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钟小荣, 卢致强, 陈祥发, 张志强, 尹帆, 邓海智, 杨静. 接种门诊人员和儿童家长对疑似预防接种异常反应监测知信行调查[J]. 中国公共卫生, 2017, 33(6): 874-878. DOI: 10.11847/zgggws2017-33-06-04
引用本文: 钟小荣, 卢致强, 陈祥发, 张志强, 尹帆, 邓海智, 杨静. 接种门诊人员和儿童家长对疑似预防接种异常反应监测知信行调查[J]. 中国公共卫生, 2017, 33(6): 874-878. DOI: 10.11847/zgggws2017-33-06-04
ZHONG Xiao-rong, LU Zhi-qiang, CHEN Xiang-fa.et al, . Knowledge,attitude and practice on adverse events following immunization among clinic vaccinators and parents of children receiving vaccination in Ganzhou city[J]. Chinese Journal of Public Health, 2017, 33(6): 874-878. DOI: 10.11847/zgggws2017-33-06-04
Citation: ZHONG Xiao-rong, LU Zhi-qiang, CHEN Xiang-fa.et al, . Knowledge,attitude and practice on adverse events following immunization among clinic vaccinators and parents of children receiving vaccination in Ganzhou city[J]. Chinese Journal of Public Health, 2017, 33(6): 874-878. DOI: 10.11847/zgggws2017-33-06-04

接种门诊人员和儿童家长对疑似预防接种异常反应监测知信行调查

Knowledge,attitude and practice on adverse events following immunization among clinic vaccinators and parents of children receiving vaccination in Ganzhou city

  • 摘要: 目的 了解接种门诊人员和儿童家长对疑似预防接种异常反应(AEFI)监测的知识、态度和相关行为。方法 2015年12月—2016年1月,在江西赣州市对1 274名儿童家长和315名门诊人员就AEFI监测的知信行情况进行问卷调查。结果 98.41%的接种门诊人员知晓AEFI监测定义,但仅有26.67%的人知晓报告卡上报时限;94.11%的家长知晓接种疫苗后现场留观30 min,仅有61.30%的人知晓大部分不良反应发生时间;在态度上,双方均支持AEFI监测工作,96.51%的门诊人员和89.79%的家长认为有必要开展AEFI监测工作,参与度较好;相关行为方面,41.27%的门诊人员存在怀疑为AEFI但未报告现象,该现象与接受培训次数有关;未报告AEFI人员中有42.37%认为AEFI监测工作是额外负担,远高于报告过AEFI人员;儿童发生AEFI后家长报告意识较好,报告率达86.04%;17.97%的家长对症状轻的AEFI不报告,仅有42.70%的家长接种后留观时间≥30 min,其中农村家长较城区、乡镇家长比例高,并与家长所持态度及相关知识知晓程度有关。结论 应加强门诊人员的培训工作,强化接种前的告知及AEFI知识的宣传工作。

     

    Abstract: Objective To examine the knowledge,attitude and practice (KAP) on adverse events following immunization (AEFI) among vaccination clinic medical staff and the parents of the children receiving vaccinations in Ganzhou city of Jiangxi province.Methods With stratified random cluster sampling,a questionnaire survey on KAP of AEFI was conducted among 1 274 parents of the children receiving planned immunization and 315 medical staff engaged in clinic vaccination in Ganzhou city between December 2015 and January 2016.Results Of the clinic vaccinators,98.41% knew the definition of AEFI,but only 26.67% knew the time limit for submiting an AEFI report card; of the parents,94.11% knew that a child should be observed at least 30 minutes after having a vaccination at a clinic,but only 61.30% knew the period of time for the occurrence of a majority of AEFI.Most of the clinic vaccinators (96.51%) and the parents (89.70%) thought it is necessary to carry out surveillance on AEFI,but 17.97% of the parents din not think it is necessary to report AEFI with mild symptoms.Among the clinic vaccinators,42.17% reported the experience of having observed suspected AEFI but not submitting a report and the experience was influenced by the times of receiving trainings in relation to AEFI; of the clinic vaccinators with the history of not submitting report for suspected AEFI,42.73% did not regard carrying out surveillance on AEFI as their routine work and the ratio was much higher than that for the clinic vaccinator without the history.Among all the parents,only 544 (42.70%)reported keeping their children under observation for 30 minutes or more at clinics after the vaccinations,with more rural parents reporting the activity than urban and town parents and influences of knowledge and attitude on AEFI.Of the 351 parents having observed suspected AEFI of their children,86.04%(302)reported the condition to relevant institutes or personnel.Conclusion Trainings on AEFI among clinic vaccinators,notification to parents of the children before an enforced vaccination,and health education on AEFI among the parents of children should be strengthened.

     

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