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目的:探讨和分析在乙肝疫苗儿童接种中应用PDAC管理模式的作用及价值。方法:选取2011年1月~2013年7月在我院接受乙肝疫苗接种的体检儿童400名为研究对象,采取抽签法随机将上述选取对象分成对照组和研究组,对照组在乙肝接种全程应用常规管理,研究组应用PDCA管理模式,观察和对比两组对象乙肝防控知识评分、成功接种率及接种儿童对服务满意率之间的差异性。结果:分析显示,研究组乙肝防控知识评分明显高于对照组,成功接种率及接种儿童对服务的满意率均明显高于对照组,两组间上述三项指标对比差异均有统计学意义(P<0.05)。研究组接种后生命系数,包括精力、疼痛、情绪反应、睡眠状态、社交隔离、躯体活动等指标功能均显著提升(P<0.05),对照组各项指标无显著差异(P>0.05);研究组接种后总指数0.94±0.17,明显优于治疗前的0.85±0.15,差异具有统计学意义(P<0.05)。研究组乙型肝炎疫苗预防接种不良反应症状主要表现为过敏性休克(26.0%)、过敏性紫癜(22.0%)、过敏性皮疹(20.0%)、局部过敏反应(14.0%);2症状主要出现于接种后24hr内,占78.0%。结论:在乙肝疫苗儿童接种环节中应用PDCA管理模式,不仅有助于提升医疗服务质量及效率,优化肝纤维化指标,而且对提升疫苗成功接种率有着积极的促进作用,值得在临床上推广。
Objective: To explore and analyze the role and value of applying PDAC management in hepatitis B vaccination. Methods: 400 children from January 2011 to July 2013 in our hospital who received hepatitis B vaccine were randomly divided into control group and study group by random sampling method. The control group was used in the whole course of hepatitis B vaccination Routine management, the research group using PDCA management model to observe and compare the two groups of objects hepatitis B prevention and control scores, the rate of successful vaccination and vaccination of children to service satisfaction rate differences. Results: The analysis showed that in the study group, the knowledge of prevention and control of hepatitis B was significantly higher than that of the control group. The successful vaccination rate and the satisfactory rate of service to children inoculated were significantly higher than those in the control group. There was significant difference in the above three indexes between the two groups (P <0.05). After inoculation, the study group had significant improvement in the life factors, including energy, pain, emotional response, sleep status, social isolation and physical activity (P <0.05), but no significant difference in the control group (P> 0.05) The total index after inoculation was 0.94 ± 0.17, which was significantly better than 0.85 ± 0.15 before treatment, the difference was statistically significant (P <0.05). In the study group, the symptoms of adverse reactions of hepatitis B vaccine vaccination were mainly as follows: anaphylactic shock (26.0%), allergic purpura (22.0%), allergic rash (20.0%) and local allergic reaction (14.0%); Within 24 hours after inoculation, 78.0%. Conclusion: Applying PDCA management mode in hepatitis B vaccination can not only improve the quality and efficiency of medical service and optimize indicators of liver fibrosis, but also promote the successful vaccination rate of vaccines. It is worth to be popularized clinically.