老年慢性病患者对带状疱疹认知程度及预防意愿调查

A survey on the awareness of herpes zoster and willingness to prevent it among elderly patients with chronic diseases

摘要:

目的：探讨中国老年慢性病患者对带状疱疹相关疼痛的认知特征、疫苗接种意愿及疼痛管理行动。方法：基于全国各省人口比例,采用配额抽样方法,共收集1635份有效问卷。问卷内容涵盖受访者对疼痛风险的认知、对带状疱疹疫苗的接种意愿、疼痛发生时的就诊行动。结果：约61.0%的受访者有带状疱疹病史,其中95.1%报告有中重度疼痛。患过带状疱疹的患者对相关疼痛的感知强度更高(p＜0.01),更倾向于接种疫苗(p＜0.001)。合并两种及以上慢性病者对带状疱疹相关疼痛风险的认知水平更高(p＜0.001)。高认知组更可能采取积极的预防措施。结论：患慢性病的中老年人群整体上对带状疱疹相关疼痛风险有较高认知,但其就诊和预防行动存在一定差异。建议针对不同群体开展个性化健康教育和干预策略,以提高疫苗接种和及时就诊率。

Abstract:

Objective: The objective of this study was to explore the cognitive characteristics of herpes zoster-related pain, vaccination willingness, and pain management actions among Chinese elderly patients with chronic diseases. Methods: The study employed a quota sampling method based on the population proportion of each province in China, resulting in the collection of 1,635 valid questionnaires. These questionnaires encompassed respondents" perception of pain risk, willingness to vaccinate against herpes zoster, and actions to seek medical attention when pain occurs. Results: The results of the study indicated that approximately 61.0% of the respondents had a history of herpes zoster, of which 95.1% reported experiencing moderate to severe pain. Patients with a history of herpes zoster exhibited a higher perceived intensity of associated pain (p < 0.01) and were more likely to be vaccinated (p < 0.001). Furthermore, individuals afflicted with two or more chronic diseases exhibited an elevated perception of the risk associated with herpes zoster-related pain (p < 0.001). The highly cognitive group demonstrated a higher propensity to engage in proactive preventive measures. Conclusion: The middle-aged and elderly population with chronic diseases exhibited a comprehensive awareness of the risk of herpes zoster-related pain. However, notable variations emerged in their consultation and preventive actions. The findings underscore the necessity for customized health education and intervention strategies, tailored to the distinct characteristics of diverse groups, to enhance vaccination and timely consultation rates.