Chinese Journal of Child Health Care

Evolution of Developmental Behaviour Paediatrics (DBP)In the Chinese Speaking Regions in Asia

CHAN Chok-wan

2011, 19(1): 1-4.

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Qualitative study on the protective factors of resilience among children in rural areas in acquired immune deficiency syndrome(HIV/AIDS)-Affected families

SHI Cong-rong, ZHANG Man-hua, WANG Yu, LAI Yuan, GAO Bao-xing, QIAO Xiao-chun

2011, 19(1): 10-12.

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【Objective】 To explore the protective factors of resilience among children in acquired immune deficiency syndrome(HIV/AIDS)-Affected families in Shanxi. 【Methods】 Children in HIV/AIDS families were allocated into resilience group and non-resilience group by The Screen for Child Anxiety Related Emotional Disorders and Depression Self-rating Scale for Children. Then semi-structured interviews were conducted among the resilience group. 【Results】 The protective factors of resilience among children include four factors. The factor of family consists of care of parents, democratic family education and a good example of parents. Care of teachers and support of peers were included in the factor of school. Estimate of parents, belief in themselves and expectation for the future were organized into the factors of cognition. Pouring out, searching for help and thanksgiving were packed in the factors of behaviors. 【Conclusion】 Family, school, cognition and behavior should be considered comprehensively in the psychological intervention for the children in HIV/AIDS family to make them more resilient and more healthy.

Study of the behavior characteristics in children with comorbid attention deficit hyperactivity disorder and tic disorder

KUANG Gui-fang, ZOU Hua, XIA Ying, JI Yong-juan, FU Ping

2011, 19(1): 13-15.

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【Objective】 To study the behavior characteristics of the children with comorbid attention deficit hyperactivity disorder (ADHD) and tic disorder (TD) (CAT). 【Method】 60 children with CAT, 79 children with ADHD, 60 children with TD and 71 normal children were collected. All of those cases were investigated using the Child Behavior Checklist (CBCL). 【Results】 No significant differences in the incidence rate of behavioral abnormality found between CAT group and ADHD group(χ²=0.419,P＞0.05); The incidence rate of behavioral abnormality of children with CAT was higher than that of TD group(χ²=7.745,P<0.01), and increased remarkably than normal children(χ²=27.326,P<0.001). As far as the boy was concerned, the scores of obsession, aggression and social recession in the CAT group were remarkably higher than ADHD group(P<0.01); all of the scores in the CAT group were increased obviously except abruption when compared with the TD group(P<0.01); all of the scores in the CAT group were notably higher than those of the normal group(P<0.01). Meanwhile, the CAT group had no obvious difference with the ADHD group in CBCL relate to girls, but showed higher scores in aggression contrasted with the TD group and a higher level in aggression and social recession than the normal group(P<0.05). 【Conclusions】 The children with CAT show more seriously behavior problems than the children with ADHD or TD ; ADHD is the most significant factor affecting the behavior problems in CAT; The boys display more severely behavior problems in children with CAT than girls.

Analysis of correlation between personality characteristics and parental rearing pattern in children with psychogenic non-epileptic seizures

CHA Cai-hui, OU Wan-xing, CHEN Jia-hui, WANG Ling-hua, LI Zhi-bin, MAI Jian-ning

2011, 19(1): 16-17.

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【Objective】 To analyze the correlation between personality characteristics and parental rearing pattern in children with psychogenic non-epileptic seizures (PNES). 【Methods】 Forty-three consecutive patients with PNES and Forty-three matched patients were recruited from patients in our hospital between 2006 and 2009. The following questionnaires were used as outcome variables: Eysenck Personality Questionnaire (EPQ) for personality characteristics, Egma Minnen av Bardndosnauppforstran(EMBU) for rearing pattern. Correlation analysis were carried out between them. 【Results】 On comparison with the control group, the present children with PNES showed higher TP and TN scores of EPQ (P<0.01). The subscale scores of EMBU were lower in emotional warmth and understanding (father) and higher in punishment and sternness (father), excessive interference (father), excessive interference and overprotection (mother), rejection and deny (father and mother) than that of control children (P<0.01). The level of psychoticism, extrovision-introvision, neuroticism and lie was positively correlated with some factors of EMBU and it was negatively correlated with the other factors in children with PNES. 【Conclusion】 The dyfunctional rearing pattern from their parents should prevent child with PNES from forming favourable personality characteristics.

