微信公众平台对患者接种狂犬疫苗依从性的影响

Influence of WeChat Public Platform on Patients'Compliance with Rabies Vaccination

目的探讨微信公众平台对狂犬疫苗接种患者依从性的影响。方法选取2019年8月—2020年1月厦门医学院附属第二医院急诊科接种狂犬疫苗240例患者,以2019年8—10月(应用微信公众平台前)接种狂犬疫苗患者为对照组,共130例,以2019年11月—2020年1月(实施微信公众平台后)接种狂犬疫苗患者为实验组,共110例,对照组和实验组均按常规程序给予伤口处理、疫苗接种、健康宣教。实验组在医生开出疫苗接种医嘱后,扫描二维码关注微信公众平台,点击狂犬疫苗接种,填写个人信息,开启提醒功能。后四针每一次接种之前通过手机微信提前3 d开始提醒,每天7:00提醒1次,直至接种疫苗当日。对比两组接种第1针、第2针、第3针、第4针、第5针的患者比例,统计完成全程接种以及未完成全程接种的患者比例,观察接种期间的不良反应,患者的依从性及满意度。结果实验组与对照组比较接种第1针、第2针比例差异无统计学意义(P>0.05),接种第3针、第4针、第5针比例均较高,差异有统计学意义(P<0.05)。两组接种期间不良反应发生率差异无统计学意义(P>0.05)。实验组与对照组相比完成全程接种患者的比例较高,患者满意度较高,差异有统计学意义(P<0.05)。结论微信公众平台明显提高了狂犬疫苗接种患者全程接种率,患者依从性较好,满意度较高。

Objective To explore and analyze the impact of WeChat public platform on patients'compliance with rabies vaccination.Methods Two hundred and forty patients who received rabies vaccine in our hospital's emergency department from August 2019 to January 2020 were selected.Patients who received rabies vaccine from August 2019 to October 2019(before using the WeChat Official Account)were selected as the control group,and there were 130 patients in the group.Those patients who received rabies vaccine from November 2019 to January 2020(after using the WeChat public platform)were selected as the experimental group,and there were 110 patients in the group.According to routine procedures,both the control group and the experimental group were given wound treatment,vaccination,and health education.After the doctor prescribed the vaccination,the experimental group was asked to scan the QR code to follow the Wechat public platform.And in the rabies vaccine vaccination function,the patients filled in personal information,and opened the reminder function.The last four shots of the experimental group were reminded 3 days in advance by WeChat through the mobile phone before each vaccine,and were reminded once a day in the morning till the day of the vaccination.The proportion of patients who received first,second,third,fourth,and fifth injections was compared in two groups.The proportion of patients who completed the entire vaccination process and those who did not complete the entire vaccination process were counted,and adverse reactions during the vaccination period were observed.Patient compliance and satisfaction were compared in two groups.Results There was no significant difference in the proportion of the first and second injections between the experimental group and the control group(P>0.05).The proportion of injections of the third,fourth,and fifth injections rate in the experimental group was higher than in the control group,and the difference was statistically significant(P<0.05).During the injection period,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).The proportion of patients who completed the whole course of vaccination and patient satisfaction was higher in the experimental group than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of the WeChat public platform has significantly increased the vaccination rate of rabies vaccination of patients throughout the course,and patients have better compliance and higher satisfaction.