CAJ | 학술논문

目的探讨治疗性沟通对被动物致伤Ⅲ级暴露患者注射狂犬病疫苗及狂犬病人免疫球蛋白依从性的影响.方法将331例被动物致伤Ⅲ级暴露者按接种时间随机分为对照组(156例)和干预组(175例).干预组在常规健康教育基础上实施治疗性沟通,对照组只给予常规的健康教育.分别对两组患者全程接种狂犬病疫苗及注射狂犬病人免疫球蛋白情况进行统计学分析,比较两组患者的依从性.结果干预组患者全程接种狂犬病疫苗依从率(95.42％)及注射狂犬病人免疫球蛋白的依从率(78.86％)均高于对照组(83.97％,64.74％),差异具有统计学意义(x2分别为12.06,8.19；P＜0.05).结论治疗性沟通有利于提高患者注射狂犬病疫苗及狂犬病人免疫球蛋白的依从性,而提高免疫接种的依从性是预防狂犬病的根本措施,对更好地遏制狂犬病的发生具有积极的作用.
목적 탐토치료성구통대피동물치상Ⅲ급폭로환자주사광견병역묘급광견병인면역구단백의종성적영향.방법 장331례피동물치상Ⅲ급폭로자안접충시간수궤분위대조조(156례)화간예조(175례).간예조재상규건강교육기출상실시치료성구통,대조조지급여상규적건강교육.분별대량조환자전정접충광견병역묘급주사광견병인면역구단백정황진행통계학분석,비교량조환자적의종성.결과 간예조환자전정접충광견병역묘의종솔(95.42％)급주사광견병인면역구단백적의종솔(78.86％)균고우대조조(83.97％,64.74％),차이구유통계학의의(x2분별위12.06,8.19；P＜0.05).결론 치료성구통유리우제고환자주사광견병역묘급광견병인면역구단백적의종성,이제고면역접충적의종성시예방광견병적근본조시,대경호지알제광견병적발생구유적겁적작용.
Objective To investigate the effect of therapeutic communication on animal injured Ⅲ degree exposure patients' compliance with hydrophobia vaccine and immunoglobulin injection.Methods Totals of 331 animal injured Ⅲ degree exposure patients were randomly divided into the control group (n =156) and the intervention group (n =175).The intervention group was given therapeutic communication in addition to routine health education,while the control group was only given routine health education.Conditions of patients who had received hydrophobia vaccine and immunoglobulin injection completely in each group were analyzed statistically and their compliance rate was compared.Results The compliance rates of patients who had completely received hydrophobia vaccine and immunoglobulin injection were 95.42％ and 78.86％ in the intervention group,higher than 83.97％ and 64.74％ in the control group,and the differences were statistically significant (x2 =12.06,8.19,respectively;P ＜0.05).Conclusions Therapeutic communication can elevate patients' compliance with hydrophobia vaccine and immunoglobulin injection,while increasing immunization compliance is the basic method to prevent hydrophobia,therapeutic communication,therefore,has a positive effect to better prevent hydrophobia.