O'Mara L M, Isaacs S
Faculty of Health Sciences, McMaster University, Hamilton, On.
Can J Public Health. 1993 Mar-Apr;84(2):124-7.
The purpose of this study was to evaluate whether follow-up by nurses increased the reported rate of correctly immunized preschoolers in child care centres (CCCs). Records from 14 randomly selected CCCs from the Hamilton-Wentworth area (n = 514 records) were assessed for the number of correctly immunized preschoolers by two nurses operating in different centres. The nurses advised the centres about all incomplete records and reminded parents to update their child's immunization status. One nurse revisited all her assigned centres two to five weeks later. Both nurses returned to the CCCs to reevaluate the records two to eight months after the initial contact. 382 records were available for the second review (25% drop out rate). The reported rates increased significantly for all immunizations. There was no difference when the follow-up intervention was greater. This study suggests that monitoring records improves the completeness of the records in CCCs; 19.9% of child records were updated (76 of 382). In 3.4% of cases (13 of 382), the children received immunizations that had been previously missed.
本研究的目的是评估护士的随访是否会提高儿童保育中心（CCC）上报的学龄前儿童正确免疫接种率。从汉密尔顿-温特沃斯地区随机选取了14个CCC（共514份记录），由在不同中心工作的两名护士评估其中正确免疫接种的学龄前儿童数量。护士就所有不完整记录向各中心提供建议，并提醒家长更新孩子的免疫接种状态。一名护士在两到五周后回访了她负责的所有中心。两名护士在首次接触后的两到八个月再次回到CCC重新评估记录。第二次审查时有382份记录可用（失访率为25%）。所有疫苗接种的上报率均显著提高。随访干预力度更大时并无差异。本研究表明，监测记录可提高CCC记录的完整性；19.9%的儿童记录得到更新（382份中的76份）。在3.4%的病例中（382份中的13份），儿童接种了之前遗漏的疫苗。
