ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-05-028 预防医学研究 2025, (05)

慢性基础性疾病老年患者流感疫苗接种及时率的影响因素

广饶县丁庄中心卫生院疾控科

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摘要

摘要:目的 探究合并慢性基础性疾病老年患者流感疫苗接种及时率的影响因素。方法 选取2021年1月-2024 年6月本院收治的306例合并慢性基础性疾病老年患者作为研究对象,收集所有研究对象基本资料,按照流感疫苗接种及时情况(按规定推荐是否为1个月内完成接种)将患者分为及时接种组(是,240例)、延迟接种组(否,66例)。对研究对象临床资料进行统计并比较(单因素分析),将差异具有统计学意义的指标经自变量赋值后予以多因素Logistic回归分析,进而筛选出影响因素。结果 经多因素Logistic回归分析,年龄<75岁、文化程度为高中及以上、对疫苗认知和信任度高、医疗服务可及性高、接种点分布多、接种服务便利性高是影响合并慢性基础性疾病老年患者流感疫苗接种及时的相关因素(OR>1,P<0.05)。结论 影响合并慢性基础性疾病老年患者流感疫苗接种及时的相关因素较多,因此临床应依据上述相关因素,筛选高危患者,进而早期及时采取针对性干预策略,以期提高接种及时率。

Abstract

Abstract: Objective To explore the influencing factors of the timely vaccination rate of influenza vaccine in elderly patients with chronic underlying diseases. Methods A total of 306 elderly patients with chronic underlying diseases admitted to our hospital from January 2021 to June 2024 were selected as the research subjects. Basic information of all research subjects was collected, and the patients were divided into timely vaccination group (yes, n = 240)and delayed vaccination group (no, n = 66) according to the timely situation of influenza vaccination (whether the vaccination was recommended to be completed within 1 month according to the regulations). Statistical analysis (univariate analysis) was conducted on the clinical data of the research subjects. Indicators with statistically significant differences were assigned independent variables and subjected to multivariate Logistic regression analysis to screen for influencing factors.Results The results of the multiple Logistic regression analysis showed that age<75 years , education level of high school or above, high awareness and trust in vaccines, high accessibility of medical services, multiple distribution of vaccination sites, and high convenience of vaccination services were the relevant factors affecting timely influenza vaccination in elderly patients with chronic underlying diseases (OR>1, P<0.05). Conclusion There are many related factors that affect the timely vaccination of influenza vaccine in elderly patients with chronic underlying diseases. Therefore, clinical practice should screen high-risk patients based on the above-mentioned related factors, and then take targeted intervention strategies in time to improve the timely vaccination rate.

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[1]刘荣鑫.慢性基础性疾病老年患者流感疫苗接种及时率的影响因素[J],2025,01(05):.