三明市沙县区451例老年糖尿病患者肺炎球菌疫苗接种意愿及影响因素分析

Analysis of willingness and influencing factors of pneumococcal vaccination in 451 elderly patients with diabetes mellitus in Shaxian district, Sanming city

目的探析老年糖尿病患者肺炎球菌疫苗接种意愿及影响因素。方法2022年7—10月对三明市沙县区院内就医的老年糖尿病患者进行问卷调查,调查患者基本情况及23价肺炎球菌多糖疫苗(PPV23)接种意愿,采用多因素logistic回归分析糖尿病患者PPV23接种意愿的影响因素。结果共调查451例老年糖尿病患者,平均年龄(67.9±6.8)岁,其中334例(74.06%)愿意接种PPV23。多因素分析结果显示,对自身健康关注(OR=7.700)、对PPV23了解(OR=6.851)、知晓PPV23接种地点(OR=3.750)、认为老年人和慢性病人群患肺炎后果更严重(OR=1.850)的老年糖尿病患者愿意接种PPV23的可能性越大。结论对疾病和疫苗的认识程度、是否知晓疫苗接种地点、对自身健康关注程度是老年糖尿病患者PPV23接种意愿的影响因素。

Objective To explore the willingness and influencing factors of pneumococcal vaccination in elderly diabetic patients. Methods A questionnaire survey was conducted among elderly diabetic patients treated in Shaxian District Hospital from July to October 2022. The general information of the patients and their willingness to receive 23-valent pneumococcal polysaccharide vaccine(PPV23) were investigated, and multivariate logistic regression was used to analyze the influencing factors of PPV23vaccination willingness in diabetic patients. Results A total of 451 elderly diabetic patients were investigated, with an average age of(67.9±6.8) years, of whom 334(74.06%) were willing to receive PPV23 vaccination. The results of multivariate analysis showed that the patients who concern about their own health(OR=7.700), knowing PPV23(OR=6.851), knowing where to vaccinate PPV23(OR=3.750), and thinking that the consequences of pneumonia were more serious in the elderly and chronic patients(OR=1.850) were more likely to be willing to receive PPV23 vaccination. Conclusions The knowledge of disease and vaccine,the location of vaccination and the concern of self-health are the influencing factors of PPV23 vaccination willingness in elderly diabetic patients.