摘要
目的分析新型冠状病毒肺炎(Corona Virus Disease 2019)背景下医务人员对免疫功能受损儿童疫苗接种意见的影响因素,为免疫功能受损儿童疫苗接种政策制定提供科学依据。方法采用分层整群随机抽样方式,对2020年1—6月上海儿童医学中心、仁济医院、唐镇和三林社区卫生服务中心医务人员进行问卷调查,通过Logistic回归模型进行影响因素分析。结果调查医务人员462例,其中男性45例(9.74%),女性417例(90.26%)。疫苗重新接种的相关信息知晓途径中,国内外文献和会议培训判断重新接种疫苗的差异有统计学意义(P<0.05);单因素分析显示,科室类型、疫苗相关工作时间和患儿病情不稳定是医务人员判断免疫功能受损儿童能否接种的影响因素(P均<0.05);多因素分析显示,患儿病情不稳定(OR=4.106)是医务人员判断免疫功能受损儿童能否接种的危险因素,疫苗相关工作时间越长(OR=0.447)是医务人员判断免疫功能受损儿童能否接种的保护因素。结论应加强医务人员疫苗相关知识培训,鼓励医务人员主动了解并参与免疫功能受损儿童主动免疫评估工作,提高免疫功能受损儿童疫苗接种覆盖率,增强该人群对传染病的抵御能力。
Objective To explore the influencing factors of medical staff’s vaccination opinions on immune-compromised children and provide a scientific basis for formulating vaccination policies for immune-compromised children during the SARS-CoV-2 pandemic.Methods Through stratified cluster random sampling,questionnaire survey was conducted among medical staff of Shanghai Children’s Medical Center,Renji Hospital,and Tangzhen and Sanlin Community Health Service Center from January to June 2020,and the influencing factors was analyzed by Logistic regression model.Results There were 462 medical personnel surveyed,including 45 males(9.74%)and 417 females(90.26%).Among the ways to know the relevant information of re-vaccination,domestic and foreign literature and conference training was a statistically significant(P<0.05)factor for the judgment of re-vaccination.The univariate Logistic analysis showed that the type of department,vaccine-related working hours,and the unstable condition of the child were the influencing factors for medical staff to judge whether children with impaired immune function could be vaccinated(P<0.05).The multivariate logistical analysis showed that the unstable condition of children(OR=4.106)was a risk factor for medical staff to judge whether children with impaired immune function can be vaccinated.The longer the vaccine-related working time(OR=0.447)was a protective factor for medical staff to judge whether children with impaired immune function can be vaccinated.Conclusions Our study showed that,to increase the vaccination coverage of immune-compromised children and enhance the population’s ability to resist infectious diseases,we need to strengthen the training of medical staff on vaccine-related knowledge and encourage medical staff to actively understand and participate in the active immunization assessment of immune-compromised children.
作者
邓鹏飞
杨天
周芬
张桦
杨丹丹
刘文敏
王卫平
王琦璋
薛曹怡
费怡
DENG Peng-fei;YANG Tian;ZHOU Fen;ZHANG Hua;YANG Dan-dan;LIU Wen-min;WANG Wei-ping;WANG Qi-zhang;XUE Cao-yi;FEI Yi(Center for Diseases Control and Prevention Fudan University Pudong Institute of Preventive Medicine,Shanghai Piidong,Shanghai 200136,China)
出处
《中国生物制品学杂志》
CAS
CSCD
北大核心
2022年第1期68-73,共6页
Chinese Journal of Biologicals
基金
上海市优秀青年人才项目(GWV-10.2-YQ38)。
关键词
医务人员
免疫功能受损
疫苗接种
影响因素
Medical staff
Impaired immune function
Vaccination
Influencing factors
