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[基层医疗保健中心疫苗储存与保存质量评估]

[Assessment of quality of vaccine storage and conservation in primary health care centers].

作者信息

Oliveira Valéria Conceição de, Gallardo Maria Del Pilar Serrano, Arcêncio Ricardo Alexandre, Gontijo Tarcísio Laerte, Pinto Ione Carvalho

机构信息

Departamento de Enfermagem, Universidade Federal de São João Del-Rei, Divinópolis, MG, Brasil,

Universidade Autônoma de Madrid.

出版信息

Cien Saude Colet. 2014 Sep;19(9):3889-98. doi: 10.1590/1413-81232014199.12252013.

Abstract

This is an evaluative study of the quality of vaccine storage and conservation in primary health care centers (PHC) in the mid-west region of the state of Minas Gerais. Dimensions, structures and processes were the criteria used to measure the level of quality in 261 vaccine storage and conservation units in over 55 municipalities in the area. Quality levels were defined by means of a scoring system with different weighted scores attributed to indicators for each dimension being rated. Categories for quality levels were then defined as: "adequate," "inadequate" and "critical." Pearson's chi-square test was used to verify the correlation between quality level and population size and adherence to the Unified Health System. It was observed that vaccine storage and conservation quality levels were inadequate in 59.3% and critical in 26.9% of these facilities. Small municipalities that are registered for Full Primary Health Care Management featured the worst vaccine storage facilities. Vaccine conservation supervision, which spans a series of activities present in nursing praxis, indicates the need to train human resources, monitor and assess work processes and conduct further studies in the field.

摘要

这是一项对米纳斯吉拉斯州中西部地区初级卫生保健中心(PHC)疫苗储存和保存质量的评估研究。维度、结构和流程是用于衡量该地区55多个城市中261个疫苗储存和保存单位质量水平的标准。质量水平通过评分系统来定义,对每个被评级维度的指标赋予不同的加权分数。然后将质量水平类别定义为:“ adequate(足够)”、“ inadequate(不足)”和“ critical(危急)”。使用Pearson卡方检验来验证质量水平与人口规模以及对统一卫生系统的依从性之间的相关性。据观察,这些设施中59.3%的疫苗储存和保存质量水平不足,26.9%处于危急状态。注册进行全面初级卫生保健管理的小市镇的疫苗储存设施最差。疫苗保存监督涵盖护理实践中的一系列活动,这表明需要培训人力资源、监测和评估工作流程,并在该领域开展进一步研究。

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