本文選題：疑似預(yù)防接種異常反應(yīng)(AEFI) + 調(diào)查��； 參考：《中國(guó)公共衛(wèi)生》2017年06期

【摘要】：目的了解接種門診人員和兒童家長(zhǎng)對(duì)疑似預(yù)防接種異常反應(yīng)(AEFI)監(jiān)測(cè)的知識(shí)、態(tài)度和相關(guān)行為。方法 2015年12月—2016年1月,在江西贛州市對(duì)1 274名兒童家長(zhǎng)和315名門診人員就AEFI監(jiān)測(cè)的知信行情況進(jìn)行問卷調(diào)查。結(jié)果 98.41%的接種門診人員知曉AEFI監(jiān)測(cè)定義,但僅有26.67%的人知曉報(bào)告卡上報(bào)時(shí)限;94.11%的家長(zhǎng)知曉接種疫苗后現(xiàn)場(chǎng)留觀30 min,僅有61.30%的人知曉大部分不良反應(yīng)發(fā)生時(shí)間;在態(tài)度上,雙方均支持AEFI監(jiān)測(cè)工作,96.51%的門診人員和89.79%的家長(zhǎng)認(rèn)為有必要開展AEFI監(jiān)測(cè)工作,參與度較好;相關(guān)行為方面,41.27%的門診人員存在懷疑為AEFI但未報(bào)告現(xiàn)象,該現(xiàn)象與接受培訓(xùn)次數(shù)有關(guān);未報(bào)告AEFI人員中有42.37%認(rèn)為AEFI監(jiān)測(cè)工作是額外負(fù)擔(dān),遠(yuǎn)高于報(bào)告過AEFI人員;兒童發(fā)生AEFI后家長(zhǎng)報(bào)告意識(shí)較好,報(bào)告率達(dá)86.04%;17.97%的家長(zhǎng)對(duì)癥狀輕的AEFI不報(bào)告,僅有42.70%的家長(zhǎng)接種后留觀時(shí)間≥30 min,其中農(nóng)村家長(zhǎng)較城區(qū)、鄉(xiāng)鎮(zhèn)家長(zhǎng)比例高,并與家長(zhǎng)所持態(tài)度及相關(guān)知識(shí)知曉程度有關(guān)。結(jié)論應(yīng)加強(qiáng)門診人員的培訓(xùn)工作,強(qiáng)化接種前的告知及AEFI知識(shí)的宣傳工作。
[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.
【作者單位】： 贛州市疾病預(yù)防控制中心免規(guī)科;崇義縣疾病預(yù)防控制中心免規(guī)科;
【分類號(hào)】：R186

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