노인의 폐렴구균 예방접종 실태 및 관련 요인
Factors associated with Pneumococcal Vaccinations in Older Adults
0
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to confirm the current status of pneumococcal vaccination in adults over 65 years old and to identify factors related to pneumococcal vaccination. Methods: The research design was a descriptive survey design using convenience sampling. Data collection was conducted at senior citizen centers and schools for elders. A self-report questionnaire was completed by 131 older adults. Data collection period was from March 1 to 31, 2017. Data were analyzed using numbers, percentages, means, standard deviation, x2 test, t-test, and logistic regression with the IBM SPSS Statistics 19.0 program. Results: Pneumococcal vaccination rate for older adults was 51.1%. Pneumococcal vaccination was associated with chronic disease (adjusted odds ratio [OR]=548.27, 95% CI: 26.67~999.99) and attitude toward pneumococcal vaccination (adjusted odds ratio [OR]=1.33 95% CI: 1.16~1.53). Conclusion: Pneumococcal vaccination rate for elders was about 50% and chronic disease positively affected the pneumococcal vaccination rate. To improve the pneumococcal vaccination rate for older adults, it is necessary to develop an intervention plan to define the role of nurses in vaccination for pneumococcal disease and to put the plan into action. An intervention program should be developed to promote a positive attitude toward pneumococcal vaccination in older people.
Abstract
Purpose: The purpose of this study was to confirm the current status of pneumococcal vaccination in adults over 65 years old and to identify factors related to pneumococcal vaccination. Methods: The research design was a descriptive survey design using convenience sampling. Data collection was conducted at senior citizen centers and schools for elders. A self-report questionnaire was completed by 131 older adults. Data collection period was from March 1 to 31, 2017. Data were analyzed using numbers, percentages, means, standard deviation, x2 test, t-test, and logistic regression with the IBM SPSS Statistics 19.0 program. Results: Pneumococcal vaccination rate for older adults was 51.1%. Pneumococcal vaccination was associated with chronic disease (adjusted odds ratio [OR]=548.27, 95% CI: 26.67~999.99) and attitude toward pneumococcal vaccination (adjusted odds ratio [OR]=1.33 95% CI: 1.16~1.53). Conclusion: Pneumococcal vaccination rate for elders was about 50% and chronic disease positively affected the pneumococcal vaccination rate. To improve the pneumococcal vaccination rate for older adults, it is necessary to develop an intervention plan to define the role of nurses in vaccination for pneumococcal disease and to put the plan into action. An intervention program should be developed to promote a positive attitude toward pneumococcal vaccination in older people.
참고문헌 (29)
- "2015 annual report on cause of death statistics" (2016)[URL]
- Yoshikawa TT, "Community-acquired pneumonia in the elderly", Clinical Infectious Disease, 31(4), pp.1066~1078 (2000)[DOI]
- "Pneumococcal disease" (2015)[URL]
- "Death: leading cause for 2014" (2017)[URL]
- Song JY, "Clinical and economic burden of invasive pneumococcal disease in adults: a multicenter hospital-based study", BMC Infectious Diseases, 13, pp.202~ (2013)[DOI]
- Wroe PC, "Aging population and future burden of pneumococcal pneumonia in the United States", The Journal of Infectious Diseases, 205(10), pp.1589~1592 (2012)[DOI]
- Conaty S, "The effectiveness of pneumococcal polysaccharide vaccines in adults: a systematic review of observational studies and comparison with results from randomised controlled trials", Vaccine, 22, pp.3214~3224 (2004)[DOI]
- Bonten MJ, "Polysaccharide conjugate vaccine against pneumococcal pneumonia in adults", The New England Journal of Medicine, 372(12), pp.1114~1125 (2015)[DOI]
- "2016 guideline for the eldely pneumococcal vaccination" (2016)[URL]
- O'Halloran AC, "Pneumococcal vaccination coverage among persons<TEX>${\geq}$<", TEX>65 years-United States, 2013, 2015, pp.33, 5503~5506
- "Pneumococcal polysaccharide vaccine (PPV) coverage report, England, April 2016 to march 2017" (2017)[URL]
- 강지숙, "간호대학생의 인플루엔자 예방접종 행동의도에 영향을 미치는 요인", 한국웰니스학회지, 9(4), pp.101~110 (2014), 한국웰니스학회
- 김옥선, "일 지역 보건계열 대학생의 신종인플루엔자 A (H1N1) 예방접종 실태 및 영향 요인", Journal of Korean Academy of Nursing, 41(3), pp.403~410 (2011), 한국간호과학회
- 김옥선, "임신부의 인플루엔자 예방접종 실태 및 예방접종에 영향을 미치는 요인", Journal of Korean Academy of Nursing, 44(5), pp.534~541 (2014), 한국간호과학회
- 최정실, "일 지역 노인의 폐구균 예방접종 실태와 지식, 인지도 및 폐구균 폐렴 예방 실천도", 지역사회간호학회지, 23(3), pp.266~275 (2012), 한국지역사회간호학회
- 이순영, "폐렴구균 예방백신 권장대상 성인의 예방접종 수행률과 관련요인", 보건정보통계학회지, 41(2), pp.231~238 (2016), 한국보건정보통계학회[DOI]
- 박승미, "일 지역 노인의 인플루엔자와 폐구균 예방접종 실태 및 인지도 차이비교", 근관절건강학회지, 20(2), pp.122~130 (2013), 대한근관절건강학회[DOI]
- 방경숙, "여대생의 인유두종 바이러스 예방접종 여부에 영향을 미치는 요인", Asian Oncology Nursing, 11(3), pp.186~192 (2011), 대한종양간호학회
- 김경자, "대학생의 A형 간염에 대한 지식, 건강신념 및 예방접종 행태", 농촌의학.지역보건, 41(3), pp.119~128 (2016), 한국농촌의학.지역보건학회
- Ajzen I, "Predication of goal-directed behavior: attitudes, intentions and perceived behavioral control", Journal of Experimental Social Psychology, 22(5), pp.453~474 (1986)[DOI]
- Kim SK, "Configuration of a vaccination behavior model for mothers with infants", pp.2007
- 이규은, "계획된 행위 이론을 적용한 여대생의 인유두종바이러스 백신 접종의도 영향요인", 기본간호학회지, 21(4), pp.457~465 (2014), 기본간호학회[DOI]
- 손현정, "태블릿 PC 사용에 영향을 미치는 요인 고찰: 계획된 행동이론과 기술수용모델을 중심으로", 언론과학연구, 14(4), pp.106~145 (2014), 한국지역언론학회
- 이석구, "유무선 혼합 RDD (임의번호걸기) 전화조사를 활용한 성인 예방접종률 조사", 한국모자보건학회지, 19(1), pp.58~70 (2015), 한국모자보건학회[DOI]
- "Elderly immunization program against influenza in Korea, 2015" (2016)[URL]
- 임주원, "한국 노인에서의 독감백신 접종률", Annals of geriatric medicine and research, 13(4), pp.215~221 (2009), 대한노인병학회
- "2009-2010 Influenza A (H1N1) vaccination program in Korea" (2012)[URL]
- Lau L, "Prevalence and correlates of influenza vaccination among non-institutionalized elderly people: an exploratory cross-sectional survey", International Journal of Nursing Studies, 46(6), pp.768~777 (2008)
- Maher L, "Influenza vaccination during pregnancy: coverage rates and influencing factors in two urban districts in Sydney", Vaccine, 31(47), pp.5557~5564 (2013)[DOI]
