南京市社区糖尿病患者流感疫苗接种的健康教育干预研究  

Effect of a health education intervention on influenza vaccination among diabetes patients in communities of Nanjing city

作　　者：徐鹭[1] 梁亚琼[1] 叶青[1] 洪忻[1] Xu Lu;Liang Yaqiong;Ye Qing;Hong Xin(Nan jing Municipal Center for Disease Control and Prevention,Nanjing 210003,Jiangsu,China)

机构地区：[1]南京市疾病预防控制中心

出　　处：《中国疫苗和免疫》2019年第5期576-580,592,共5页Chinese Journal of Vaccines and Immunization

基　　金：中华预防医学会慢性病与免疫预防研究试点项目(20170104)

摘　　要：目的评价社区糖尿病患者流感疫苗接种的健康教育干预效果。方法采用单纯随机抽样方法选取南京市社区2型糖尿病患者,开展为期半年流感疫苗接种的健康教育干预,比较干预前后流感疫苗接种率,采用Logistic回归分析其影响因素。结果共纳入糖尿病患者3521名,健康教育干预前、后流感疫苗接种率分别为1.9%、8.6%(χ^2=175.88,P<0.001)。Logistic回归分析显示,郊区、合并呼吸道症状、门诊告知、上年度有接种史的糖尿病患者的干预后流感疫苗接种率较高(OR=2.18,95%CI:1.69-2.83;OR=2.17,95%CI:1.31-3.58;OR=2.92,95%CI:2.21-3.84;OR=7.01,95%CI:4.17-11.78)。结论对糖尿病患者进行健康教育干预可提高流感疫苗的接种率。Objective To evaluate the effect of a health education intervention on influenza vaccination among diabetes patients in communities.Methods We used a simple random sampling technique to recruit type 2 diabetes patients in communities of Nanjing city and conduct health education for half of a year.We compared influenza vaccination coverage bef ore and af ter the intervention and used logistic regression to determine factors inf luencing coverage.Results The study included 3521 subjects;influenza vaccine coverage rates before and after intervention were 1.9%and 8.6%(χ^2=175.88,P<0.001).Logistic regression showed that uptake of influenza vaccination was higher among patients who lived in suburban areas,who had respiratory symptoms,who were educated by vaccination clinics,or who had received influenza vaccine in the previous year(OR=2.18,95% CI:1.69-2.83;OR=2.17,95% CI:1.31-3.58;OR=2.92,95% CI:2.21-3.84;OR=7.01,95% CI:4.17-11.78).Conclusion A community-based health education intervention increased coverage of influenza vaccination among diabetes patients.

关 键 词：糖尿病 流感疫苗 接种率 健康教育 干预 

分 类 号：R186[医药卫生—流行病学]