疫苗犹影响肺炎球菌疫苗拒绝老年患有疾病的成年人
Woothikrai Chitaree1, Nida Buawangpong1,2, Thanachat Yotruangsri1,2
1Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Journal of primary care & community health
|November 29, 2024
概括
低信心和集体责任是泰国老年人拒绝肺炎球菌疫苗的关键因素. 解决这些问题对于提高疫苗接种率和预防肺炎至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 肺炎仍然是全球死亡的一个重要原因,而肺炎链球菌是主要的病原体.
- 老年人代表肺炎球菌病的高风险人口,但泰国疫苗接种率不够理想.
研究的目的:
- 调查泰国伴随疾病的老年人中肺炎球菌疫苗拒绝的患病率.
- 分析拒绝接种疫苗与5C模型因素 (信心,自满,约束,计算,集体责任) 之间的关联.
主要方法:
- 在清迈大学家庭医学门诊所进行了一项观察性,横截面研究.
- 使用自我管理的问卷来收集数据,评估人口统计,5C模型因素和肺炎球菌疫苗的意图.
- 统计分析包括基平方/T测试进行比较和多重后勤回归以确定与拒绝接种疫苗的关联.
主要成果:
- 在150名参与者中 (平均年龄为69.8岁,女性为60.7%),18%的人拒绝了肺炎球菌疫苗.
- 较低的集体责任 (OR 0.22,P=.015) 和信心 (OR 0.43,P=.024) 在调整为混因素后与拒绝接种疫苗有显著的关联.
结论:
- 加强对疫苗的信心和减轻自满的策略对于增加老年人肺炎球菌疫苗接种覆盖率至关重要.
- 研究结果为制定有针对性的政策和沟通策略提供了见解,通过强调益处,有效性和风险来减少拒绝接种疫苗的情况.
相关概念视频
Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.9K
Vaccinations
44.1K
Overview
44.1K
Pneumonia III: Complications and Assessment
168
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
168
Pneumonia I: Introduction
211
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
211
Pneumonia IV: Management
299
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
299
Pneumonia II: Pathophysiology
216
The pathophysiology of pneumonia involves the following steps:
216


