无缝隙管理对社区流动儿童疫苗及时接种质量的影响  

Effects of seamless nursing on the quality of timelyvaccination in community floating children

作　　者：刘霞[1] 马国珍[2] 邓军妹 叶晓春[2] 邓艳平 Liu Xia;Ma Guozhen;Deng Junmei;Ye Xiaochun;Deng Yanping(Department of Human Resource, Nanshan People＇s Hosphal in Shenzhen, Shenzhen 518052, China;Daxin Community Health Center, Nanshan People＇s Hospital in Shenzhen, Shenzhen 518052, China;Department of General Medicine, Nanshan People＇s Hospital in Shenzhen, Shenzhen 518052, China)

机构地区：[1]深圳市南山区人民医院人事科,518052 [2]深圳市南山区人民医院大新社区健康服务中心,518052 [3]深圳市南山区人民医院全科医学科,518052

出　　处：《中华现代护理杂志》2018年第5期536-540,共5页Chinese Journal of Modern Nursing

基　　金：深圳市科技计划项目（JCYJ20160429182440222）

摘　　要：目的 探讨无缝隙管理对社区流动儿童疫苗及时接种质量的影响,为计划免疫护士管理及时接种工作提供参考依据.方法 采用便利整群抽样方法,将2家社区健康服务中心随机分为对照组和干预组,每组155名流动儿童（家长）作为研究对象.对照组给予常规护理管理.干预组在常规护理管理的基础上通过家庭医生团队与儿童家庭签约,通过接种日集体健康讲座,专科健康教育处方单进家庭,远程家庭技能指导措施进行无缝隙管理.比较两组家长及时接种的健康信念、儿童疫苗及时接种率和家长的满意度.结果 干预后,对照组儿童家长健康信念总分为（58.42±6.90）分,干预组为（99.07±7.23）分,干预组高于对照组,差异有统计学意义（t=-50.637,P〈0.001）;对照组儿童疫苗及时接种率为81.94%,干预组为94.84%,差异有统计学意义（χ2=12.571,P〈0.001）;对照组家长满意度为87.10%,干预组为95.48%,差异有统计学意义（χ2=6.856,P〈0.001）.结论 无缝隙管理可提高儿童疫苗及时接种质量及家长满意度.Objective To explore the effects of seamless nursing on timely vaccination in community floating children, so as to provide references for the management of the immunization nurses and the implementation of timely vaccination in community health service center. Methods Totally 155 cases of floating children （parents） from 2 community health service centers were recruited in the research by convenience sampling method, and assigned into intervention group and control group for each community health service center. Routine nursing management was applied in the control group. Based on the routine nursing management, the intervention group received seamless nursing by the contract between family doctor team and the children＇s family, collective health seminars on vaccination day, specialist health education of prescription into the family, remote guidance about home skills. The parents＇ health belief of timely immunization, the timely immunization rate and the parents＇ satisfaction were compared between the two groups. Results After the intervention, the score of the parents＇ health belief of the control group was （58.42±6.90）, which was lower than that of the intervention group （99.07±7.23）, and the difference was statistically significant （t=-50.637, P〈 0.001）. The timely vaccination rates of the control group and the intervention group were 81.94% and 94.84% respectively, and the difference was statistically significant （χ2=12.571, P〈 0.001）. There was a significantly higher satisfaction rate in the intervention group （95.48%） than in the control group （87.10%） （χ2=6.856,P〈 0.001）. Conclusions The seamless management could effectively improve the quality of timely children vaccination and the parents＇ satisfaction rate.

关 键 词：儿童 疫苗 社区保健护理 无缝隙管理 

分 类 号：R186[医药卫生—流行病学]