在综合护理计划中的慢性阻塞性肺病患者对流感和肺炎球菌的疫苗接种知识
Nadia Juliana Proaños1,2, Mauricio González-García1,2, Dayan Crispín-Cruz1
1Programa AIREPOC y CINEUMO, Fundación Neumológica Colombiana, Bogotá, Colombia.
在综合护理计划 (ICP) 中,慢性阻塞性肺病 (COPD) 患者表现出对流感和肺炎球菌疫苗接种的卓越知识,与接受常规护理 (UC) 患者相比. 这凸显了ICP在改善患者对基本免疫接种的理解方面的有效性.
科学领域:
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性阻塞性肺病 (COPD) 管理需要全面的患者教育,包括疫苗接种意识.
- 接种流感和肺炎球菌疫苗对于预防COPD患者严重呼吸道感染至关重要.
- 综合护理计划 (ICPs) 旨在通过协调医疗保健提供来改善患者的治疗结果.
研究的目的:
- 为了比较COPD患者在ICP和接受常规护理 (UC) 之间的流感和肺炎球菌疫苗接种知识水平.
- 评估综合护理计划对患者对COPD管理必不可少的疫苗接种的理解的影响.
主要方法:
- 在公共和私人医疗机构中,在被诊断为COPD的患者中进行了电话调查.
- 对ICP和UC组进行了描述性和比较性分析.
- 倾向性得分匹配 (PSM) 和多变量回归模型评估了ICP招生和疫苗接种知识之间的关联.
主要成果:
- 综合护理计划 (ICP) 患者与常规护理 (UC) 患者 (42.7%) 相比,疫苗接种知识显著提高 (75.5%).
- 多变量分析,调整了社会人口统计因素和并发性疾病,证实ICP参与与正确接种疫苗知识的3.397倍增加的概率有关.
- ICP患者通常年龄较大,男性更频繁,社会经济和教育背景较高.
结论:
- 在综合护理计划中管理的COPD患者表现出有关流感和肺炎球菌疫苗接种的卓越知识水平.
- 综合护理计划似乎是一种有效的策略,可以提高患者的理解,并有可能改善COPD人群的疫苗接种率.
- 进一步的研究应该探索ICP增强疫苗接种知识的机制及其对实际疫苗接种率的影响.
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