endocrinology Department, University Hospital of Santa Maria (HUSM), Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil., Pedro FL; Department of Clinic Medicine, Medicine School of Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil., Severo MD; Endocrinology Department, University Hospital of Santa Maria (HUSM), Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil., Guerra GL; Medicine School of Universidade Franciscana (UFN), Santa Maria, Rio Grande do Sul, Brazil., Ribeiro TA; Postgraduate Program of Health Science, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil.; Medicine School of Universidade Franciscana (UFN), Santa Maria, Rio Grande do Sul, Brazil.; Department of Surgery, Medicine School of Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil.
Jazyk:	angličtina
Zdroj:	SAGE open medicine [SAGE Open Med] 2023 Mar 24; Vol. 11, pp. 20503121231161193. Date of Electronic Publication: 2023 Mar 24 (Print Publication: 2023).
DOI:	10.1177/20503121231161193
Abstrakt:	Objective: To evaluate whether there is an increase in vaccination rates of patients with diabetes mellitus who received guidance to update their vaccination schedules for influenza, hepatitis B, pneumonia, and tetanus. Methodology: A randomized controlled trial was conducted between December 2018 and November 2020. The sample consisted of 139 patients from the endocrinology service outpatient clinic of Santa Maria University Hospital was randomized into an intervention group ( n  = 68) and a control group ( n  = 71). The intervention consisted of a phone call to update the vaccination schedule for the diseases evaluated. Results: The mean age of the subjects was 59.17 ± 12.91 years and 62.6% were female. No age differences were observed between genders and randomization groups ( p  = 0.548, p  = 0.791) and groups were homogeneous ( p  = 0.173, p  = 0.443). The intervention group showed a significant increase in vaccination rates after the intervention. For influenza, 79.4-89.7% ( p  = 0.016); hepatitis B, 29.4-48.5% ( p  = 0.002); tetanus, 51.5-72.1% ( p  = 0.007); and pneumonia, 22.1-29.4% ( p  = 0.049). No significant increase was observed in control group. Conclusion: The orientation to update the vaccination schedule through telephone contact was effective in increasing vaccination rates for influenza, hepatitis B, pneumonia, and tetanus. Trial Registry: RBR-92z99d2 https://ensaiosclinicos.gov.br/rg/RBR-92z99d2. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
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