0~6岁儿童家长拒绝乙肝疫苗应答随访故障树分析

来源 :中国公共卫生 | 被引量 : 0次 | 上传用户:
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的探讨健康儿童乙肝疫苗应答随访课题中家长拒绝抽血(随访)的原因,寻找可能的改进措施,为本课题后续的顺利进行及今后的科研项目提供依据。方法以立项课题中连续纳入的新疆乌鲁木齐市709名0~6岁健康儿童家长为研究对象,对未及时随访的家长进行电话或面访,了解其原因;通过故障树分析,由树杈分支的级数确定拒绝随访的主要原因。结果基线调查收回709份问卷,8.7%的儿童家长拒绝抽血,母亲为大专及以上学历的家庭不愿抽血的比例为10.1%,与高中以下学历的家庭不愿抽血的4.6%比较,差异有统计学意义(P<0.05);纳入研究的儿童6个月随访率仅为6.8%,未及时随访率为93.2%;拒绝抽血(及时随访)原因以家长主观因素为主,占72.9%,其中包括对课题的不了解(17.3%),对研究人员的不信任(45.7%),认为研究人员专业素质较低(18.0%)。结论了解受试者的需要,提高研究者业务水平从而增加医患信任并提高全民科研意识才能提高健康人群中科学研究项目的依从性。 Objective To investigate the reasons why parents refuse to take blood (Follow-up) in follow-up of Hepatitis B vaccine response in healthy children and find possible improvement measures to provide a basis for the success of this topic and future scientific research projects. Methods 709 parents of children aged 0 ~ 6 years old in Urumchi, Xinjiang were enrolled in the project. The parents who did not follow-up were interviewed by phone or interview to find out the reasons. By fault tree analysis, The series determines the main reason for refusing follow-up. Results In the baseline survey, 709 questionnaires were withdrawn, 8.7% of the children refused to take the blood, 10.1% did not want to take the blood from their mothers with college education or above, compared with 4.6% of the families who did not want to take the blood at higher education level. The difference was statistically significant (P <0.05). The 6-month follow-up rate of children enrolled in the study was only 6.8%, and the non-prompt follow-up rate was 93.2%. The reasons for refusing to take blood were the parents’ subjective factors, accounting for 72.9% %, Including ignorance of the subject (17.3%), distrust of the researcher (45.7%), and low opinion of the researcher (18.0%). Conclusion It is of great importance to understand the needs of subjects, improve the level of researchers’ business, increase the trust between doctors and patients and raise the awareness of all people in order to improve the compliance of scientific research projects in healthy population.
其他文献
大众在污染检测中的造假行为打开了通向一个截然不同的汽车工业的大门来自车辆尾气的氮氧化物和其他肮脏之物的尾气排放造成了大量的提前死亡——一份报告显示,仅美国一国,每
1.大豆.大豆中含有较多的钙、镁等元素,它们与四环素、土霉素等均可结合成不溶于水的络合物,使抗生素药效降低.
生产鹿茸是养鹿业创收的重要措施之一,鹿茸主要在春夏的“长茸期”内生长,促鹿茸生长饲料添加剂应在此时期使用.
【案情】2013年6月2日,陈林驾驶小货车在某省道上行驶,不料正前方右侧路面被当地农民晒的成片小麦占满,造成陈林刹车不及小货车侧滑,陈林受伤住院后经鉴定为九级伤残。请问,
众所周知,农村房屋买卖有限制,若非同一集体经济组织成员之间买卖农房是不受法律保护的。那么,在同村人之间买卖农房是否有效?近日,某法院就审理了这样一起因农村房屋买卖引
(上接第7期第30页)rn5.养蚕剩桑.随着农村养蚕业的迅速发展,蚕吃剩下的剩桑越来越多.这些剩桑,目前利用率不高,大多被作为肥料.其实,养蚕剩桑有很好的营养价值,它是很好的猪
余生也幸!生于乡野,幼染乡风之淳,长体民情之朴,于浑沌中蒙养天性!是能光明彻照,无涉昏昩。虽拙陋而能抱朴守本。  余生也幸!渐涉世途,屡得明师之教,多获良朋之和,于尘氛中持守大道!是能澡雪情怀,陶冶风操。虽愚钝而能砥砺秉质。  余生也幸!既从慈母略知稼穑之苦,复从严父深味经籍之乐!而姐弟怡和,手足同欢,三人相携,各依情性!长嬉戏绕于祖母之膝而教习游于舅姑之际。既习规矩以慈严,复悟方圆以亲疏。  得
农村自建房超过两层的即属于高层建筑,如房主选用无资质的包工头,则需承担选任过失之责。【案件】2013年5月,家住浙江省三门县浦坝港的陈某准备在宅基地处建一栋三层楼,便找
于2007年7月1日实施的树立了农民专业合作社以法律地位.有法可依的新型农民专业合作社将带领千家万户步入创收致富新时代.
一、玉米田施药时做到:要分清品种,不要盲目用药由于现在的玉米苗后除草剂大多是烟嘧磺隆成分,一些玉米品种对该成分敏感,易发生药害。有的产品注明禁止在玉米自交系、甜玉米