摘要
目的分析糖尿病社区管理医务人员推荐接种流感疫苗意愿及影响因素,为促进医务人员推荐接种流感疫苗提供依据。方法选择宁波市江北区8家社区卫生服务中心(卫生院)提供糖尿病管理服务的医生、护士和管理人员进行问卷调查,内容包括人口学特征、工作满意度和推荐接种流感疫苗意愿;采用Logistic回归模型分析推荐接种流感疫苗意愿的影响因素。结果发放调查问卷412份,回收有效问卷399份,回收有效率为96.84%。其中全科医生178人,占44.61%;护士161人,占40.35%;管理人员20人,占5.01%;其他40人,占10.03%。愿意推荐接种流感疫苗281人,占70.43%。多因素Logistic回归分析结果显示,30~39岁(OR=0.332,95%CI:0.118~0.932)、工龄≥20年(OR=0.136,95%CI:0.044~0.425)、担心医疗纠纷风险(OR=0.170,95%CI:0.074~0.392)和担心负面医疗舆论(OR=0.336,95%CI:0.141~0.803)是推荐接种流感疫苗意愿的阻碍因素;全科医生(OR=3.664,95%CI:1.513~8.869)、管理人员(OR=14.695,95%CI:2.494~86.591)、满意专业培训机会(OR=5.041,95%CI:1.686~15.072)、满意物资精神奖励(OR=8.216,95%CI:3.213~21.011)、满意个人成就感(OR=3.955,95%CI:1.517~10.310)和对工作感兴趣(OR=6.669,95%CI:2.667~16.679)是推荐接种流感疫苗意愿的促进因素。结论70.43%的糖尿病社区管理医务人员愿意推荐接种流感疫苗,年龄、岗位、工龄、医疗纠纷风险、负面医疗舆论、专业培训机会、物资精神奖励、个人成就感和对工作感兴趣是推荐接种流感疫苗意愿的影响因素。
Objective To understand the intention and influencing factors of medical staff in community diabetes management to recommend influenza vaccination,so as to provide reference for promotion of influenza vaccination recommendation.Methods The Doctors,nurses and managers from 8 community health service centers(hospitals)in Jiangbei District of Ningbo,who provided diabetes management services,were recruited to collect their demographic features,job satisfaction and intention to recommend influenza vaccination.Logistic regression model was used to analyze the influencing factors for the intention to recommend.Results Totally 412 questionnaires were distributed and 399(96.84%)valid questionnaires were recovered.There were 178 general practitioners,161 nurses,20 managers and 40 other staffs,accounting for 44.61%,40.35%,5.01%and10.03%,respectively.Among them,281 had the intention to recommend influenza vaccination,accounting for 70.43%.The results of multivariate logistic regression analysis showed that the medical staff who aged 30 to 39 years(OR=0.332,95%CI:0.118-0.932),worked for more than 20 years(OR=0.136,95%CI:0.044-0.425),concerned about medical disputes(OR=0.170,95%CI:0.074-0.392)and negative medical opinion(OR=0.336,95%CI:0.141-0.803)were less likely to recommend influenza vaccination;while the medical staff who were general practitioners(OR=3.664,95%CI:1.513-8.869),managers(OR=14.695,95%CI:2.494-86.591),and who were satisfied with professional training opportunities(OR=5.041,95%CI:1.686-15.072),financial or moral rewards(OR=8.216,95%CI:3.213-21.011),personal accomplishment(OR=3.955,95%CI:1.517-10.310)and interest in work(OR=6.669,95%CI:2.667-16.679)were more likely to recommend influenza vaccination.Conclusion Approximately 70.43%of the medical staff in community diabetes management have the intention to recommend influenza vaccination,which was associated with age,post,working age,medical dispute concern,negative medical opinion,professional training opportunities,financial or moral rewards,personal accomplishment and interest in work.
作者
李萍萍
吴锋
吴一峰
叶莉霞
LI Pingping;WU Feng;WU Yifeng;YE Lixia(Jiangbei Center for Disease Control and Prevention,Ningbo,Zhejiang 315020,China;不详)
出处
《预防医学》
2020年第6期573-577,582,共6页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
浙江省预防医学会软课题研究项目(2018YF3)
宁波市科技局科技惠民项目(2017C50063)。
关键词
糖尿病社区管理
医务人员
流感疫苗
推荐意愿
community diabetes management
medical staff
influenza vaccine
recommend intention
