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中国临床研究:2021,34(9):1171-1174,1180
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慢性肾脏病患者新冠疫苗接种意向及影响因素
(四川大学华西医院肾脏内科,四川 成都 610041)
Willingness and influencing factors to receive COVID-19 vaccination in patients with chronic kidney disease
(Department of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China)
摘要
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投稿时间:2021-03-31   网络发布日期:2021-09-20
中文摘要: 目的 调查慢性肾脏病患者对于新型冠状病毒疫苗(新冠疫苗)的接种意愿,探讨其影响因素,为临床医护人员进行相关健康宣教提供参考依据。方法 采用方便抽样法选取2021年1月6日至24日在成都某三甲医院肾脏内科门诊及住院病房符合纳入和排除标准的慢性肾脏病患者301例,采用一般资料调查表、新冠疫苗接种意愿调查表进行问卷调查,采用秩和检验、Spearman相关性分析对慢性肾脏病患者新冠疫苗接种意愿与年龄、性别、家庭人均月收入、就业状况、感知易感性、感知障碍、感知严重性、行动的线索等之间的关系,采用多元分层回归处理慢性肾脏病患者新冠疫苗接种意愿的影响因素。结果 慢性肾脏病患者新冠疫苗接种意愿M(QU,QL)为4(2,5)。有无并发症(P<0.01)、对新冠疫苗接种禁忌证了解情况(P<0.05)、感知易感性(P<0.05)、感知益处(P<0.01)、行动的线索(P<0.01)是慢性肾脏病患者新冠疫苗接种意愿的影响因素。结论 慢性肾脏病患者新冠疫苗接种意愿属中度水平,医务人员在临床中应围绕慢性肾脏病患者对于新冠肺炎的易感性及接种新冠疫苗益处等方面进行健康宣教,从而增加患者新冠疫苗的接种意愿。
Abstract:Objective To investigate the willingness and influencing factors to receive coronavirus disease 2019 (COVID-19) vaccination in the patients with chronic kidney disease (CKD) to provide reference for clinical health education. Methods From Janvary 6 to 24,2021, a questionnaire survey was performed to investigate the intention to receive COVID-19 vaccination and identify the key influencing factors of 301 CKD patients selected by a convenient sampling method in outpatient and inpatient wards of a level-A tertiary hospital in Chengdu. Spearman′s rank correlation test was used to explore the associations of COVID-19 vaccination willingness of CKD patients with age, gender, family monthly income per capita, employment status, perceived susceptibility, perceived barriers, perceived severity and action clues, etc. Multi-stratified multiple regression test was used to analyze the influencing factors of COVID-19 vaccination willingness in CKD patients. Results The mean value of quartile of willingness to vaccinate was 4(inter quartile range 2-5) in CKD patients. The influencing factors of COVID-19 vaccination willingness included complications (P<0.01), knowledge of contraindications to vaccination (P<0.05), perceived susceptibility (P<0.05), perceived barriers (P<0.01) and action clues (P=0.01). Conclusion The COVID-19 vaccination willingness is moderate in CKD patients. Medical staff should conduct the health education in clinical practice focusing on the susceptibility of patients and the benefits of COVID-19 vaccination so as to increase the patients′ willingness to receive the COVID-19 vaccination.
文章编号:     中图分类号:    文献标志码:A
基金项目:四川省科学技术厅重点研发项目(2019YFS0289);四川大学院华西医院临床研究孵化项目(2018HXFH055)
引用文本:
颜钰,段棣飞,陈霞,刁永书,马登艳.慢性肾脏病患者新冠疫苗接种意向及影响因素[J].中国临床研究,2021,34(9):1171-1174,1180.

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