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目的探讨Essen和Zagreb两种程序接种狂犬病疫苗的影响因素,提高狂犬病暴露后疫苗接种的依从性。方法收集东阳市人民医院犬伤门诊首诊狂犬病暴露需接种狂犬病疫苗患者6 737例;其中2010年4月1日—2012年1月31日接种Essen程序(5针法)4 099例;2012年2月1日—2013年3月31日接种Zagreb程序(2-1-1)2 638例。专职护士登记,对患者及家属进行狂犬病知识宣传教育,并指导患者按时接种狂犬病疫苗。对未按时接种病例进行电话随访。结果接种Essen程序4 099例,依从性差的640例,依从率为84.39%;接种Zagreb程序(2-1-1)2 638例,依从性差201例,依从率92.38%;两者比较差异有统计学意义(P<0.05)。电话随访调查依从性差患者841例,其中外来民工和农民所占比例最高为76.97%。工作忙或忘记接种时间为主要影响因素。结论 Zagreb接种程序全程接种率高于Essen接种程序,接种依从性较好。
Objective To investigate the influencing factors of rabies vaccination by two programs of Essen and Zagreb and to improve the compliance of rabies vaccination after exposure. Methods A total of 6 737 cases of rabies vaccine were vaccinated in dogs in the department of dog’s wounds in Dongyang People’s Hospital. Among them, 4 099 were inoculated with the Essen procedure (5-stitch method) from April 1, 2010 to January 31, 2012; February 1 - March 31, 2013 Inoculation of Zagreb program (2-1-1) 2 638 cases. Full-time nurse registration, knowledge of rabies patients and their families publicity and education, and guide patients on time vaccination rabies vaccine. On-time vaccination cases for telephone follow-up. Results There were 4 099 cases with Essen procedure, 640 cases with poor compliance and 84.39% compliance rate. There were 2 638 cases of Zagreb program (2-1-1) with 201 cases of poor compliance and the compliance rate was 92.38%. The difference was statistically significant Significance (P <0.05). Telephone follow-up survey of 841 patients with poor compliance, of which migrant workers and farmers accounted for the highest proportion of 76.97%. Busy or forgotten vaccination time as the main factor. Conclusion The whole vaccination rate of Zagreb vaccination program is higher than that of Essen vaccination program, and the vaccination compliance is better.