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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。
Objectives To understand the community backbone of diabetes immunization awareness. Methods One to three community health service centers were selected in 10 districts of Guangzhou, and one individual was interviewed individually in the selected community health service centers. Results A total of 20 business leaders interviewed. All of the interviewees considered that diabetes complicated with various infections, complicated with pneumonia after infection, and high mortality. The basic measure to prevent influenza is vaccination. All of the interviewees mentioned that S. pneumoniae can cause pneumonia, 8 mentioned that can cause acute otitis media, 23 pneumococcal polysaccharide vaccine for susceptible people over the age of 2, but the evaluation of the vaccine application effect is not clear. The promotion of immunization among diabetic patients faces the problem of insufficient staff, no job requirements, low awareness of the masses and negative media coverage. Conclusion The community backbone of influenza risk and immune prevention awareness more comprehensive understanding of the disease, there is a lack of knowledge of pneumococcal disease, should increase investment, improve services, strengthen publicity and education and training to improve the vaccination rate of patients with diabetes .