社区骨干对糖尿病患者免疫接种认知的访谈

目的了解社区骨干对糖尿病患者免疫接种的认知。方法在广州市10个区分别选择1~3家社区卫生服务中心,在选取的社区卫生服务中心分别对1名业务骨干进行个人深入访谈。结果共访谈20名业务骨干。所有的访谈对象都认为糖尿病容易并发各种感染,感染流感后易并发肺炎,病死率较高,预防流感的基本措施是接种疫苗。所有的访谈对象都提到肺炎链球菌可引起肺炎,8名提到可引起急性中耳炎,23价肺炎球菌多糖疫苗适用于2岁以上的易感人群,但对疫苗应用效果的评价不清楚。在糖尿病病人中推广免疫接种面临工作人员不足、无工作要求、群众认知度不高、媒体负面报道的影响。结论社区骨干对流行性感冒的危害及免疫预防的认知比较全面,对于肺炎链球菌性疾病的认识有欠缺,应加大投入、完善服务、加强宣传教育和培训,从而提高糖尿病患者疫苗接种率。

Interviews of community core members on immunization awareness for diabetes mellitus patients

Objective To understand the community core members on immunization awareness for diabetes mellitus patients. Methods From each of the 10 districts in Guangzhou, 1-3 community health centers were selected, from each of the selected community health centers, 1 core member was invited to take part in the in- dividual indepth interview. Results A total of 20 core members were interviewed. All interviewees understood that diabetic patients are more susceptible to developing infections, diabetic patients are at higher risk for developing flu -related complications such as pneumonia, and the mortality rate can be high, influenza vaccination is the most effective preventive measure. All interviewees mentioned Streptococcus pneumoniae causes pneumonia, 8 interviewees mentioned Streptococcus pneumoniae causes acute otitis media, the 23 -valent pneumococcal polysaccharide vaccine is recommended for use in high - risk groups of 2 ^＋ years of age, but unclear about the effects of vaccine application evaluation. Barriers to reaching higher rates of flu and pneumococcal polysaccharide vaccination in diabetic patients include short of employees, no work requirements, poor public awareness, and negative impact of media coverage of immunization controversies. Conclusions The core members of community had an adequate level of knowledge about influenza threat and immunization, but their knowledge about pneumococcal disease was still insufficient, need to put greater resource inputs, improve services, strengthen health education and training, to improve vacation rate for diabetes mellitus patients.