Neuropsychological development in 2~5 years old offspring of hypertension disorder complicating pregnancy

YANG Liu, LIU Li, ZHENG Dong-mei, WANG Zhi-ming, XIE Ya-chun, WANG Zhong-qing, HUA Chen, WANG Yi-jun, ZHANG Hui-ying

2011, 19(1): 18-20.

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【Objective】 To explore the effect of hypertension disorder complicating pregnancy (HDCP) on neuropsychological development of their 2~5 years old offspring. 【Methods】 Using 1∶1 matched case-control study method, chosen 27 offspring in HDCP group and control group. The intelligence was evaluated utilizing 0~6 years infant neuropsychological development scale. The relevant informations were collected, including living environments and lifestyle behaviors. 【Results】 The offspring with HDCP mother were lower than the normal children in the gestational duration days, birth weight and birth length (P<0.05). The language and socialization dimension of neuropsychological development and developmental quotient (DQ) were lower in offspring of HDCP than those of control in 2~5 years old (P<0.05). On the living environment, there was negative correlation between socialization and passive smoking (P＜0.05), but positive correlation between socialization and number of inhabitant (P＜0.05). On the lifestyle behaviors, there was a positive correlation between outdoor activities time, liking to communicate with other children and socialization, DQ (P＜0.05), but a negative correlation between the time for watching TV/computer and socialization and DQ (P＜0.05). 【Conclusions】 The living environment and the lifestyle behaviors of HDCP can affect the neuropsychological development. Early intervention is necessary for the neuropsychological development in offspring of HDCP.

Situation and influencing factors of abuse among children in Guangzhou

LIN Rong, LIU Wei-jia, ZHANG Wei-wei, LIU Wei, LIN Lin, WU Jia-gang, DU Lin

2011, 19(1): 21-23.

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【Objective】 To explore the situation and influencing factors of abuse among children in Guangzhou and to provide useful reference for prevention. 【Methods】 Across-sectional survey was carried out among 7 475 children by self-administered questionnaire during 2008. The questionnaire used for this study mainly included general demographic information and Childhood Trauma Questionaire(CTQ-SF). 【Results】 The prevalence rates of emotional, physical and sexual abuse were 59.41%, 31.51% and 17.94%. The score and prevalence rate of emotional abuse of girls were higher than those of boys (t=4.755, H=24.410, all P<0.001). The scores and prevalence rates of physical abuse and sexual abuse of boys were higher than those of girls (t=8.356, H=82.211, all P<0.001; t=8.784, H=52.452, all P<0.001). Sex; age; family structure; living conditions and frequency of parents drink were common influencing factors of emotional, physical and sexual abuse. 【Conclusions】 The results indicate that abuse among children is not uncommon in our city. Children abuse is associated with many factors, and family conditions are important factors.

Epidemiological study on accidental injuries among preschool children in Nanning

JIANG Wu, PAN Chun-hui, LIU Wei, HE Lin, MO Xi-e

2011, 19(1): 24-26.

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【Objective】 Investigating the accidental injury status of preschool children aged 2～6 years old, to provide scientific basis for the prevention and control of child injury. 【Methods】 Preschool children were randomly selected in Nanning, and they were surveyed by a unified questionnaire. 【Results】 The accidental injuries rate of preschool children was 25.9% in Nanning, there was no significant difference between boys and girls, and children of different age groups were also(P>0.05); The top three kinds of injury were fall-related injuries(34.9%), traffic accidents(27.7%), collision/extrusion(12.9%);The most common injured site was head and neck, injury high occurred in summer, and the occurrence of top three places were at home(36.7%), out-door(34.3%), kindergartens(12.7%); Majority(90.4%) cured, a small part became disabled, and majority paid the fees by themselves. 【Conclusions】 The injury rate of preschool children is high in Nanning; Safety education and management should strengthened in preschool children to prevent injuries occurred.

