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深圳市南山区医院医务人员2021 — 2022年流感流行季流感疫苗接种干预效果评价

彭铭记 姜世强 蔡羽薇 彭质斌 郑建东 吴娴波 袁建辉

彭铭记, 姜世强, 蔡羽薇, 彭质斌, 郑建东, 吴娴波, 袁建辉. 深圳市南山区医院医务人员2021 — 2022年流感流行季流感疫苗接种干预效果评价[J]. 中国公共卫生, 2023, 39(7): 844-847. doi: 10.11847/zgggws1140334
引用本文: 彭铭记, 姜世强, 蔡羽薇, 彭质斌, 郑建东, 吴娴波, 袁建辉. 深圳市南山区医院医务人员2021 — 2022年流感流行季流感疫苗接种干预效果评价[J]. 中国公共卫生, 2023, 39(7): 844-847. doi: 10.11847/zgggws1140334
PENG Mingji, JIANG Shiqiang, CAI Yuwei, PENG Zhibin, ZHENG Jiandong, WU Xianbo, YUAN Jianhui. Effect of intervention on influenza vaccination during 2021 – 2022 influenza season among hospital professionals in a district of Shenzhen city[J]. Chinese Journal of Public Health, 2023, 39(7): 844-847. doi: 10.11847/zgggws1140334
Citation: PENG Mingji, JIANG Shiqiang, CAI Yuwei, PENG Zhibin, ZHENG Jiandong, WU Xianbo, YUAN Jianhui. Effect of intervention on influenza vaccination during 2021 – 2022 influenza season among hospital professionals in a district of Shenzhen city[J]. Chinese Journal of Public Health, 2023, 39(7): 844-847. doi: 10.11847/zgggws1140334

深圳市南山区医院医务人员2021 — 2022年流感流行季流感疫苗接种干预效果评价

doi: 10.11847/zgggws1140334
基金项目: 中美疾控中心合作项目(5U01IP001106 – 03 – 00);广东省医学科学技术研究基金项目(B2022268);南山区区域学科联盟经费项目(20200918)
详细信息
    作者简介:

    彭铭记(1996 – ),硕士在读,研究方向:传染病预防与控制

    通信作者:

    吴娴波,E-mail:xianbowu@qq.com

    袁建辉,E-mail:sncdcyjh@szns.gov.cn

  • 中图分类号: R 186

Effect of intervention on influenza vaccination during 2021 – 2022 influenza season among hospital professionals in a district of Shenzhen city

More Information
  • 摘要:   目的  评价以非强制性的具体接种率要求对提高医务人员流感流行季流感疫苗的干预效果。  方法  采用非随机分组的社区干预试验设计,对深圳市南山区7家医院进行分组,干预组4家医院共4 599人,对照组3家医院共2 139人。于2021年10月 — 2022年4月,对干预组实施“免费接种 + 现场接种 + 宣传提醒 + 接种率目标要求”的干预模式,对照组实施“免费接种 + 现场接种 + 宣传提醒”的干预模式;干预组高风险科室以80%的接种率作为目标,低风险科室以60%作为接种目标,采用调整比估计量的Pearson χ2检验对干预组和对照组的基线接种率以及干预后的接种率进行检验。  结果  2021 — 2022年流感流行季,干预后干预组高风险科室医务人员当季流感疫苗接种率为62.67%,对照组接种率为23.71%,2组绝对率差(absolute rate difference,ARD)为38.96%(P < 0.05,95%CI = 14.17%~63.75%);干预组低风险科室医务人员当季流感疫苗接种率为34.57%,对照组接种率为22.96%,干预组所有医务人员流感疫苗接种率为43.90%,对照组接种率为23.19%,2组接种率接种率差异均无统计学意义(均P > 0.05)。以高接种率要求的干预效果具有显著差异,低接种率要求的干预效果无显著差异。  结论  在未设置奖惩制度的前提下,以非强制性的具体接种率要求提高医务人员的流感疫苗接种率时,需设置较高的接种率目标以达到预期效果。
  • 表  1  2021年南山区不同特征医务人员组别分布

    Table  1.   Demographic characteristics of 4 599 intervened and 2 139 unintervened medical workers from 7 hospitals in a district of Shenzhen city

    变量干预组对照组χR2P
    人数%人数%
    性别
     男性168336.5983939.220.22240.6372
     女性291663.41130060.78
    文化程度
     大专及以下130428.3571433.383.05550.0805
     本科205444.66104048.62
     研究生及以上124126.9838518.00
    职务
     医生225749.08119655.912.48760.1147
     护士234250.9294344.09
    职称
     初级1 82639.7069732.592.06300.1509
     中级117625.5766831.23
     高级83916.4841516.78
     无75818.2435919.40
    科室
     高风险152733.2064129.970.17360.6770
     低风险307266.80149870.03
    下载: 导出CSV

    表  2  不同组别医务人员流感疫苗接种率干预前后比较

    Table  2.   Influenza vaccination rate before and after a relevant intervention among 4 599 intervened and 2 139 unintervened medical workers from 7 hospitals in a district of Shenzhen city

    科室对照组干预组P1P2P3P4
    基线干预后基线干预后
    接种人数%接种人数%接种人数%接种人数%
    高风险科室24235.6915223.7152936.9295762.670.90180.09620.03810.0001
    低风险科室40233.2234422.9685025.53106234.570.54450.23550.59380.3996
    所有医务人员64434.1149623.19137928.95201943.900.61500.05880.31330.0634
      注:P1为干预组与对照组基线接种率比较;P2为对照组干预前后比较;P3为干预组干预前后比较;P4为干预组与对照组干预后比较。
    下载: 导出CSV
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出版历程
  • 接收日期:  2022-09-16
  • 录用日期:  2023-03-17
  • 修回日期:  2022-12-13
  • 网络出版日期:  2023-03-21
  • 刊出日期:  2023-07-10

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