QQ群平台联合健康宣教对小儿疫苗接种的影响  

Influence of QQ group platform combined with health education on childhood vaccination

作　　者：张红英[1] 张建军[1] 

机构地区：[1]北京市房山区良乡医院预防保健科,北京102401

出　　处：《中国妇幼健康研究》2017年第12期1627-1629,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨QQ群平台联合健康宣教在小儿免疫接种中的应用效果及价值。方法选取2015年1月至2016年12月北京市房山区良乡医院预防保健科接种疫苗的小儿家长569名,用随机数字法将其分为对照组(n=203)和观察组(n=366)。对照采用常规方法宣教,观察组在对照组的基础上联合QQ群平台宣教,比较两组小儿疫苗接种情况及家属认知情况。结果观察组经QQ群平台宣教后,卡介苗第一针、甲肝第一针、乙肝第二针、脊髓灰质炎疫苗第一针、百白破第一针、乙肝第三针、麻类疫苗第一针、流脑第一针及乙脑第一针接种率均高于对照组(χ~2值分别为6.932、7.912、4.251、5.873、6.912、5.23、4.993、5.142、6.912,均P<0.05);观察组宣教后1个月疫苗联合应用、抗生素应用效果、接种疫苗对小儿的影响和不良反应处理方法的知晓率,均高于对照组(均P<0.05);观察组接种率高于对照组(χ~2=18.564,P<0.05);观察组疫苗接种不良反应发生率与对照组比较差异无统计学意义(P>0.05);观察组接种延迟时间短于对照组(t=5.684,P<0.05)。结论将QQ群平台联合健康宣教用于小儿疫苗接种管理过程中效果理想,有助于提高疫苗接种率,提高了家属的认知水平,值得推广应用。Objective To explore the application effect and value of QQ group platform jointing health education on childhood immunization.Methods Altogether 569 parents,whose children were vaccinated in preventive health care department of Liangxiang Hospital of Fangshan District in Beijing from January 2015 to December 2016,were selected and randomly divided into control group（n=203）and observation group（n=366）.Parents in the control group received routine instruction and parents in the observation group were instructed by using QQ group platform based on the routine education received in the control group.Vaccination status of children and awareness of parents were compared between two groups.Results After QQ platform instruction,vaccination rates of BCG at first injection,hepatitis A at first injection,hepatitis B at second injection,poliovaccine at first injection,DPT at first injection,hepatitis B at third injection,measles vaccine at first injection,meningococcal vaccine at first injection and JE vaccine at first injection were higher in the observation group than those in the control group（χ~2 value was 6.932,7.912,4.251,5.873,6.912,5.23,4.993,5.142 and 6.912,respectively,all P〈0.05）.Parents＇ awareness rate of combined application of vaccine,application effect of antibiotics,effect of inoculation on children and treatment of adverse reactions 1 month after instruction was higher in the observation group（all P〈0.05）.The inoculation rate was higher in the observation group than in the control group（χ~2=18.564,P〈0.05）.Difference in incidence of adverse reactions after vaccination was not significant between two groups（P〈0.05）.Delay of vaccination in the observation group was shorter than that in the control group（t=5.684,P〈0.05）.ConclusionInstruction by using QQ group platform and health education achieves good effect in management of children＇s vaccination,which is helpful in enhancing vaccination rate and improving parents＇ awareness.It is worthy of popularization.

关 键 词：传染病 预防知识 健康宣教 小儿疫苗 接种 

分 类 号：R193[医药卫生—卫生事业管理]