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预防医学  2019, Vol. 31 Issue (12): 1220-1224    DOI: 10.19485/j.cnki.issn2096-5087.2019.12.007
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基层医务人员流感疫苗和23价肺炎疫苗接种相关知信行调查
甘正凯1, 沈月根1, 王慎玉2, 顾谢君1, 周建红1
1.嘉兴市秀洲区疾病预防控制中心,浙江 嘉兴 310043;
2.浙江省疾病预防控制中心
Knowledge,attitude and practice of influenza vaccine and 23-valent pneumonia vaccine among primary healthcare workers
GAN Zheng-kai*, SHEN Yue-gen, WANG Shen-yu, GU Xie-jun, ZHOU Jian-hong
*Xiuzhou Center for Disease Control and Prevention,Jiaxing,Zhejiang 31400,China
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摘要 目的 了解嘉兴市秀洲区基层医务人员流感疫苗和23价肺炎疫苗接种相关的知信行水平,为开展流感疫苗和23价肺炎疫苗接种工作提供依据。方法 采用多阶段随机抽样方法,于2018年11月—2019年1月选取秀洲区8家社区卫生服务中心(卫生院)医务人员为研究对象,采用自行设计的问卷对基层医务人员流感疫苗和23价肺炎疫苗相关知识和接种情况进行调查,采用Logistic回归模型分析基层医务人员接种或推荐疫苗行为的影响因素。结果 共发放问卷110份,有效105份,问卷有效率为95.45%。基层医务人员认为流感疫苗、23价肺炎疫苗有效的分别为86人和76人,分别占81.90%和72.38%;认为疫苗安全的分别为87人和88人,分别占82.85%和83.81%;知晓疫苗接种程序的分别为82人和58人,分别占78.10%和55.24%,能够正确回答疫苗重点推荐人群的分别为58人和34人,分别占55.24%和32.38%,77名医务人员知晓疫苗费用可使用医保支付,占73.33%。医务人员流感疫苗或(和)23价肺炎疫苗接种率为27.62%,疫苗推荐率为46.67%。多因素Logistic回归分析结果显示,女性(OR=7.250,95%CI:1.388~37.883)、认为流感疫苗或(和)23价肺炎疫苗有效(OR=4.390,95%CI:1.167~16.515)、认为流感疫苗或(和)23价肺炎疫苗安全(OR=11.977,95%CI:2.417~59.343)、知晓疫苗费用支付方式(OR=11.945,95%CI:2.924~48.793)均能促进基层医务人员接种流感疫苗或(和)23价肺炎疫苗;公共卫生专业(OR=2.641,95%CI:1.338~5.214)、认为流感疫苗或(和)23价肺炎疫苗有效(OR=6.944,95%CI:1.655~29.134)、知晓流感疫苗或(和)23价肺炎疫苗重点推荐人群(OR=4.380,95%CI:1.125~17.053)和接种过流感疫苗或(和)23价肺炎疫苗(OR=7.902,95%CI:1.693~36.877)均能促进基层医务人员推荐流感疫苗或(和)23价肺炎疫苗。结论 秀洲区基层医务人员流感疫苗或(和)23价肺炎疫苗的认知不全面,对这两种疫苗的接种率和接种推荐率较低,分别为27.62%和46.67%。
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甘正凯
沈月根
王慎玉
顾谢君
周建红
关键词 流感疫苗23价肺炎疫苗基层医务人员知信行影响因素    
AbstractObjective To learn the knowledge,attitude and practice(KAP)of primary healthcare workers on influenza vaccine and 23-valent pneumonia vaccine in Xiuzhou District of Jiaxing,and to provide basis for vaccination of influenza vaccine and 23-valent pneumonia vaccine. Methods From November 2018 to January 2019,the primary healthcare workers from eight community health service centers in Xiuzhou District were selected by multi-staged random sampling method. A self-designed questionnaire was used to investigate the KAP of influenza vaccine and 23-valent pneumonia vaccine among primary healthcare workers. Logistic regression analysis was employed to select the influencing factors for vaccination and recommendation behaviors of primary healthcare workers. Results Totally 105 healthcare workers(95.45%)completed the survey. Among them,86(81.90%)and 76(72.38%)workers believed influenza vaccine and 23-valent pneumonia vaccine effective;87(82.85%)and 88(83.81%)workers believed the two vaccines safe;82(78.10%)and 58(55.24%)workers knew the vaccination procedures;58(55.24%)and 34(32.38%)workers knew the key recommended population of vaccines;77(73.33%)workers knew that the vaccine costs could be paid by medical insurance. The vaccination rate of influenza or(and)pneumococcal vaccine among the respondents was 27.62%,and the recommendation rate was 46.67%. The results of multivariate logistic regression analysis showed that healthcare workers who were female(OR=7.250,95%CI:1.388-37.883),believed the two vaccines effective(OR=4.390,95%CI:1.167-16.515),believed the two vaccines safe(OR=11.977,95%CI:2.417-59.343)and knew the payment method of vaccine cost(OR=11.945,95%CI:2.924-48.793)were more likely to vaccinate;healthcare workers who majored in public health(OR=2.641,95%CI:1.338-5.214),believed the two vaccines effective(OR=6.944,95%CI:1.655-29.134),knew the key recommended population of vaccines(OR=4.380,95%CI:1.125-17.053),had vaccinated the two vaccines(OR=7.902,95%CI:1.693-36.877)were more likely to recommend. Conclusion Primary healthcare workers in Xiuzhou District have less awareness of influenza vaccine and 23-valent pneumonia vaccine,then have lower vaccination rate(27.62%)and recommendation rate(46.67%).
Key wordsInfluenza vaccine    23-valent pneumonia vaccine    Primary medical staff    KAP    Influencing factor
收稿日期: 2019-07-02      出版日期: 2019-11-27
ZTFLH:  R186  
基金资助:2018年秀洲区科技计划项目(2018C001)
通信作者: 周建红,E-mail:578034658@qq.com   
作者简介: 甘正凯,硕士,医师,主要从事传染病防控与免疫规划工作
引用本文:   
甘正凯, 沈月根, 王慎玉, 顾谢君, 周建红. 基层医务人员流感疫苗和23价肺炎疫苗接种相关知信行调查[J]. 预防医学, 2019, 31(12): 1220-1224.
GAN Zheng-kai, SHEN Yue-gen, WANG Shen-yu, GU Xie-jun, ZHOU Jian-hong. Knowledge,attitude and practice of influenza vaccine and 23-valent pneumonia vaccine among primary healthcare workers. Preventive Medicine, 2019, 31(12): 1220-1224.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2019.12.007      或      http://www.zjyfyxzz.com/CN/Y2019/V31/I12/1220
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