摘要
目的分析慢性阻塞性肺疾病(COPD)患者百白破疫苗(DPT)接种意愿的影响因素。方法选取2021年6月至2022年1月海南医学院第二附属医院及海口市多个社区卫生服务站收治的COPD稳定期患者200例作为研究对象,根据自我报告DPT接种意愿将其分为愿意接种组(n=121)与不愿接种组(n=79)。比较两组患者的性别、年龄、文化程度、DPT接种情况等临床资料,采用多因素Logistic回归法分析影响DPT接种意愿的因素。结果两组患者在年龄、自身健康状况、是否关注COPD健康方面知识、是否了解DPT的作用等方面比较差异均有统计学意义(P<0.05),但在性别、文化程度、家庭月收入、吸烟史、饮酒史以及合并慢性疾病等方面比较差异均无统计学意义(P>0.05);以COPD患者DPT接种意愿为因变量进行多因素Logistic回归分析,结果显示,高龄、自身健康状况较差、不关注COPD健康方面知识、不了解DPT的作用是影响COPD患者DPT接种意愿的独立危险因素(P<0.05)。结论COPD患者DPT接种意愿受年龄、自身健康状况、是否关注COPD健康方面知识以及是否了解DPT的作用影响较大,通过对其进行有效的健康教育干预可提高DPT接种率。
Objective To explore the influencing factors of diphtheria-pertussis-tetanus(DPT)vaccination willingness in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 200 COPD patients of stable period treated in the Second Affiliated Hospital of Hainan Medical University and several community health service stations in Haikou from Jun.2021 to Jan.2022 were selected as the research objects.The patients were divided into the willing group(n=121)and the unwilling group(n=79)according to the self-reported willingness of DPT vaccination.The clinical data of gender,age,education level,DPT vaccination status between the two groups were compared,and the factors affecting DPT vaccination willingness were analyzed by multivariate logistic regression.Results There were statistically significant differences in age,health status,awareness of COPD health knowledge,and understanding of the role of DPT between the two groups(P<0.05);but there were no significant differences in gender,educational level,family monthly income,smoking history,drinking history,and complication with chronic diseases(P>0.05).Multivariate Logistic regression analysis was performed with DPT vaccination intention of COPD patients as the dependent variable,and the results showed that advanced age,poor health status,ignorance of COPD health knowledge,and ignorance of the role of DPT were independent risk factors for DPT vaccination willingness of COPD patients(P<0.05).Conclusion The DPT vaccination willingness of COPD patients is greatly affected by age,health status,awareness of COPD health knowledge,and understanding of the role of DPT.Effective health education intervention can improve the DPT vaccination rate.
作者
王璐瑶
张秀峰
王慧虹
夏扬
吴定将
史珂
WANG Lu-yao;ZHANG Xiu-feng;WANG Hui-hong;XIA Yang;WU Ding-jiang;SHI Ke(Department of Medical Respiratory Medicine,the Second Affiliated Hospital of Hainan Medical University,Haikou 570100,Hainan,CHINA)
出处
《海南医学》
CAS
2022年第12期1574-1577,共4页
Hainan Medical Journal
关键词
慢性阻塞性肺疾病
百白破疫苗
接种意愿
影响因素
Chronic obstructive pulmonary disease(COPD)
Diphtheria-pertussis-tetanus(DPT)vaccine
Vaccination willingness
Influencing factors
