宁波市江东区基层医务人员流行性感冒疫苗推荐意愿及影响因素调查
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摘要
目的调查基层医务人员向服务对象推荐流行性感冒(流感)疫苗(Influenza vaccine,InfV)的意愿及其影响因素。方法采用自行设计的调查表于2016年9月对宁波市江东区街道社区卫生服务中心医务人员进行问卷调查,使用Logistic回归方法对InfV推荐意愿的影响因素进行分析。结果 81.64%(249/305)的医务人员有InfV推荐意愿。Logistic回归分析显示,医务人员的工作单位、InfV接种史(OR=4.74,95%CI:2.04-11.02)、流感防治知识得分(OR=2.03,95%CI:1.02-4.05)是影响InfV推荐意愿的主要因素。结论基层医务人员向服务对象推荐InfV的意愿较高,其接种InfV和掌握流感防治知识可提高InfV推荐意愿。
Objective To investigate primary medical staff willingness to recommend influenza vaccine( InfV) to patients and identify factors influencing staff willingness to recommend InfV. Methods A selfadministered questionnaire was used to investigate medical staff of community health service centers in Jiangdong district of Ningbo city in September 2016. Willingness and its influencing factors were analyzed by logistic regression. Results 81. 64%( 249/305) of primary medical staff would recommend InfV to patients. Logistic regression analysis showed that workplace,InfV vaccination history of staff( OR =4. 74,95% CI: 2. 04-11. 02),and knowledge of influenza prevention( OR = 2. 03,95% CI: 1. 02-4. 05) were major factors influencing staff willingness to recommend InfV. Conclusions There is a high willingness of primary medical staff in recommending InfV to patients. Staff's InfV vaccination and knowledge of influenza prevention can further promote willingness to recommend InfV.
Objective To investigate primary medical staff willingness to recommend influenza vaccine( InfV) to patients and identify factors influencing staff willingness to recommend InfV. Methods A selfadministered questionnaire was used to investigate medical staff of community health service centers in Jiangdong district of Ningbo city in September 2016. Willingness and its influencing factors were analyzed by logistic regression. Results 81. 64%( 249/305) of primary medical staff would recommend InfV to patients. Logistic regression analysis showed that workplace,InfV vaccination history of staff( OR =4. 74,95% CI: 2. 04-11. 02),and knowledge of influenza prevention( OR = 2. 03,95% CI: 1. 02-4. 05) were major factors influencing staff willingness to recommend InfV. Conclusions There is a high willingness of primary medical staff in recommending InfV to patients. Staff's InfV vaccination and knowledge of influenza prevention can further promote willingness to recommend InfV.
引文
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[3]任政,钮文异.老年人群流感疫苗接种行为分析[J].公共卫生与预防医学,2014,25(2):65-67.REN Zheng,NIU Wen-yi.Analysis of Influenza Vaccination in the Elderly[J].Journal of Public Health and Preventive Medicine,2014,25(2):65-67.
[4]陶安阳,李蓉.糖尿病患者与流感及肺炎疫苗接种[J].国际内分泌代谢杂志,2015,35(2):117-120.TAO An-yang,LI Rong.Influenza and pneumonia vaccination in Diabetes[J].International Journal of Endocrinology and Metabolism,2015,35(2):117-120.
[5]World Health Organization.Global Vaccine Action Plan 2011-2020[R].WHO Publ,Geneva,2013.
[6]朱小凤,黄婷,祝小平,等.社区医务人员知识态度和行为对老年人接种流感疫苗的影响[J].中国循证医学杂志,2013,13(5):543-547.ZHU Xiao-feng,HUANG Ting,ZHU Xiao-ping,et al.The Influence of Knowledge,Attitude and Behavior of Community Medical Staff on Vaccination of Influenza Vaccine in the Elderly[J].Chinese Journal of Evidence-based Medicine,2013,13(5):543-547.
[7]宁夏,张海艳,徐文彩,等.北京市城区≥60岁老人流行性感冒疫苗接种率调查及影响因素研究[J].中国疫苗和免疫,2012,18(5):442-446.NING Xia,ZHANG Hai-xia,XU Wen-cai,et al.Study on Influenza Vaccine Coverage Rate and Influencing Factors for≥60 years old Population in the Urban Areas of Beijing[J].Chinese Journal of Vaccines and Immunization,2012,18(5):442-446.
[8]Hinman AR,Orenstein WA,Rodewald L.Financing immunizations in the United States[J].Clin Infect Dis,2004,38(10):1440-1446.
[9]王富华,谢铮,吕敏,等.北京户籍老人免费流感疫苗接种情况及城乡差异分析[J].北京大学学报(医学版),2013,45(3):432-436.WANG Fu-hua,XIE Zheng,LV Ming,et al.Analysis of the difference in free influenza vaccination rates between old people in urban and rural areas in Beijing[J].Journal of Peking University Health Sciences,2013,45(3):432-436.
[10]Satman I,Akalin S,Cakir B,et al.The effect of physicians’awareness on influenza and pneumococcal vaccination rates and correlates of vaccination in patients with diabetes in Turkey:an epidemiological study“dia VAX”[J].Hum Vaccin&Immuno,2013,91(2):2618-2626.
[11]Siriwardena AN,Rashid A,Johnson MR,et al.Cluster randomised controlled trial of an educational outreach visit to improve influenza and pneumococcal immunization rates in primary care[J].Br J Gen Pract,2002,52:735-740.
[12]宋小磊,张丽杰,申涛,等.医务人员接种流感疫苗及影响因素综述[J].中国疫苗和免疫,2016,22(1):94-98.SONG Xiao-nei,ZHANG Li-jie,SHEN Tao,et al.Review on Influenza Vaccine and its Influencing Factors in Medical Personnel[J].Chinese Journal of Vaccines and Immunization,2016,22(1):94-98.
[13]Aguilar-Diaz Fdel C,Jimenez-Corona ME,Ponce-de-Leon-Rosales S.Influenza vaccine and healthcare workers[J].Archives of Medical Research,2011,42(8):652-657.
[14]杜丽君,水黎明,林伟良.宁波市江东区家庭医生制度下签约服务模式的实践与探索[J].中华健康管理学杂志,2016,7(3):212-213.DU Li-jun,SHUI Li-ming,LIN Wei-liang.Practice and Exploration on the Contract Service Mode under the Family Doctor System in Jiangdong[J].Chinese Journal of Health Management,2016,7(3):212-213.
[15]陈嘉明.信念、知识与行为[J].哲学动态,2007,10:53-59.CHEN Jia-ming.Faith,Knowledge and Behavior[J].Philosophical Trends,2007,10:53-59.