| Objective To provide the basic reference for better management of migrant children vaccination in time inoculation by community nurses, the effects of Health Belief Model on timely migrant children vaccination in community were analyzed, and the nursing management model of Health Belief Model on timely migrant children vaccination in community was studied.Methods From November 1, 2014 to June 30, 2015, a total of 310 parents of migrant children, who were from a community health service centre of Shenzhen city, were randomly evenly divided into the control group(n=155) and the intervention group(n=155) according to the date of child's birth. The parents in the control group received routine nursing. Based on routine nursing, the parents in the intervention group received nursing education using Health Belief Model. Before intervention, the general information of the parents and the situation of timely vaccination Health Belief of the parents were analyzed using the questionnaires.Pearson correlation analysis and two element logistic regression analysis on the health belief of the parents in timely children vaccination were used to the correlation or the influent factors of the situation of timely vaccination. After 3 months and 6 months intervention, the scores of the health belief, satisfaction rate and adverse reaction of timely vaccination rate among the children's parents were respectively evaluated. The statistical software SPSS18.0 was used to statistically analyze the data, the statistical methods involved descriptive analysis, t-test, F-test, ?2-test,Wilcoxon rank sum test, Pearson correlation analysis and Logistic regression analysis, repetitive measures ANOVA and so on.Results(1) There were significant differences for the scores of the migrant children's parents in the different basic data(P<0.05). The score in the father group was higher than that in the mother group. According to the parent's age group, the score from higher to lower was 31-35 years old age group, 26-30 years old age group, 36-40 years old age group and 20-25 years old age group, respectively. The score of the parents in the group of education level of college and above was the highest, while that in the group of education level of primary and junior high school was the lowest. The score of the parents in the cadre group was the highest, the following was in the group of individual business, in the group of worker and group of non-working. The score of the parents in the group of 1001-2000 m family-community centre distance was the highest, that in the group of less than 1000 m family-community centre distance was the lowest.(2)There was positive correlation for the scores among the knowledge, attitudes, beliefs and behavior being proportional to each other(P<0.05). The main influent factors for the parents' score of the health belief were the educational level and family-community centre distance(P<0.05).(3) Before intervention, there were no significant differences for the data of the general information of the migrant children and their parents between in the control group and in the intervention group(P>0.05). The difference for the scores of health belief of the parents between in the control group and in the intervention group was not statistically significant(P>0.05).(4) After 3 months intervention, in the control group, the parents' scores of health belief(55.419±6.521), attitudes and beliefs(17.097±3.316), behavior(15.387±4.322),there were significant difference compared to that before intervention [(58.226±10.897),(17.871±3.862),(17.581±5.044)](P<0.05),the score of the knowledge(22.903±3.598)was higher than that before intervention(22.774±4.075), but their difference was not statistically significant(P>0.05); in the intervention group, the parents' scores of health belief(74.129±7.816), knowledge(29.452±4.435), attitudes and beliefs(27.000±4.399),and behavior (17.613±4.08) were higher than that before intervention [(58.484±10.022),(23.161±3.694),(17.903±3.942),(17.419±4.043)](P<0.05). After 6 months intervention, in the control group, the parents' score of health belief(58.419±6.903)was higher than that 3 months intervention and before intervention,the difference was statistically significant(P<0.05); however, the scores of knowledge(22.129±3.556), and attitudes and beliefs(18.161±3.556)were not significantly different compared to that 3 months intervention and before intervention(P<0.05),the score of behavior(18.129±4.492) was significantly different compared to that before intervention(P<0.05),but 3 months intervention was not statistically significant(P>0.05). In the intervention group, the parents' scores of health belief(99.065±7.225), knowledge(42.903±4.518), and behavior(28.355±3.609)were obviously higher than that after 3 months intervention and before the intervention(P<0.05);but the score of attitudes and beliefs(27.807±3.696) was not significantly different compared to that after 3 months intervention or before the intervention(P>0.05).(5) After 3 months intervention, in the intervention group, the parents' scores of health belief and other items were not statistically different compared to that control group(P>0.05). After 6 months intervention, the parents' scores of health belief, knowledge and behavior were obviously higher than that in the control group(P<0.05), but the score of attitudes and beliefs was not significantly different(P>0.05).(6) After 3 months intervention, the satisfaction rate of parents between in the control group and in the intervention group was not statistically different(P>0.05);after 6 months intervention, the satisfaction rate of parents for the nursing in the intervention group(95.484%) was obviously higher than that in the control group(87.097%)(P<0.05).(7) After 3 months intervention, the rates of children vaccine adverse reactions and timely vaccination in two groups were not significantly different(P>0.05); after 6 months intervention, the rate of children vaccine adverse reactions in the intervention group(5.161%) was obviously lower than that in the control group(27.097%)(P<0.05); meanwhile, the rate of timely vaccination in the intervention group(94.838%) was obviously higher than that in the control group(81.935%)(P<0.05).Conclusions:(1) By using health belief model for the intervention, it can effectively improve the migrant children parents' health beliefs for timely vaccination, and increase the rate of migrant children vaccination in time inoculation, and decrease the rate of migrant children vaccine adverse reactions.(2) By using health belief model for the intervention, it can obviously enhance the parents' satisfaction for nursing. |
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