International Journal of COPD (Oct 2023)

Knowledge of Vaccination Against Influenza and Pneumococcus in Patients with Chronic Obstructive Pulmonary Disease in an Integrated Care Program

  • Proaños NJ,
  • González-García M,
  • Crispín-Cruz D,
  • Ali-Munive A,
  • Villar JC,
  • Torres-Duque CA,
  • Casas A

Journal volume & issue
Vol. Volume 18
pp. 2257 – 2265

Abstract

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Nadia Juliana Proaños,1,2 Mauricio González-García,1,2 Dayan Crispín-Cruz,1 Abraham Ali-Munive,1,2 Juan Carlos Villar,3 Carlos A Torres-Duque,1,2 Alejandro Casas1,2 1Programa AIREPOC y CINEUMO, Fundación Neumológica Colombiana, Bogotá, Colombia; 2Facultad de Medicina, Universidad de La Sabana, Chía, Colombia; 3Centro de Investigaciones, Fundación Cardioinfantil - Instituto de Cardiología, Bogotá, ColombiaCorrespondence: Carlos A Torres-Duque, Email [email protected]: To compare the level of knowledge in vaccination against influenza and pneumococcus of patients with chronic obstructive pulmonary disease (COPD) who are managed in an Integrated Care Program (ICP) with those who receive usual care (UC).Methods: A telephone survey of patients diagnosed with COPD registered in public care networks or private institutions was done. A descriptive and comparative analysis of the characteristics of the ICP and UC groups was carried out. The relationship between belonging to an ICP and the level of knowledge about vaccination was evaluated using Propensity Score Matching (PSM) and multivariate logistic and ordinal regression models.Results: Of 674 study participants, 27.2% were from the ICP group. ICP patients were older, more frequently men, from a higher socioeconomic stratum and a higher educational level (p< 0.05). 75.5% of the patients in the ICP group had a high level of vaccination knowledge compared to 42.7% in the UC group (p< 0.001). In the multivariate analysis, adjusting for sociodemographic variables, years of COPD diagnosis, and comorbidities, belonging to the ICP was associated with a higher probability of answering questions about vaccination correctly and having a high level of knowledge (OR 3.397, IC 95% 2.058– 5.608, p< 0.001).Conclusion: Patients with COPD managed in an ICP have a higher level of knowledge in vaccination against influenza and pneumococcus, compared to patients in usual care.Keywords: chronic obstructive pulmonary disease, knowledge, patient education, care patient

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