Comprehensive evaluation to the performance of health care for children from 1997 to 2009 in China with TOPSIS method

GUO Hai-qiang, GUO Hui-fang, DING Hai-long, QU Bo, SUN Gao

2011, 19(1): 27-29.

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【Objective】 To evaluate comprehensively the performance of health care for children from 1997 to 2009 in China. 【Method】 Seven indexes were collected that represent the performance of health care for children, and evaluated them comprehensively with TOPSIS method. 【Result】 The performance of health care for children had become better and better from 1997 to 2009. 【Conclusions】 It is objective, reliable and practical to evaluate performance of health care for children by using TOPSIS. The health care for children should be performed continually in order to improve health statement of children further.

Research on the applicability of Bayley Scales of Infant and Toddler Development-Third Edition to assess the development of infants and toddlers in Shanghai

XU Shan-shan, HUANG Hong, ZHANG Jin-song, BIAN Xiao-yan, LV Na, LV Ying-bo, CHEN Yao

2011, 19(1): 30-32.

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【Objective】 To explore the applicability of Bayley Scales of Infant and Toddler Development-Third Edition(Bayley-Ⅲ) to assess the development of infants and toddlers in Shanghai and to analyze the reliability and validity. 【Methods】 457 normal infants and toddlers aged 0~42 months were tested with Bayley-Ⅲ. Among those children, 33 were scored by two examiners during test, 24 were retested after a week and 34 were tested with both Bayley-Ⅲ and Gesell on the same day. 【Results】 1)The test-retest reliability was 0.711~0.831 (P<0.001). Cronbach's α coefficient was 0.956~0.993. The inter-rater reliability was 0.906~0.950(P<0.001). 2)There was low correlation between three kinds of composite score in Bayley-Ⅲ and applicability developmental quotient (DQ) in Gesell(r=0.119~0.367). 3) The mean score of 457 normal infants and toddlers was higher than the norm reference score of American in cognitive, language and motor subscales (P<0.001), but lower in adaptive behavior scale (P<0.001). 4) Girls scored higher than boys in cognitive, language and social-emotional subscales. 【Conclusions】 There are some differences in development between Chinese and American children, but Bayley-Ⅲ shows good reliability. It is feasible to assess the development of infants and toddlers in china.

Inhibition of siRNA on the expression of Cytoglobin gene in rat hippocampus cell in vitro

ZHANG Xiao, SHI Xue-chuan

2011, 19(1): 33-36.

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【Objective】 To investigate the inhibition of siRNA on the expression of Cytoglobin in hippocampus cell of rats in vitro. 【Methods】 Primary hippocampal neurons of newborn SD rats were cultured, and then identified them by Neu immunofluorescence antibody. siRNAs, which were designed against CYGB gene, were transfected into hippocampus cell with lipofectamine. The non-transfected cells and transfected with negtive-siRNA were taken as controls. The efficacy of transfection was detected by transfecting fluorescence-siRNA into cells, and the inhibitory effect of siRNA on mRNA level was detected by RT-PCR. 【Results】 The efficacy of transfection was about 70%. RT-PCR showed that the expression of CYGB was significantly decreased after transfecting siRNA-78 for 24 h(P＜0.01), 48 h(P＜0.001)and 60 h(P＜0.001), but it had no difference after 72 h. There was no difference in each time (24 h, 48 h, 60 h, 72 h, respectively) between siRNA-79/siRNA-80 and control group(P＞0.05). 【Conclusion】 The data of this study suggest that siRNA-78 designed against CYGB gene could significantly inhibit the expression of CYGB gene in hippocampus cell of rats in vitro after transfection for 24 h to 60 h.

Study on the correlation between accommodation way and coping styles of middle school students

WANG Chong-jin, JIANG Bao-fa

2011, 19(1): 46-48.

