实施家属预防接种认知干预对儿童预防接种效果的影响
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摘要
目的总结预防接种认知干预对儿童预防接种效果的影响。方法对2018年5—9月在东莞企石镇接种百白破疫苗的儿童家属按接种时间顺序分为对照组254名、实验组248名,对照组家属按常规方法进行预防接种,实验组在常规接种基础上,结合不按时接种、延迟接种等问题对幼儿家属开展多种多样的百白破疫苗预防知识、不良反应观察处理、接种注意事项等知识宣教和培训干预,总结两组儿童在按时接种、延迟接种、疫苗接种知识、不良反应表现与处理、接种注意事项知识的掌握、服务满意度等情况。结果实验组幼儿按时接种率比对照组高,延迟接种率比对照组低,结果有差异(P<0.05);家属对疫苗接种知识、不良反应表现和处理、接种注意事项等知识的掌握比对照组高,结果有差异(P<0.05)。结论实施家属预防接种认知干预管理能提高家属掌握预防接种知识和不良反应护理知识;提高儿童疫苗接种率和及时接种率,提高预防接种服务管理效果。
Objective To summarize the effect of cognitive intervention on children's vaccination. Methods The family members of children vaccinated with DPT vaccine in Qishi Town of Dongguan City from May to September 2018 were divided into control group 254 and experimental group 248 according to the sequence of vaccination time. The family members of control group were vaccinated by routine methods. On the basis of routine vaccination, the experimental group carried out a variety of preventive knowledge and adverse reactions observation of DPT vaccine to the family members of children in combination with the problems of untimely vaccination and delayed vaccination. The knowledge propaganda and training intervention of treatment and vaccination precautions were summarized. The situation of two groups of children in timely vaccination, delayed vaccination, vaccination knowledge, adverse reaction performance and treatment, knowledge of vaccination precautions and service satisfaction were summarized. Results The vaccination rate of children in the experimental group was higher than that in the control group, and the delayed vaccination rate was lower than that in the control group. The results showed statistical difference(P<0.05). The knowledge of vaccination, adverse reactions, treatment and matters needing attention of family members were higher than that in the control group, and the results showed statistical difference(P<0.05). Conclusion Implementing cognitive intervention management of family vaccination may improve family members' knowledge of vaccination and nursing of adverse reactions, improve children's vaccination rates and timely vaccination rates, and improve the management effect of vaccination service.
Objective To summarize the effect of cognitive intervention on children's vaccination. Methods The family members of children vaccinated with DPT vaccine in Qishi Town of Dongguan City from May to September 2018 were divided into control group 254 and experimental group 248 according to the sequence of vaccination time. The family members of control group were vaccinated by routine methods. On the basis of routine vaccination, the experimental group carried out a variety of preventive knowledge and adverse reactions observation of DPT vaccine to the family members of children in combination with the problems of untimely vaccination and delayed vaccination. The knowledge propaganda and training intervention of treatment and vaccination precautions were summarized. The situation of two groups of children in timely vaccination, delayed vaccination, vaccination knowledge, adverse reaction performance and treatment, knowledge of vaccination precautions and service satisfaction were summarized. Results The vaccination rate of children in the experimental group was higher than that in the control group, and the delayed vaccination rate was lower than that in the control group. The results showed statistical difference(P<0.05). The knowledge of vaccination, adverse reactions, treatment and matters needing attention of family members were higher than that in the control group, and the results showed statistical difference(P<0.05). Conclusion Implementing cognitive intervention management of family vaccination may improve family members' knowledge of vaccination and nursing of adverse reactions, improve children's vaccination rates and timely vaccination rates, and improve the management effect of vaccination service.
引文
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[9] 王涛,杨俊英,范肖肖,等.2015—2016 年北京市昌平区疑似预防接种异常反应监测分析 [J].中国疫苗和免疫,2017,23(3):317-321.
[10] 何秀贞,刘燕欢.健康教育在儿童保健和预防接种中的效果分析[J].中国医药科学,2018,8(5):77-78,88.
[11] 曹智坚.社区家长课堂在儿童预防接种工作中的效用分析[J].交通医学,2018,32 (5):528-530.
[12] 周苏建.148例吸附无细胞百白破疫苗疑似预防接种异常反应监测分析[J].解放军预防医学杂志,2017,35(12):1581-1582,1597.
[13] 贾影,周洪波,崔常虹.儿童接种百白破疫苗后不良反应的预防和护理措施[J].临床医药文献电子杂志,2018,5(56):113.
[14] 杨爱红.百白破疫苗接种不良反应的影响因素及预防方法研究[J].基层医学论坛,2018,22(33):4783- 4784.
[2] 王富良,孙向珏,许二萍,等.杭州市萧山区 2010—2016 年 4起疑似预防接种异常反应死亡案例分析 [J].中国疫苗和免疫,2017,23 (5):593-594,600.
[3] 叶家楷,李克莉,许涤沙,等.中国 2015 年疑似预防接种异常反应监测分析 [J].中国疫苗和免疫,2017,23(5):481- 483.
[4] 高静,钱国友.家长健康教育与护理干预对儿童百白破疫苗接种不良反应的影响[J].中国卫生产业,2017,14(17):31-32.
[5] 蒋薇薇,崔光辉,李岩岩,等.蜀山区儿童疑似预防接种异常反应监测分析[J].预防医学,2018,30(8):789-793.
[6] 史鲁斌,姬艳芳,杨建辉,等.2011-2016年河南省无细胞百白破联合疫苗预防接种不良反应监测分析[J].实用预防医学,2018,25(2):180-184.
[7] 谢云兰 ,谷欣 .预防接种不良反应监测分析与改进对策 [J].云南医药 ,2013,34(5):429- 430.
[8] 陈茂芳,吴爱兰.东阳市疑似预防接种异常反应监测结果分析[J].预防医学,2017,29 (6):607-609.
[9] 王涛,杨俊英,范肖肖,等.2015—2016 年北京市昌平区疑似预防接种异常反应监测分析 [J].中国疫苗和免疫,2017,23(3):317-321.
[10] 何秀贞,刘燕欢.健康教育在儿童保健和预防接种中的效果分析[J].中国医药科学,2018,8(5):77-78,88.
[11] 曹智坚.社区家长课堂在儿童预防接种工作中的效用分析[J].交通医学,2018,32 (5):528-530.
[12] 周苏建.148例吸附无细胞百白破疫苗疑似预防接种异常反应监测分析[J].解放军预防医学杂志,2017,35(12):1581-1582,1597.
[13] 贾影,周洪波,崔常虹.儿童接种百白破疫苗后不良反应的预防和护理措施[J].临床医药文献电子杂志,2018,5(56):113.
[14] 杨爱红.百白破疫苗接种不良反应的影响因素及预防方法研究[J].基层医学论坛,2018,22(33):4783- 4784.