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医院员工和门诊患者对大流行性流感预防行为的认知和实施情况。

Perception and performance of preventive behaviors for the pandemic influenza in hospital employees and outpatients.

机构信息

Department of Family Medicine, School of Medicine, Dongguk University, 1090-1 Seokjang-dong, Gyeongju 780-714, Korea.

出版信息

Yonsei Med J. 2011 Jan;52(1):181-7. doi: 10.3349/ymj.2011.52.1.181.

Abstract

PURPOSE

A new strain of the H1N1 subtype of influenza A virus resulted in a pandemic outbreak. In South Korea, cases of pandemic influenza have increased. Therefore, we explored perception or preventive behaviors for this virus in hospital employees and outpatients.

MATERIALS AND METHODS

Data was collected from hospital employees and outpatients at three university hospitals located in Daegu, Gyeongju in South Korea between the 21st and 30th of September, 2009 using a self-administrated questionnaire. We estimated perception by components of The Health Belief Model (HBM), preventive behaviors consisted of avoidance behaviors, and the recommended behaviors by the Korea Center of Disease Control and Prevention (KCDC). Desire for vaccination was identified.

RESULTS

The 1,837 participants comprised hospital employees (n = 880, 47.9%) and outpatients (n = 957, 52.1%). Of all hospital employees, 491 (55.8%) and 708 (80.5%) perceived susceptibility of the pandemic influenza and benefits of the preventive behaviors, respectively. Among all outpatients, 490 (51.2%) and 651 (68.0%) perceived susceptibility of the pandemic influenza and benefits of the preventive behaviors, respectively. Recommended preventative behaviors were adopted by 674 (76.6%) of hospital employees and 631 (65.9%) of outpatients. Vaccination was desired by 479 (54.4%) of hospital employees and 484 (50.6%) of outpatients. Factors influencing preventative behaviors included gender, economic status (for hospital employees) and educational level (for outpatients). All HBM components except perception of barriers were associated with the preventive behaviors in both groups.

CONCLUSION

The majority of the surveyed hospital employees and outpatients perceived the benefits of preventive behaviors for pandemic influenza and performed them.

摘要

目的

一种新型的甲型 H1N1 流感病毒株导致了大流行的爆发。在韩国,大流行性流感病例有所增加。因此,我们在医院员工和门诊病人中探索了对这种病毒的认知或预防行为。

材料与方法

2009 年 9 月 21 日至 30 日,我们在韩国大邱和庆州的三所大学医院收集了医院员工和门诊病人的资料,使用自填式问卷。我们根据健康信念模型(HBM)的组成部分来评估认知,预防行为包括回避行为和韩国疾病控制与预防中心(KCDC)推荐的行为。我们确定了对疫苗接种的渴望。

结果

1837 名参与者包括医院员工(n=880,47.9%)和门诊病人(n=957,52.1%)。在所有医院员工中,分别有 491 人(55.8%)和 708 人(80.5%)认为大流行性流感的易感性和预防行为的益处。在所有门诊病人中,分别有 490 人(51.2%)和 651 人(68.0%)认为大流行性流感的易感性和预防行为的益处。有 674 名(76.6%)医院员工和 631 名(65.9%)门诊病人采取了推荐的预防行为。有 479 名(54.4%)医院员工和 484 名(50.6%)门诊病人希望接种疫苗。影响预防行为的因素包括性别、经济状况(对医院员工)和教育程度(对门诊病人)。在两组中,除了对障碍的认知外,所有 HBM 组成部分都与预防行为相关。

结论

大多数接受调查的医院员工和门诊病人都认为预防大流行性流感的行为有益,并实施了这些行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc7a/3017695/648f2bdc01a3/ymj-52-181-g001.jpg

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