| 郭红霞,杜毓锋.评价健康教育对慢性阻塞性肺疾病病人流感、肺炎球菌多糖疫苗接种的知信行影响[J].安徽医药,2026,30(7):1467-1471. |
| 评价健康教育对慢性阻塞性肺疾病病人流感、肺炎球菌多糖疫苗接种的知信行影响 |
| Evaluate the impact of health education on the knowledge, attitude, and practice (KAP) of influenza and pneumococcal polysaccharide vaccine vaccination among patients with chronic obstructive pulmonary disease (COPD) |
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| DOI：10.3969/j.issn.1009-6469.2026.07.038 |
| 中文关键词: 肺疾病，慢性阻塞性 流感疫苗 肺炎球菌多糖疫苗 健康教育 知信行 |
| 英文关键词: Pulmonary disease, chronic obstructive Influenza vaccine Pneumococcal polysaccharide vaccine Health educa-tion Knowledge, belief and action |
| 基金项目:山西省专利转化计划项目( 202406006)参考文献 |
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| 中文摘要: |
| 目的通过健康教育提高慢性阻塞性肺疾病(COPD)病人两种疫苗的接种率。方法前瞻性研究。选取 2023年 9月至 2024年 2月于山西医科大学第一医院接受治疗的 COPD病人 96例，开展健康教育并随访，通过自身对照，比较干预前后病人对 COPD、流感疫苗和肺炎球菌多糖疫苗的认识及疫苗接种情况。结果干预实施后，研究对象在多个维度发生显著变化。流感疫苗接种率从干预前的 15.63%提升至 33.37%(P<0.05)；肺炎球菌多糖疫苗接种率从 5.21%上升至 22.92%(P<0.05)。在认知层面， 52.08%的研究对象认同 COPD病人更易罹患肺炎、流感，较干预前的 36.46%显著升高(P<0.05)； 36.46%的研究对象意识到肺炎会加重 COPD病情，高于干预前的 20.83%(P<0.05)；此外， 57.29%的研究对象认可接种疫苗的必要性，远超干预前的17.71%(P<0.05)。结论 COPD人群对流感和肺炎球菌多糖疫苗的认知、接种意愿和接种率均较低，针对性的健康教育可以提高 COPD人群预防接种的知信行水平，进一步提高疫苗接种率。 |
| 英文摘要: |
| Objective To improve the vaccination rate of two types of vaccines in chronic obstructive pulmonary disease (COPD) pa-tients through health education.Methods This study is a prospective research. The research subjects were prospectively selected 96COPD patients treated at the First Hospital of Shanxi Medical University between September 2023 and February 2024. Health educa-tion was carried out and follow-up was conducted. Through self-control, the awareness of COPD, influenza vaccine, and PPSV23, aswell as the vaccination status of the patients before and after the intervention were compared.Results After the implementation of theintervention, significant changes occurred in multiple dimensions among the research subjects. The influenza vaccine vaccination rateincreased from 15.63% before the intervention to 33.37% (P<0.05); the PPSV23 vaccination rate rose from 5.21% to 22.92% (P<0.05).In terms of cognition, 52.08% of the research subjects agreed that COPD patients were more prone to pneumonia and influenza, whichwas significantly higher than 36.46% before the intervention (P<0.05); 36.46% of the research subjects realized that pneumonia couldexacerbate the condition of COPD, higher than 20.83% before the intervention (P<0.05); in addition, 57.29% of the research subjectsrecognized the necessity of vaccination, far exceeding 17.71% before the intervention (P<0.05).Conclusions The awareness, vaccina-tion intention, and vaccination rate of influenza and PPSV23 vaccines among the COPD population are all low. Targeted health educa-tion can improve the knowledge, attitude, and practice (KAP) level of preventive vaccination among the COPD population and furtherincrease the vaccination rate. |
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