| Objective(s):Taking medical staff at different levels in Guangxi as the research object,through the analysis of medical staff’s cognition,health belief and vaccination willingness on influenza and influenza vaccine,we can find out the possible related influencing factors,provide relevant knowledge and data for this field,provide a basis for follow-up intervention research,and provide a reference for further popularization and application of influenza vaccine in China.Method(s):This study is a cross-sectional study,using stratified-cluster and intentional sampling methods for sampling,using the health belief model as the theoretical basis of self-designed questionnaires as the survey tool,and through the questionnaire star online survey method,from August 2021 to August 2022,medical personnel of 31 medical institutions at different levels in Guangxi.SPSS19.0 software is used for data analysis,and the statistical methods are mainly as follows: the general demographic data of medical staff are described and analyzed by frequency and percentage;Chi-square test and independent sample T test were used to statistically analyze the influence of different demographic characteristics on the health belief of influenza and influenza vaccine,the current situation of influenza vaccination and the willingness to vaccinate;Binary Logistic regression was used for stepwise analysis to determine the influencing factors of influenza vaccination and vaccination willingness.Autonomous Region were respectively conducted.Result(s):(1)A total of 2408 questionnaires were distributed in this study,and the questionnaires with contradictory or missing contents were screened out,and 2208 valid questionnaires were finally recovered,with an effective rate of91.69%.(2)In this study,1949 medical personnel knew the professional knowledge related to influenza and influenza vaccine,accounting for 88.3%,259 medical personnel did not know the professional knowledge related to influenza and influenza vaccine,accounting for 11.7% of the total medical personnel,but in general,medical personnel knew the professional knowledge related to influenza and influenza vaccine well.The most important channels for medical staff to acquire knowledge of influenza situation and influenza vaccine information were computer network and cell phone,and then through TV broadcast and bulletin boards.(3)The mean score of health beliefs of medical staff in this study was 2.92±0.86,among which the mean score of perceived benefits of health beliefs was 2.30±0.86;the mean score of perceived severity was 3.45±0.88;the mean score of perceived susceptibility was 3.30±0.94;and the mean score of perceived impairment was 2.73±0.75.This indicates that the current level of health beliefs of medical staff about influenza infection prevention is moderate.The level of health beliefs is at a medium level and needs to be further improved.(4)A total of 599 people were found to have received influenza vaccination in 2020-2021 in the survey,with a vaccination rate of 27.13%.Univariate analysis showed that there was a statistical difference in the vaccination behavior of medical staff in terms of hospital level,age,educational composition,job category,work department,knowledge of influenza and influenza vaccine,and recommendation of influenza vaccination to patients(P < 0.05).(5)A total of 1211 people were found to be willing to receive influenza vaccination before the next influenza season,with a willingness rate of 54.85%.Univariate analysis showed that there was a statistical difference in the willingness of medical staff to receive influenza vaccination in hospital level,age,educational composition,health status,cognitive status of influenza and influenza vaccine knowledge,whether they had been infected with influenza in the past year,and whether they had recommended patients to receive influenza vaccination(P<0.05).Influenza and influenza vaccine knowledge,perceived benefit,and total health score were positively associated with willingness to vaccinate.Perceived severity and perceived barriers were negatively correlated with willingness to vaccinate.The main reasons for medical personnel to hesitate to receive influenza vaccination were "virus mutates quickly and they are worried about the effect of vaccination"(45.2%)and "worry about side effects of vaccine"(44.4%).(6)A total of 1,473 people were willing to recommend influenza vaccination to patients before the next influenza season,with a willingness rate of 66.71%.Univariate analysis showed that the factors influencing medical staff to recommend influenza vaccine were medical grade,age group,educational composition,health status,knowledge of influenza and influenza vaccine,whether they had been infected with influenza in the past year,whether their relatives had been infected with influenza in the past three years,and whether they had received influenza vaccine in the past year(P<0.05).The main reasons why medical staff were reluctant to recommend influenza vaccination to patients before the next influenza season were: "fear that recommending influenza vaccination might cause disputes","fear of adverse reactions to the vaccine",and "if they recommend it They will not get vaccinated even if they recommend it".Conclusion(s):The survey found that medical staff in Guangxi have a high awareness rate of influenza and influenza vaccine knowledge,but the influenza vaccination rate is still at a low level.The relevant factors affecting the willingness of medical staff in Guangxi to be vaccinated against influenza included hospital level,age,educational composition,health status,knowledge and cognition status of influenza and influenza vaccine,whether influenza vaccine was recommended for patients,perceived severity,perceived impairment,and perceived benefits.From the perspective of health beliefs of influenza infection,it focuses on improving health beliefs in terms of perceived severity,perceived benefits and perceived disorders,and conducts targeted health education to improve medical staff’s health beliefs about influenza vaccine,so as to improve the influenza vaccination status of medical staff. |
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