社区健康教育处方单预防接种不良反应的效果分析  

Effects evaluation of health educational prescription on adverse events of vaccinoprophylaxis in community

作　　者：马国珍[1,2] 姜鹏君 邓军妹 李观红[2] 徐达[2] 钟良艳 万艳平[1] 

机构地区：[1]南华大学护理学院,衡阳421001 [2]深圳市南山区人民医院大新社康,518052 [3]深圳市南山区人民医院红花园社康,518052 [4]深圳市肿瘤医院,518000

出　　处：《中华现代护理杂志》2015年第35期4260-4263,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨健康教育处方单在儿童预防接种中的干预效果，为其在社区预防接种中推广提供参考依据。方法选择来社区接种疫苗的1～24月龄儿童1055人及其家长，随机分为对照组（n=495）和干预组（n=560）。对照组家长采用常规预防接种健康教育，干预组家长在常规健康教育的基础上，采用自制的健康教育处方单进行干预。比较6个月内两组儿童接种后不良反应的发生率及家长满意度。结果干预组儿童预防接种不良反应发生率均低于对照组，差异有统计学意义（P〈0．01）。干预组家长满意度为97．3％，对照组为90．9％，差异有统计学意义（X2=4．24，P〈0．05）。结论使用健康教育处方单能降低儿童预防接种后不良反应的发生率，提高家长对护理工作的满意度，可以在社区预防接种工作中推广。Objective -Toprovide basic references for the utilization of health educational prescription in community and to evaluate the intervention effects of health educational prescription in child vaccinoprophylaxis. Methods A total of 1055 participants （age ranged from 1-24 months） along with their parents were recruited from the community received routine health education about vaccinoprophylaxis. Participants were randomly divided into control group （ n = 495） and intervention group （ n = 560）. All parents in the control group received the conventional health education, while parents in the intervention group received the additional health education prescription based on the conventional health education. The rate of adverse reaction of vaccinoprophylaxis in children and the satisfaction level in parents for health care were compared between two groups after six months＇ interventions. Results The incidence rate of adverse reaction in the intervention group were lower than that of the control group （P 〈 0. 01 ）. The satisfaction level of parents in the intervention group was 97.3% and was 90.9% in the control group （ X2 = 4.24,P 〈 0. 05）. Conclusions The health educational prescription can reduce the incidence of adverse reaction in children and improve the satisfaction level in parents. It is worthy of promotion in community child vaccinoprophylaxis.

关 键 词：社区 儿童 计划免疫 健康教育 不良反应 

分 类 号：R186[医药卫生—流行病学]