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【Objective】 To discuss the correlation between accommodation way and coping styles of middle school students. 【Methods】 Using Simple Coping Style Questionnaires and general condition questionnaires to investigate 950 middle school students in two areas in Shandong Province. 【Results】 There were significant differences between two areas and accommodation way in coping style. Economic status, family relationship status and academic achievement were positively correlated with positive coping scores, and negative correlated with negative coping scores. Logistic regression analysis showed that family relationship status, living at school and academic achievement could predict positive coping styles to a certain degree; economic status, family relationship status and living at school could predict negative coping styles to a certain degree. 【Conclusions】 There is correlation between accommodation way and coping styles of middle school students. Students living at school are more likely to take positive coping styles.

Analyses of factors influencing the coverage of national immunization program vaccines in migrant children in Wenzhou

LIN Xian-dan, CHEN Ling-ping, ZHENG Xiao-chun, LI Wan-cang, WANG Zhi-gang, DENG Ze-jing

2011, 19(1): 51-53.

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【Objective】 The investigation was carried out to better understand the factors influencing the coverage of national immunization program (NIP) vaccines in migrant children in Wenzhou, and to improve the immunization coverage of these vaccines. 【Method】 Population characteristics of 1 198 migrant children and their guardians, immunization situation of NIP vaccines, knowledge of the guardians on and their attitude towards preventive immunization, effectiveness of preventive immunization, were investigated in 15 towns from 3 counties in Wenzhou by using randomized sampling method. 【Results】 In the migrant children over one year old, who stayed in Wenzhou equal or more than 3 months, the coverage rates of BCG, OPV, DTP, MV, and HepB, were 86.8%, 84.9%, 81.5%, 82.1%, and 80.35%, respectively. Notably, the coverage rate of these five vaccines was only 66.4%. Multi-factors analysis revealed that the low coverage rate of five vaccines was mainly influenced by the staying time and birth place of migrant children, their family economy, having immunization card, cost of preventive immunization, their guardians' attitude towards to preventive immunization. 【Conclusion】 Vaccination rate was low in migrant children, many factors were influence it, and it should be taken targeted intervention to imporve immune status.

Temperament type and influencing factors of preschoolers of Chiping

CAO Xiu-li, SUN Jing-ming, ZHANG Li- qin

2011, 19(1): 54-57.

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【Objective】 To investigate the temperament type and influencing factors of preschoolers of Chiping. 【Methods】 By cluster sampling method, 1 000 children from 4 kindergartens in towns and countries of Chiping were selected to fill the "Questionnaire of Temperamental Testing for 3～7 Years Old Children" and the self-made questionnaire, and to investigate the temperament type and influencing factors of preschoolers of Chiping by this way . 【Results】 All the temperament dimensions of the preschoolers in the city were different from the norm, boys and girls had differences in activity level, response intensity, persistence and dividing attention, except for activity level and taxis, the preschoolers of various ages were different in the other seven temperament dimensions. The preschoolers in the city and the norm children had different temperament types, and so the preschoolers of various ages. But boys and girls had same temperament types. The temperament types were influenced by fathers' profession, the educational level of mothers, family structure, education method, the relationship between parents and children, the age to be permitted to kindergarden. 【Conclusions】 Each dimension and type of preschool children of Chiping has differences for different degrees on gender and age;the environment should be positively changed in order to mold good temperament type of children.

Prevalence and risk factors of obesity in 9 517 preschool children in Xiamen

CHEN Jing, ZENG Guo-zhang, HUANG Hai-ying

2011, 19(1): 57-59.

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【Objective】 To analyze the prevalence and risk factors of obesity among preschool children in Xiamen, and to provide the scientific basis for preventing obesity in children. 【Methods】 A random cluster sampling method was carried out, 34 kindergartens from urban district of Xiamen were selected randomly. 9 517 children at the age of 2～6 years old were selected as our study subjects, and all subjects' basic informa-tion (age,gender,height,weight,etc) were investigated. The prevalence rate of child obesity and its related factors were analyzed. 【Results】 The prevalence rate of obesity among preschool children in Xiamen was 7.40%, of which, the prevalence rate of boys was 9.03%, and the prevalence rate of girls was 5.48%. The prevalence rate was positive related with age. The results indicated that childhood obesity occurrence was related to their parents' obesity and high income, the child diet habits,time consumed in watching television and doing exercises. 【Conclusions】 This study demonstrates a high prevalence of obesity in preschool children in Xiamen. Child obesity can be related by gender, age and unhealthy life style.

