优质干预对儿童麻风二联疫苗免疫接种后不良反应影响的临床研究.docxVIP

优质干预对儿童麻风二联疫苗免疫接种后不良反应影响的临床研究 湖北省黄石市爱康医院湖北黄石435000 【摘 要】目的：探讨优质干预对儿童麻风二联疫苗免疫接种后不良反应发 生率的影响，以降低接种后的不良反应，提高麻风二联疫苗免疫接种的服务质量。 方法：选取2010年8月接种麻风二联疫苗并对其实施常规干预的儿童250例作 为对照组，选取2012年8月接种麻风二联疫苗并对其实施优质干预的儿童250 例作为观察组。比较两组儿童接种过程中的配合情况、儿童家长对麻风二联疫苗 免疫接种相关知识的认知情况，儿童接种后的不良反应发生情况，综合评价优质 干预对儿童麻风二联疫苗免疫接种后不良反应的影响。结果：优质干预组儿童在 接种过程屮出现哭闹、反抗的概率明显低于常规干预组儿童，组间比较差异均具 有显著性(PV0.05)；优质干预组儿童家长对麻风二联疫苗免疫接种相关知识的 认知综合水平明显高于常规干预组儿童家长，组间比较差异具有统计学意义(P 0.05)；两组儿童接种后2周内发生不良反应率比较，优质干预组明显低于常 规干预组，差异具有统计学意义(PV0.05)。结论：对儿童及家长实施优质干预， 可提高家长对儿童麻风二联疫苗免疫接种相关知识的认知水平，能有效降低儿童 接种后的不良反应发生率，对家长主动预防和正确处理接种后不良反应具有重要 意义。 【关键词】优质干预；麻风二联疫苗；免疫接种；不良反应；影响分析 【中图分类号J R186 【文献标识码］B 【文章编号】1674-8999 (2015 ) 6-0123-02 Clinical studies of adverse reactions affecting quality care for children of leprosy after bivalent vaccine for the immunization Ku Shuhua Peng Jun Huangshi Love amp; Health Hospital,HuBei;435000;China 【Abstract] Objective: To investigate the effect of high-quality care for the childre n of leprosy bivale nt vacci ne immun ization in cide nee of adverse reacti ons , in order to reduce adverse reactions after vaccination , improve the quality of leprosy bivale nt vacci ne immun izati on services. Methods: August 2010 in our hospital bivale nt vacci ne ino culati on leprosy and its implementatio n of 250 cases of routi ne care for childre n as a con trol group , selected in August 2012 in our hospital bivale nt vaccine inoculation leprosy and its implementation of quality care for children 250 cases as the observation group . Were compared with children vaccinated during the case , pare nts of childre n with leprosy aware ness of the situati on bivale nt vacci ne immunization -related knowledge , children occurrenee of adverse reactions after vaccination , the comprehensive evaluation of quality care for the children of leprosy bivale nt vacci ne immun izati on bad reacti on. Results: quality care for childre n in the group vacci nated duri ng the cryi ng, the probability of resista nee was significa ntly lower than the