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健康宣教在儿童疫苗接种家长中的应用效果

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目的:观察健康宣教在儿童疫苗接种家长中的应用效果。方法:选取2020年6月至2021年6月于该院接种疫苗的200名儿童家长进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各100名。对照组实施常规疫苗接种宣教,观察组实施疫苗接种前健康宣教,并随访至儿童2周岁。比较两组干预前后疫苗接种知识评分,干预后知信行评分、儿童疫苗接种率、儿童接种不良反应发生率。结果:干预后,观察组失访0名,对照组失访18名;两组疫苗接种知识评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0。05);观察组接种知识、接种行为、接种态度评分均高于对照组,差异有统计学意义(P<0。05);两组儿童卡介苗、乙肝疫苗、脊灰疫苗、百白破疫苗接种率比较,差异均无统计学意义(P>0。05);观察组儿童麻腮风疫苗、甲肝疫苗、乙脑疫苗、A群流脑疫苗、B型流感嗜血杆菌疫苗(HIB)、肠道病毒71型灭活(EV71)疫苗、口服轮状病毒疫苗(RV)、13价肺炎多糖结合疫苗(PCV13)接种率均高于对照组,差异有统计学意义(P<0。05);观察组儿童接种总次数为2850次,对照组接种总次数为2201次;观察组儿童接种不良反应发生率为1。05%(30/2850),低于对照组儿童的1。95%(43/2201),差异有统计学意义(P<0。05)。结论:健康宣教应用于儿童疫苗接种家长,可增加其疫苗接种知识掌握度,提高知信行评分和儿童疫苗接种率,降低不良反应发生率,效果优于常规疫苗接种宣教。
Application effects of health education in parents of children vaccinated
Objective:To observe application effects of health education in parents of children vaccinated. Methods:A prospective study was conducted on 200 parents of children who were vaccinated in the hospital from June 2020 to June 2021. According to the random number table method,they were divided into control group and observation group,100 cases in each group. The control group received routine vaccination education,while the observation group received the health education before vaccination. The children were followed up to 2 years old. The scores of vaccination knowledge before and after the intervention,the scores of knowledge,attitude and practice after the intervention,the vaccination rate of children and the incidence of adverse reactions of the children were compared between the two groups. Results:After the intervention,0 case was lost in the observation group,and 18 cases were lost in the control group. The vaccination knowledge scores of the two groups were higher than those before the intervention,that in the observation group was higher than that in the control group,and the difference was statistically significant (P<0.05). The scores of vaccination knowledge,vaccination behavior and vaccination attitude in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). There were no significant differences in the vaccination rates of BCG vaccine,hepatitis B vaccine,polio vaccine and DPT vaccine between the two groups (P>0.05). The vaccination rates of measles-mumps-rubella vaccine,hepatitis A vaccine,Japanese encephalitis vaccine,group A meningococcal vaccine,Haemophilus influenzae type B vaccine (HIB),enterovirus 71 inactivated vaccine (EV71),oral rotavirus vaccine (RV),and 13-valent pneumococcal polysaccharide conjugate vaccine (PCV13) in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). The total number of vaccinations in the observation group was 2850 times,and the total number of vaccinations in the control group was 2201 times. The incidence of adverse reactions in the observation group was 1.05% (30/2850),which was lower than 1.95% (43/2201) in the control group and the difference was statistically significant (P<0.05). Conclusions:The health education to the parents of the children vaccinated can increase their]vaccination knowledge,improve their knowledge-attitude-practice scores and the children's vaccination rate,and reduce the incidence of adverse reactions. Moreover,it is superior to the routine vaccination education.

ChildrenVaccineParentsHealth educationVaccination

李潢、李书芬

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郑州市金水区总医院预防保健科,河南 郑州 450000

儿童 疫苗 家长 健康宣教 接种

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(24)