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

发布时间：2018-04-15 07:08

本文选题：疑似预防接种异常反应(AEFI) + 调查　；参考：《中国公共卫生》2017年06期

【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 investigate the knowledge, attitude and related behavior of vaccination outpatients and parents of children in monitoring the suspected abnormal vaccination response (AEFI).Methods from December 2015 to January 2016, a questionnaire survey was conducted among 1 274 parents and 315 outpatients in Ganzhou City, Jiangxi Province.Results 98.41% of the vaccination outpatients knew the definition of AEFI surveillance, but only 26.67% knew that the reporting time limit of the report card was 94.11% and only 61.30% knew the time of occurrence of most adverse reactions.Both sides supported AEFI monitoring work, 96.51% of outpatients and 89.79% of parents thought it was necessary to carry out AEFI monitoring, and their participation was good, and 41.27% of outpatients suspected AEFI but did not report the phenomenon.This phenomenon was related to the number of training, 42.37% of the unreported AEFI personnel thought that the monitoring of AEFI was an extra burden, which was much higher than that of those who had reported AEFI, and the parents had a better sense of reporting after the occurrence of AEFI.Only 42.70% of the parents did not report AEFI with mild symptoms. Only 42.70% of the parents stayed for more than 30 mins after inoculation. The proportion of parents in rural areas was higher than that in urban areas, and the proportion of parents in villages and towns was higher, which was related to the attitude of parents and the degree of knowledge about them.Conclusion the training of outpatients should be strengthened, the information before inoculation and the propaganda of AEFI knowledge should be strengthened.
【作者单位】：赣州市疾病预防控制中心免规科;崇义县疾病预防控制中心免规科;
【分类号】：R186

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