某三甲医院儿童五苗接种及时率现状及影响因素分析  

Analysis on the Current Situation of Timely Inoculation Rate of 5 Vaccines and Influence Factors of Children in a Tertiary Hospital

作　　者：陈红敏[1] 董妞 CHEN Hong-min;DONG Niu(Children Hospital Affiliated to Zhengzhou University,Zhengzhou,450053,China)

机构地区：[1]郑州大学附属儿童医院,郑州450052

出　　处：《中国初级卫生保健》2019年第3期48-51,共4页Chinese Primary Health Care

摘　　要：目的了解郑州市某三甲医院儿童五苗接种及时率现状并分析其影响因素,为制定具有区域特色的预防接种管理对策提供理论依据。方法采用儿童一般情况调查表、儿童五苗接种情况调查表和儿童监护人疫苗接种知识调查问卷对郑州市某儿童医院出生的628名儿童及其监护人进行追踪调查。结果 628名儿童的卡介苗、乙肝疫苗、脊髓灰质炎疫苗、百白破疫苗和麻疹疫苗(初种)及时接种率分别为96.34%、85.19%、91.72%、86.46%和88.54%,五苗全程接种及时率为61.15%;多元线性回归分析结果显示,监护人职业、监护人疫苗接种相关知识得分、监护人文化程度、居住地与接种点距离、家庭收入及户口类型是影响儿童五苗接种及时率的因素。结论郑州市儿童五苗接种及时率仍有待进一步提高,各医院及疫苗接种单位应加大疫苗接种相关知识的普及力度,改进疫苗接种的管理策略,以提高儿童基础免疫接种及时率,确保疫苗的预防效果。OBJECTIVE To explore the current situation of timely inoculation rate of five vaccines and analyse its influence factors, in order to provide a theoretical basis for the formulation of preventive vaccination management countermeasures with regional characteristics.METHODS Children general situation questionnaire, children five vaccines inoculation information form and vaccination knowledge questionnaire of children’s guardians were adopted to conduct the tracking survey on 628 children, who born in a certain children’s hospital in Zhengzhou, as well as their guardians. RESULTS Timely inoculation rate of BCG, HepB, OPV, DPT and MV among 628 children were 96.34%, 85.19%, 91.72%, 86.46% and 88.54%. The full timely inoculation rate of five vaccines was 61.15%. Multiple linear regression analysis results showed that the guardians’ profession, the score of guardians’ vaccination knowledge, cultural degree of guardians, the distance of place of residence and vaccination point, family income and the registered permanent residence were the influencing factors of children ’s timely inoculation rate of 5 vaccines. CONCLUSION Timely inoculation rate of five vaccines remained to be further improved. Hospitals and vaccination units should intensify vaccination knowledge popularization, improve vaccination management strategy, in order to improve the children’s timely rate of general immunization, so as to ensure the immune prevention effect of vaccines.

关 键 词：五苗 预防接种及时率 影响因素 

分 类 号：R19[医药卫生—卫生事业管理]