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目的:探讨专业人员再培训和开展健康教育对降低全细胞百白破联合疫苗(DTwP)接种反应的效果。方法:对预检医生、接种护士和预约登记人员进行再培训,对儿童家长/监护人采取发放宣传资料、开办家长学校、签订接种告知书、口头健康教育、跟踪随访等形式开展健康教育,并于方案实施前后进行调查评估。结果:监护人对接种高反应的知晓率和对反应一般处理的知晓率均明显高于方案实施前(P<0.01),方案实施后接种反应发生率明显下降(P<0.01),反应及时处理率显著上升(P<0.01)。结论:工作人员再培训和有针对性地开展健康教育对降低DTwP接种反应效果显著。
Objective: To investigate the effect of professional retraining and health education on reducing the inoculation reaction of DTWP. Methods: Retraining pre-screening doctors, nurse in nurses and pre-registration staff, providing health education to children’s parents / guardians through distributing publicity materials, starting parent schools, signing letters of vaccination, oral health education and follow-up visits, etc. Before and after the implementation of the program investigation and assessment. Results: The guardian’s awareness of the high response rate of vaccination and the general awareness of the response were significantly higher than those before the implementation of the program (P <0.01), and the incidence of inoculation was significantly decreased after the program was implemented (P <0.01) Significantly increased (P <0.01). CONCLUSIONS: Staff retraining and targeted health education have been shown to significantly reduce the DTwP inoculation response.