Research of the parents' knowledge and behavior to enuresis

ZHANG Feng, LIU Yi-mei, LI Fang-fang, ZHANG Li-li, WANG Jie

2011, 19(1): 59-61.

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【Objective】 To find out whether the parents' behavior influence the occurrence and continuation of enuresis. 【Method】 The behavior questionnaire to parents of 338 enuresis group and 206 control group children were provided, then compared the urination training way, using diaper time, view and manner to enuresis, and method to prevent wetting bed. 【Results】 In urination training way: more parents selected compulsion way in control group than in enuresis group, while less parents took natural way in control group (P<0.01). The percentage was higher in control group who stopped using diaper during daytime before 1.5 years old (P<0.01). There were more parents stopped using diaper at night before 2 years old in control group, than in enuresis group (P<0.01). According to the percentage height first three arrangements, there was distinguished difference between the two group in parents' understanding and manner to enuresis (P<0.01).The two groups both call the urine at night mainly but still there was difference (P<0.01). 【Conclusion】 The parents' intervention behavior to the child's urination control is one of enuresis' causes, but this must be proved by more cases.

Study the effect of lactase on infantile diarrhea

REN Li-hong, YANG Shu-fen, SUN Xiao-han

2011, 19(1): 62-64.

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【Objective】 To observe the incidence of secondary lactose intolerance (SLI) of diarrhea children, observing the efficacy of treatment after giving medical lactase import agents and lactose-free milk powder intervention. 【Method】 To detect the urine of diarrhea children by the urinary galactose kit, children with positive results were randomly assigned to three groups, lactose-free milk group, without lactose-free milk group and control group, to compare the curative effect and course of the three groups. 【Results】 The incidence of diarrhea secondary lactose intolerance (SLI) was related with age, the younger ones had the higher incidence; various age groups were significantly different(P＜0.01); SLI was infection-related, and rotavirus infection group was higher than other groups(P＜0.005); there were differences of the total effective rate to three treatment groups(P＜0.005), and there was no difference between the first two groups; the course of the third group was different(P＜0.01), and there was no difference between the first two groups. 【Conclusions】 The younger ones have higher incidence of SLI.The incidence of rotavirus infection is higher than other causes of morbidity; imported medical lactase and lactose-free milk powder formulations may enhance the effectiveness of treatment to shorten the course of disease,but to supply lactase is the fundamental method to solve the question of SLI.

Correlation between contents of polyunsaturated fatty acid in human breast milk and food allergy in infants

HUANG Yu-juan, LI Hai-qi

2011, 19(1): 65-67.

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【Objective】 To explore the correlation between contents of α-LNA、DHA、AA and LA in human milk and the development of food allergy in infants. 【Methods】 Cross-sectional study was conducted; breastfed infants aged 3~6 months were enrolled as well as their mothers; human milk samples were collected in the out-patient clinic, contents of PUFAs in human milk were analysed with HPLC method. Infants were diagnosed as food allergy according to R.Sporik's method in our out-patient clinic. 【Results】 10 infants were diagnosed as food allergy, and 21 normal as control. Contents of α-LNA、AA and LA in human milk of food-allergy group were higher than those in control group(P<0.05), except the contents of DHA. 【Conclusions】 The results suggest that human milk rich in n-6 PUFA such as LA and AA may be a risk factor to the development of food allergy in infants.

Evaluation of the physical growth for birth weight≥4 000 g children aged from 0 to 3 years in Minhang district

HUANG Jun, XIAO Li-ping, LI Yun, ZHANG Ying, YAO Yi, CHENG Wen

2011, 19(1): 69-71.

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【Objective】 To understand the status of the physical growth for birth weight ≥ 4 000 g children aged from 0 to 3 years in Minhang district. 【Methods】 The physical growth of the children at the age of 0~3 had been followed up,who was born on 4 kilos in weight and accept health care managing in Minhang distric.Follow-up children were 4178 person-time in total. 【Results】 The average weight of all ages was significantly higher than that in the investigation result 2005 about the physical growth of children aged from 0 to 6 years in Shanghai. The average incidence of overweight was 20.90%,which of obesity was 3.37%.The overweight peak occurred when children were 6 months and 3 years old. The distribution characteristic was demonstrated that the incidence of obesity in boys was obviously higher than that of girls. 【Conclusion】 It is necessary to prevent the occurrence of overweight and obesity from the prenatal period and to control the growth speed of body mass in preschool age.

