Masika Calistus Wanjala, Atieli Harrysone, Were Tom
Care International, P.O. Box 2360, Kisii, Kenya.
Department of Public Health, School of Public Health and Community Development, Maseno University, Maseno, Kenya.
Biomed Res Int. 2016;2016:3745298. doi: 10.1155/2016/3745298. Epub 2016 Dec 19.
. Although vaccines currently approved for routine childhood immunization are safe and effective, frequent adverse events following immunization often cause illnesses and sometimes loss of public trust in immunization programs. Nurses are essential in this surveillance system. . To determine nurses' knowledge, perception, and practice towards surveillance of postimmunization adverse events within Nairobi County health centers, Kenya. . This is a cross-sectional survey involving nurses ( = 274). Data were collected using self-administered questionnaires. Data analysis was performed using SPSS version 20. Differences in proportions of categorical variables were compared between groups using chi-square tests. Binary logistic regression model was used to compute independent predictors of outcome. . 29.2%, 32.1%, and 45.3% of the respondents had good knowledge, good practices, and good perceptions on AEFI surveillance, respectively. Respondents with diploma or degree nursing training level were 1.8 times and 2.5 times more likely to have good knowledge and good perception in AEFI surveillance, respectively. Nurses with previous AEFI training were 9.7 times and 1.8 times more likely to have good AEFI knowledge and practices, respectively. There is a need to train and mentor nurses on AEFI surveillance. Findings of this study will be valuable in informing policy review on childhood immunization programs.
. 尽管目前批准用于儿童常规免疫接种的疫苗是安全有效的，但免疫接种后频繁出现的不良事件常常引发疾病，有时还会导致公众对免疫接种计划失去信任。护士在这个监测系统中至关重要。. 为了确定肯尼亚内罗毕县卫生中心护士对免疫接种后不良事件监测的知识、认知和实践情况。. 这是一项涉及护士（n = 274）的横断面调查。数据通过自行填写的问卷收集。使用SPSS 20版进行数据分析。使用卡方检验比较组间分类变量比例的差异。二元逻辑回归模型用于计算结果的独立预测因素。. 分别有29.2%、32.1%和45.3%的受访者对预防接种异常反应（AEFI）监测有良好的知识、良好的实践和良好的认知。接受过文凭或学位护理培训的受访者在AEFI监测方面有良好知识和良好认知的可能性分别是其他受访者的1.8倍和2.5倍。以前接受过AEFI培训的护士有良好的AEFI知识和实践的可能性分别是其他护士的9.7倍和1.8倍。有必要对护士进行AEFI监测方面的培训和指导。本研究的结果将有助于为儿童免疫接种计划的政策审查提供参考。
