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基于全科医护团队网格化管理对“家庭式流动”儿童免疫规划的影响 被引量:8
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作者 陈玉荣 刘春凡 +1 位作者 张婕 杨晓 《河南医学研究》 CAS 2019年第13期2307-2311,共5页
目的探讨基于全科医护团队网格化管理对社区“家庭式流动”儿童免疫规划的影响。方法采用便利抽样法从郑州市4个辖区(管城区、金水区、二七区、郑东新区)内5家社区卫生服务中心抽取660名0~6岁儿童的家长或监护人作为调查对象,现场发放... 目的探讨基于全科医护团队网格化管理对社区“家庭式流动”儿童免疫规划的影响。方法采用便利抽样法从郑州市4个辖区(管城区、金水区、二七区、郑东新区)内5家社区卫生服务中心抽取660名0~6岁儿童的家长或监护人作为调查对象,现场发放调查问卷。调查“家庭式流动”儿童国家免疫规划(NIP)疫苗接种情况,包括卡介苗(BCG)、脊髓灰质炎疫苗(OPV)、百白破疫苗(DPT)、麻疹疫苗(MV)、乙肝疫苗(HepB)。统计基于全科医护团队网格化定位管理后“家庭式流动”儿童的计划免疫接种率。了解流动儿童未及时接种的原因。另抽查郑州市某社区2014—2018年流动儿童基础疫苗完成率和加强疫苗完成率。结果回收有效问卷616份,回收率为93.33%。外省户籍和无户籍流动儿童NIP疫苗接种率低于本省外市户籍流动儿童,外省户籍和无户籍流动儿童NIP疫苗接种率低于本市外区户籍的流动儿童,差异有统计学意义(均P<0.05)。流动儿童基础免疫接种率(BCG接种率、OPV接种率、DPT接种率、MV接种率、HepB接种率、五苗接种率、五苗合格率)均低于常住儿童接种率,差异有统计学意义(均P<0.05)。流动儿童未及时接种的主要原因为监护人工作忙而忘记接种程序及时间或没时间带儿童去接种。实施全科医护团队网格化管理后,2018年五苗全程接种率高于2014年五苗全程接种率,差异有统计学意义(P<0.05)。0~6岁流动儿童基础疫苗完成率和加强疫苗完成率呈现整体上升的趋势。结论流动儿童基础免疫疫苗接种率较低,特别是外省和无户籍的流动儿童。基于全科医护团队网格化定位管理流动儿童计划免疫接种,能有效促进流动儿童疫苗接种率的提高。 展开更多
关键词 全科医护团队 “家庭式流动”儿童 网格化管理 国家免疫规划
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SPECIAL ISSUE: MIGRANT WORKERS IN THE COURSE OF URBANIZATION The upbringing and education of migrant workers' children in the Pearl River Delta
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作者 Wang Jin Zhao Jun 《Social Sciences in China》 2008年第3期121-135,共15页
In the course of the large-scale migration to the cities of China's rural labor force over the past twenty years, most migrant workers have left their children behind in their hometown, though some children do follow... In the course of the large-scale migration to the cities of China's rural labor force over the past twenty years, most migrant workers have left their children behind in their hometown, though some children do follow their parents to the city. The issue of the upbringing and education of these children, whether "left behind" or "migrating," has always been a major concern of society and the academic world. This article aims to understand the factors affecting whether these children "stay behind" in their hometown or "flow" to the city through analysis of the child-rearing and education patterns reflected in survey information on over 3,000 migrant workers in the Pearl River Delta in 2006. We find that, after controlling for individual and family factors, regional differences in migrant workers' origins remains an important factor influencing whether children "stay behind" or "migrate." The causes and mechanisms behind the existence of "regional barriers" is an issue worth further exploration. 展开更多
关键词 education of migrant workers' children "left-behind children "migrant children "family education pattern
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