摘要
目的：调查分析广西壮族自治区农村地区25～42个月龄儿童麻疹疫苗及时全程接种率情况及其与监护人对接种服务满意度的影响因素。方法：采用多阶段分层抽样的方法从广西壮族自治区4个县（隆林县、隆安县、昭平县、武宣县）进行随机抽样调查,随机抽取1 217名25～42个月龄儿童进行现场调查,根据目标儿童计划免疫接种本,查看第一针和第二针接种信息。并采用自行拟定的监护人对接种服务的满意度调查表（12个条目）,以面对面问卷调查的方式调查目标儿童监护人对乡镇卫生院服务的满意度,分析麻疹疫苗及时全程接种率与监护人满意度的影响因素。结果：1 217名儿童麻疹疫苗第一针、第二针及两针及时全程接种率分别为60.40%、84.00%、54.15%。4个县儿童麻疹疫苗及时全程接种率比较差别有统计学意义（χ2=78.94,P=0.00）。多因素Logistic回归分析结果表明,家到乡镇卫生院的距离、告知儿童接种麻疹疫苗的方式、防保医生接种技能、防保医生提供的预约服务、防保医生解答情况、接种后防保医生对接种注意事项的讲解、防保医生对家长或儿童的熟悉程度是儿童麻疹疫苗两针及时全程接种率的影响因素（均P〈0.001）。结论：监护人接种服务满意度是儿童麻疹疫苗及时全程接种率的影响因素,应不断提高防保工作人员的整体业务水平,从而使儿童麻疹疫苗全程及时接种率得到提高。
Objective：To explore timely inoculation rates of measles-containing vaccine（MCV）in children of25 to 42months old,and how these rates were affected by the service satisfaction from child＇s guardian.Methods：By using multi-stage stratified random sampling method,1217 children of 25 to 42 mouths old from 4counties were selected to conduct face-to-face interviews.We collected the information regarding first and second dose of MCV from Child Vaccination Record Book,and performed a face-to-face questionnaire survey regarding the service satisfaction towards health center from child＇s guardian.The influences of service satisfaction on vaccination completion rates were then analyzed.Results：The timely inoculation rates of the MCV first,second and both doses were 60.4%,84.4% and 54.1%,respectively.The four counties differed statistically in the timely inoculation rates（χ2=78.94,P =0.00）.Multi-factor logistic analysis results showed that the influencing factors that associated with two doses timely inoculation rates included the distance from home to townships health center,the communication ways to inform children to inoculate, the inoculated skills of doctor, the appointment service provided by the doctor,how well doctor could answer questions asked by the guardian,after-inoculation explanation of do＇s and don＇ts by the doctor,the familiarity of doctors to the child or the family（P 0.001）.Conclusion：Guardians＇ satisfaction toward health service was significantly correlated with the timely inoculation completion rates.Therefore,the quality of measles vaccination service and the overall quality of prevention and care staffs were essential,in order to encourage timely completion of child MCV inoculation.
出处
《广西医科大学学报》
CAS
2016年第2期364-366,共3页
Journal of Guangxi Medical University
基金
美国中华医学基金资助项目(No.14-202)
关键词
麻疹疫苗
及时全程接种率
监护人
满意度
measles-containing vaccine
timely inoculation rate
health service satisfaction
