KRONİK OBSTRÜKTİF AKCİĞER HASTALIĞINDA AŞILANMA; GERÇEKTEN YAPTIRTIYOR MUYUZ?

Year 2013, Volume: 27 Issue: 1, 31 - 40, 01.05.2013

Onur Fevzi Erer Gülistan Karadeniz Didem Gazibaba Gülcan Ürpek Enver Yalnız Serir Özkan Aktoğu

Abstract

Kronik obstrüktif akciğer hastalığı (KOAH), tüm dünyada önemli bir mortalite ve morbidite nedenidir. Mortalite artışına neden olan enfensiyonlara bağlı atakları azaltmak için en önemli konulardan biri aşılanmadır. Bu çalışmada, KOAH hastalarında influenza ve pnomokok aşısı ile ilgili bilgi düzeylerini ve yapılma oranlarını saptamayı amaçladık. Çalışmaya 100 KOAH tanılı hasta alındı. Hastaların influenza ve pnömokok aşılarını bilip bilmedikleri ve yaptırıp yaptırmadıkları sorgulandı. Aşıyla ilgili nasıl bilgi edindikleri kaydedildi. Hastaların influenza ve pnömokok aşısını bilme oranı sırasıyla % 49 and %12, yaptırma oranı %40 ve %10 olarak bulundu. KOAH ilaç raporu olanların olmayanlara göre (p=0.049) ve sigarayı bırakmış olanların aktif içenlere göre (p=0.004) influenza aşısını bilme oranları yüksek olduğu, KOAH ilaç raporu olanların olmayanlara göre(p=0.007) influenza aşısını yaptırma oranının da daha yüksek olduğu saptandı. Pnömokok aşısını bilmeyen ve yaptırmayanların erkeklerde kadınlara göre fazla olduğu bulundu (sırasıyla p=0.009 ve p= 0.001). Ayrıca pnömokok aşısını yaptırmayanların eğitim düzeyi düşük olan grupta (okur yazar + ilkokul mezunu grubu) daha yüksek olduğu izlendi (p=0.018). Sonuç olarak, ülkemizde sosyal güvence kapsamında ve rehberlerde olmasına rağmen aşılanma oranının düşük olduğu izlenmiştir. Bu nedenle KOAH hastalarına poliklinik şartlarında grip ve pnömokok aşılaması konusunda daha fazla bilgilendirmesi ve eğitim yapılması gerektiğini düşünmekteyiz.

Keywords

KOAH, aşılama, grip aşısı, pnömoni aşısı

IMMUNIZATION IN THE CHRONIC OBSTRUCTIVE PULMONARY DISEASE: CAN WE HAVE REALLY DONE IT?

Abstract

Chronic obstructive pulmonary disease, is an important cause of morbidity and mortality worldwide. Immunization is one of the most important issue in order to reduce the increased mortality due to attacks of the infections. In this study, we aimed to determine the level of knowledge and rates of influenza and pneumococcal vaccination in COPD patients. One hundred consecutive patients with COPD were enrolled into study. Patients were questioned about whether they have known and to be immunized with influenza and pneumococcal vaccination and how they can get information about vaccines were recorded. Awareness rates of patients about influenza and pneumococcal vaccines were found 49% and 12%, immunization rates were found 40% and 10% respectively. In those patients with than without drug report for COPD (p=0.049) and those who quit smoking according the smokers (p=0.004) knowledge rates of influenza vaccine and in drug report group influenza immunization rates (p=0.007) were found higher it was statistically significant. In male group, absence of knowledge and immunization rates with pneumococcal vaccine were higher than female group (p=0.009, p= 0.001 respectively). In addition, immunization without pnemococcal vaccine rate was observed to be higher in low education level group (p=0.018). In conclusion, we revealed that in our country, vaccination rate is low although in the scope of social insurance and the guidelines. Therefore, we suggest that more information and education should be given about influenza and pneumococcal vaccination to COPD patients in outpatient conditions.

Keywords

Immunization, influenza vaccination, pneumococcal vaccination

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