2021年某医院重点科室工作人员免费流感疫苗接种调查及影响因素分析

Free influenza vaccination and its influencing factors among health care workers in major departments of a large-scale tertiary general hospital over 2021

目的调查医院重点科室工作人员免费流感疫苗接种情况及已接种人员对流感疫苗接种的认知与行为,探讨可能影响医务人员流感疫苗接种的因素。方法2021年11月对四川大学华西医院19个重点部门/科室/病房接受免费流感疫苗集中接种的工作人员进行问卷调查,同时从系统中调取未接种人员基本信息,了解工作人员免费流感疫苗接种情况并使用多因素logistic回归模型对可能的影响因素进行分析。结果3369名重点科室工作人员中,有1101人通过集中免费流感疫苗接种途径接种流感疫苗,疫苗接种率为32.7%。多因素logistic回归分析结果显示,女性[比值比(odds ratio,OR)=1.853,95%置信区间(confidence interval,CI)(1.481,2.318),P<0.001]、学历为高中及以下[OR=4.304,95%CI(2.484,7.455),P<0.001]、从事护理工作[OR=2.341,95%CI(1.701,3.221),P<0.001]、工作年限≥11年[OR=2.410,95%CI(1.657,3.505),P<0.001]的工作人员接种流感疫苗的可能性更高,而大学学历的工作人员接种可能性更低(P<0.05)。结论工作人员免费流感疫苗接种率偏低,在调动医务人员流感疫苗接种积极性时,应分析人群特征,采取有针对性的措施提高医务人员的接种水平。

Objective To investigate the free influenza vaccination of health care workers in major departments and explore the possible influencing factors of influenza vaccination of staff.Methods In November 2021,a questionnaire survey was conducted among health care workers who received free influenza vaccination in 19 major departments of West China Hospital of Sichuan University,and the un-vaccinated workers'information was obtained from the registration system of staffinformation.Multiple logistic regression model was used to analyze the possible influencing factors of free influenza vaccination.ResultsThe coverage rate of centralized free influenza vaccination of staff in major departments was 32.7%(1101/3369).Multiple logistic regression analysis showed that workers who were female[odds ratio(OR)=1.853,95%confidence interval(CI)(1.481,2.318),P<0.001],with an educational background of high school or below[OR=4.304,95%CI(2.484,7.455),P<0.001],engaged in nursing work[OR=2.341,95%CI(1.701,3.221),P<0.001],and with 11 or more years of working experience[OR=2.410,95%CI(1.657,3.505),P<0.001]were more likely to inject influenza vaccine,and workers who had a bachelor's degree were less likely to inject influenza vaccine.Conclusions The rate of free influenza vaccination among medical staff is low.In order to mobilize the enthusiasm of influenza vaccination among medical staff,it is necessary to analyze the characteristics of the population and take targeted measures to improve the level of vaccination among medical staff.