摘要
目的探讨新生儿乙肝疫苗未及时接种原因,提出相应的护理对策。方法选取2019年6月—2020年10月的新生儿家属为调查对象,采用调查问卷的形式展开调查,整理、统计新生儿接种疫苗情况,分析乙肝疫苗未及时接种的原因,并提出相应的护理对策。结果65例调查对象中,50例新生儿及时接种了乙肝疫苗,及时接种率为76.92%,未及时接种15例,未及时接种率为23.08%。经单因素分析,未及时接种组与接种组在父母文化程度、父母月收入、接种态度及医务人员的提醒上存在差异,差异具有统计学意义(P<0.05)。将单因素中的影响因素应用Logistic回归分析,发现父母文化程度(小学、初中)、父母月收入(<5000元)、接种态度(不重要)及医务人员提醒(未提醒接种疫苗)是影响新生儿乙肝疫苗未及时接种的独立危险因素。结论影响新生儿乙肝疫苗未及时接种原因主要与父母文化程度、收入、接种意识及医务人员是否提醒有关,为了提高乙肝疫苗及时接种率,需要从新生儿父母及医务人员两方面着手,加强乙肝疫苗接种宣传。
Objective To explore and analyze the causes of neonatal hepatitis B vaccine not timely inoculation,and put forward the corresponding nursing countermeasures for intervention.Methods Newborn family members from June 2019 to October 2020 were selected as the survey objects.The survey was conducted in the form of questionnaire.The situation of newborn vaccinations was sorted out and counted.Results Among the 65 subjects,50 neonates received hepatitis B vaccine in time,the rate of timely vaccination was 76.92%,15 neonates did not receive hepatitis B vaccine in time,the rate of timely vaccination was 23.08%.According to single factor analysis,there were statistically significant differences between the untreated group and the inoculated group in terms of parents'educational level,parents'monthly income,attitudes towards inoculation and reminders from medical staff(P<0.05).Logistic regression analysis showed that parents'education level(primary school,junior high school),parents'monthly income(<5000 yuan),attitude towards vaccination(not important)and medical staff's warning(not reminding vaccination)were independent risk factors for neonatal hepatitis B vaccine not being vaccinated in time.Conclusion The reasons affecting the timely vaccination of newborn hepatitis B vaccine are mainly related to the parents'education level,income,vaccination awareness and whether the medical staff remind them.In order to improve the timely vaccination rate of hepatitis B vaccine,it is necessary to strengthen the publicity of hepatitis B vaccine vaccination from the newborn parents and medical staff.
作者
杨丽梅
李娟
叶新连
Yang Limei;Li Juan;Ye Xinlian(The Maternal and Child Health Hospital of Longchuan County,Longchuan,Guangdong 517300)
出处
《基层医学论坛》
2021年第12期1646-1648,共3页
The Medical Forum
基金
2019年河源市社会发展科技计划项目(河科【2019】55号-94)。
关键词
新生儿
乙肝疫苗接种
接种不及时
原因
护理对策
Newborn
Hepatitis B vaccination
Late inoculation
Reason
Nursing countermeasure
