团队资源管理联合健康教育对适龄儿童疫苗预防接种率和接种知晓率的影响

Effects of Team Resource Management Combined with Health Education on Vaccination Coverage Rate and Vaccination Awareness Rate of School-age Children

目的探讨团队资源管理联合健康教育对适龄儿童疫苗预防接种率和接种知晓率的影响。方法选择2020年1月—2022年12月在聊城市妇幼保健院进行疫苗接种的96例适龄儿童作为研究对象,根据不同干预方案将所有儿童分为对照组和研究组,每组48例。对照组给予常规健康指导,研究组给予团队资源管理联合健康教育,干预结束后对两组的干预效果进行评价。结果干预后,两组儿童家长PACV量表各维度评分较干预前均明显升高,且研究组升高更明显,差异有统计学意义(P<0.05);干预后,两组儿童家长预防接种知晓率较干预前均明显升高,且研究组升高更明显,差异有统计学意义(P<0.05);研究组接种依从性较对照组高,差异有统计学意义(P<0.05);研究组不良反应发生率较对照组低,差异有统计学意义(P<0.05);研究组儿童按时接种率较对照组高,接种延迟及遗漏率较对照组低,差异有统计学意义(P<0.05)。结论团队资源管理联合健康教育可有效改变家长对疫苗接种态度,提高接种知晓率,从而提高儿童接种依从性及预防接种率,降低不良反应发生率,值得在适龄儿童疫苗预防接种中应用。

Objective To explore the effect of team resource management combined with health education on vaccination coverage rate and vaccination awareness rate of school-age children.Methods A total of 96 children of appropriate age who were vaccinated from January 2020 to December 2022 were selected as the study subjects.The study method was retrospective study.The subjects were divided into 48 groups according to different intervention schemes.The control group received routine health guidance,while the research group jointly carried out team resource management and health education.The intervention effect of the two groups was evaluated after the intervention.Results After intervention,the scores of all dimensions of PACV scale of parents in the two groups were significantly higher than before intervention,and the scores in the study group were more significantly higher than those in the control group,statistically significant difference(P<0.05);After intervention,the awareness rate of parents of children in the two groups was significantly higher than before intervention,and the increase was more obvious in the study group compared with the control group,statistically significant difference(P<0.05);In terms of vaccination compliance,the study group was higher than the control group,respectively,and the difference between groups was significant(P<0.05);The incidence of adverse reactions in the study group was lower than that in the control group,statistically significant difference(P<0.05);The rate of timely vaccination in the study group was higher than that in the control group,and the rate of delayed and missed vaccination was lower,statistically significant difference(P<0.05).Conclusion The combination of team resource management and health education can effectively change parents'attitude towards vaccination,improve the vaccination awareness rate,improve children's vaccination compliance and vaccination prevention rate,and reduce the incidence of adverse reactions,which is worthy of vigorous promotion in the vaccination of school-age children.