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目的:了解碧江区乡、村级免疫规划人员“知、信、行”水平,通过实施干预措施的收效情况。方法:选取全区12个乡镇,每乡镇(社区)随机抽乡级2名,村级8名(不足8名,全调查)对其进行问卷调查,共调查:需求评估103名,效果评估105名。结果:疫苗针对疾病的传播途径:乙肝在两次调查间有统计学意义(x~2值为6.98,P<0.01)。乡、村医生对疫苗的分类掌握:以流感疫苗知晓率提高明显,有统计学意义(x~2值为18.38,P<0.01)。对疫苗注射后,注射器针帽不可以回盖的知晓率较需求调查有提高,差异有统计学意义(x~2值为10.34,P<0.01)。流动儿童管理方面,大多能主动寻找,并对其进行预防接种,实施传播策略后较需求调查有差异性(x~2值为7.97,P<0.01)。结论:乡村医生相关知识点掌握情况:疫苗开启后,废弃时间不清楚,知晓率仅72.38%;乙肝的接种途径不清楚,知晓率低于90%;发生副反应后,上报时限不清楚,仅75.24%。预防接种前的告知,沟通较差的是接种疫苗注意事项和可能的不良反应,均低于90%。需要持续加强培训与学习,提高相关“知、信、行”。
OBJECTIVE: To understand the effectiveness of interventions at Bixiang district, village level immunization planners at the level of “knowledge, trust and behavior”. Methods: Twelve villages and towns in the district were selected. Two townships (communities) were randomly selected from the township level and eight from the village level (less than 8). A total of 103 questionnaires were surveyed, including 103 needs assessment and 105 results assessment name. Results: The route of transmission of the vaccine against the disease: hepatitis B was statistically significant between the two surveys (x ~ 2 = 6.98, P <0.01). Township, village doctors grasp the classification of the vaccine: influenza vaccine awareness increased significantly, statistically significant (x ~ 2 value of 18.38, P <0.01). After vaccination, the syringe needle cap can not cover better than the demand for awareness rate, the difference was statistically significant (x ~ 2 value of 10.34, P <0.01). Most of the migrant children managed to seek and vaccinate themselves. After implementing the communication strategy, there was a difference from the demand survey (x ~ 2 = 7.97, P <0.01). Conclusion: The knowledge of doctors in rural areas grasp the situation: the vaccine is turned on, the obsolete time is unclear, the awareness rate of only 72.38%; hepatitis B vaccination is not clear, the awareness rate of less than 90%; side effects, reporting deadline is not clear, only 75.24%. Pre-vaccination notification, poor communication is vaccination precautions and possible adverse reactions, are less than 90%. Need to continue to strengthen training and learning, improve the relevant “knowledge, letter, line ”.