采用社区综合措施及互联网技术干预社区慢性病患者接种疫苗的效果评价  

Evaluation on effectiveness of community-based comprehensive intervention and internet-based intervention for vaccination among patients with chronic diseases

作　　者：樊静[1] 刘霞[2] 丛舒 徐健[3] 李辉[4] 郭敏 颜培菊 韩晓燕[7] 王岚 王临虹[1] 方利文[1] Fan Jing;Liu Xia;Cong Shu;Xu Jian;Li Hui;Guo Min;Yan Peiju;Han Xiaoyan;Wang Lan;Wang Linhong;Fang Liwen(National Center for Chronic and Non-commimicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Chinese Preventive Medicine Association,Beijing 100021,China;Shenzhen Center for Chronic Disease Control,Shenzhen 518020,China;Ningbo Center for Disease Control and Prevention,Ningbo 315010,China;Qingbaijiang District Center for Disease Control and Prevention,Chengdu 610300,China;Weicheng District Center for Disease Control and Prevention,Weifang 261011,China;Chaoyang District Center for Disease Control and Prevention,Beijing 100021,China)

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [2]中华预防医学会,北京100021 [3]深圳市慢性病防治中心,518020 [4]宁波市疾病预防控制中心,315010 [5]成都市青白江区疾病预防控制中心,610300 [6]潍坊市潍城区疾病预防控制中心,261011 [7]北京市朝阳区疾病预防控制中心,100021

出　　处：《中华预防医学杂志》2021年第9期1153-1158,共6页Chinese Journal of Preventive Medicine

摘　　要：分析社区综合干预措施及互联网技术干预社区糖尿病和慢性阻塞性肺疾病患者接种流感与肺炎球菌疫苗的效果。分别于2015年和2016年流感季开始前,选取5个国家级慢性病综合防控示范区35岁及以上的糖尿病和慢性阻塞性肺疾病患者作为研究对象,每个示范区选取2组社区并将其随机分成A组(实施社区综合干预措施)和B组(在A组干预基础上增加互联网技术干预措施)进行6个月的干预。比较2组患者干预前后的疫苗接种知识得分、接种意愿及接种比例的差异。共纳入15226例患者。干预后,2组患者的疫苗知识知晓得分、接种意愿与接种比例均较干预前有所提高。经干预,疫苗知识得分中位数提高分值B组(50.00分)高于A组(42.86分);流感疫苗接种意愿提高幅度B组(6.91%)高于A组(4.16%);流感疫苗接种比例提高幅度B组(7.35%)低于A组(16.61%);肺炎球菌疫苗接种意愿提高幅度B组(7.90%)低于A组(9.08%);肺炎球菌疫苗接种比例提高幅度B组(3.37%)低于A组(4.06%)。社区综合干预措施可提高患者的疫苗知识水平、接种意愿与接种比例。在社区综合干预基础上增加互联网技术对提高疫苗知识水平、流感疫苗接种意愿上更有促进效果,但对疫苗接种比例的影响需进一步研究。To evaluate the effectiveness of community-based comprehensive intervention and internet-based intervention on influenza and pneumococcal vaccination in patients with diabetes or chronic obstructive pulmonary disease(COPD)in communities.Before the onset of influenza in 2015 and 2016,five demonstration areas for comprehensive prevention and control of chronic diseases were selected in the study.Patients aged 35 years old and above with diabetes and COPD were selected from selected demonstration areas as study participants.Two communities were selected from each demonstration area and randomly divided into Group A with the community-based comprehensive intervention and Group B with the combination of community-based comprehensive intervention and internet-based intervention within 6 months.The differences of vaccination knowledge,vaccination intention and vaccination proportion in study participants between the two groups before and after interventions were analyzed and compared.A total of 15226 patients were included in the study.After the intervention the increase in the vaccine knowledge score,vaccination intention and vaccination proportion of patients in the two groups were all higher than those before the intervention.After intervention,the increase of the median score of vaccine knowledge in group B(50.00 points)was higher than that in Group A(42.86 points).The increase of influenza vaccination intention in Group B(6.91%)was higher than that in Group A(4.16%).The increase of proportion of influenza vaccination in Group B(7.35%)was lower than that in Group A(16.61%).The increase of pneumococcal vaccination intention in Group B(7.90%)was lower than that in Group A(9.08%).The proportion of pneumococcal vaccination in Group B(3.37%)was lower than that in Group A(4.06%).Community-based comprehensive intervention could improve the level of vaccine knowledge,vaccination intention and vaccination proportion of patients in this study.Combined with community-based intervention,internet-based intervention could have a

关 键 词：糖尿病 慢性阻塞性肺疾病 流感疫苗接种 肺炎球菌疫苗接种 健康教育 

分 类 号：R186[医药卫生—流行病学]