改进健康教育方式对促进社区流动儿童及时接种疫苗的效果  

Effect of health education improvement on promotion of timely vaccination among migrant children in community

作　　者：马国珍[1] 莫蓓蓉[2] 姜鹏君[3] 申红琳 邓军妹 

机构地区：[1]深圳市南山区人民医院大新社区健康服务中心,518052 [2]深圳市南山区人民医院护理部,518052 [3]深圳市南山区人民医院肛肠科,518052

出　　处：《中华护理杂志》2017年第1期87-92,共6页Chinese Journal of Nursing

基　　金：深圳市南山区科技计划资助项目(2015016)

摘　　要：目的探讨改进健康教育方式对促进社区流动儿童疫苗及时接种的效果,为计划免疫护士管理疫苗及时接种工作提供参考。方法将2015年7月—2016年2月期间到社区健康服务中心接种、0~4月龄的155名流动儿童及其家长作为研究对象,在常规健康教育方法的基础上,通过改进健康教育方式干预家长的疫苗及时接种健康信念。评价家长参与健康教育活动的依从性、干预后不同阶段家长的疫苗及时接种健康信念及干预后家长满意度,比较干预前后流动儿童及时接种率。结果家长参与12周健康教育活动的依从性,前3周为85%~91%,4周后达95%以上;干预6个月后,家长疫苗及时接种的健康信念得分高于干预3个月后及干预前,差异有统计学意义(P<0.05);干预后流动儿童疫苗及时接种率为94.838%,高于干预前的流动儿童疫苗及时接种率81.935%(P<0.05);干预后家长满意度为95.484%。结论通过改进健康教育方式干预疫苗及时接种工作,可提高流动儿童家长的疫苗及时接种健康信念、对护理工作的满意度及儿童疫苗及时接种率。Objective To explore the effect of health education improvement on promotion of timely vaccination among migrant children in community and to provide references for community health service center. Methods A total of 155 migrant children＇s parents were recruited from July 2015 to February 2016,and improved health educa- tion intervention was carried out on the basis of routine health education to promote parents＇ health belief on time- ly vaccination. The compliance of parents＇ participation in health education activities,the health belief of parents themselves on timely vaccination at different stages of intervention and parents＇ satisfaction,and the rate of timely vaccination of migrant children before and after intervention were evaluated. Results Regarding the compliance of health education activities for parents in 12 weeks,the first 3 weeks was 85% - 91%,the last 4 weeks were 95% and above. Six months after intervention,the score of parents＇ health belief on timely vaccination was higher than that after 3 months of intervention and before intervention,and the difference was statistically significant （P〈0.05）. The timely vaccination rates in the study group for migrant children was higher than that in the historical groups （P〈0.05）. After intervention,the satisfaction rate for parents was 95.484%. Conclusion Health education improve- ment could effectively promote parents＇ health belief on timely vaccination,satisfaction rate and rate of timely vac- cination among migrant children.

关 键 词：社区保健护理 流动儿童 接种 健康教育 

分 类 号：R473.2[医药卫生—护理学]