Study on the feeding status of infants and young children of 0~18 months old in Jianghan district of Wuhan city

LIU Na, LIU Jing-ke, XIONG Chao, ZHANG Qing-kai, YANG Chang-you, JIANG Qiu-jing, YANG Sen-bei, ZHANG Jing

2011, 19(1): 72-74.

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【Objective】 To learn about the status of breastfeeding and food switching among infants and young children of 0~18 months old in Jianghan district of Wuhan and provide the scientific basis for intervention to improve feeding practice of children. 【Methods】 With cluster random sampling, two communities were selected in Jianghan District where infants and young children of 0~18 months old were chosen as the objects of this study. Interview their caregivers were interviewed with questionnaires about feeding. 【Results】 The rates of breastfeeding among 0~4 months, 4~6 months, 6~9 months, 9~12 months were 80.95%, 66.67%, 45.46% and 26.61% respectively. The main reason of weaning was shortage of breast milk (74.29%). The rate of food switching among 0~4 months, 4~6 months, 6~9 months and 9~12 months were 12.70%, 58.82%, 99.09% and 99.08% respectively. The rate of food switching among 4~6 months was lower than the result in 2005. The time of food switching was mainly among 4~6 months(60.39%).The introduction frequency of animal food was relatively low. 【Conclusions】 It is need to promote breastfeeding among infants. The time of food switching is not reasonable and the introduction of animal food is poor. It is necessary to improve feeding among infants and young children through education about breastfeeding and food switching to enhance health of infants and young children.

Temperament characteristics of children from 3 to 7 years old with febrile convulsions

HAO Jin-li, LI Xue-chun, CHEN Hua, ZHANG Ya-jing

2011, 19(1): 75-77.

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【Objective】 To explore the temperament characteristics of children from 3 to 7 years old with febrile convulsions. 【Methods】 72 cases aged from 3 to 7 years were chosen with febrile convulsions in the 3rd affiliated hospital and 72 children in control group. Children 3~7 years old temperament questionnaire (Behavioral Style Questionnaire) and self-made questionnaire were filled in by their patients. 【Results】 The two groups had the same temperament types distribution (P>0.05) and cases with febrile convulsions had more higher values than the control group in activity level, adaptability, intensity of reaction, quality of mood(P<0.05). And child with complex febrile convulsions often had temperament of difficult to raise, difficulties to raise in the middle type and slow-to-warm-up. The reaction intensity of temperament dimensions were the risk factors to recurrent febrile convulsions (P＜0.05) by multivariate analysis. 【Conclusion】 The assessment of temperament provides a new prevention and treatment ideas in children with febrile convulsions.

Changes and clinical significance of serum TNF-α, IL-4 and IL-6 in the children with henoch-schonlein purpura

LIU Wen-dong, YU Ling-xiang, XUE Ai-hong, LI Hong

2011, 19(1): 77-80.

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【Objective】 To explore the changement of serum tumor necrosis factor-alpha-alpha (TNF-α), interleukin-4(IL-4),interleukin-6(IL-6) with allergic purpura and allergic purpura nephritis during the course of the disease. 【Methods】 The serum levels of TNF-α,IL-4,IL-6 were measured with ELISA. 【Results】 At the acute stage, the lever of serum TNF-α, IL-6, IL-4 in HSP group were significantly higher than those in normal control group (P<0.01), in convalescent stage, the lever of serum TNF-α, IL-4, IL -6 were obviously decreased, and the lever of serum TNF-α,IL-4 ,IL-6 were higher in HSPN than in HSP. 【Conclusion】 Cytokine disorder existed in the children with HSP,the TNF-α, IL-4, IL-6 may play important roles in patho-genesis of HSP and HSPN.

Analysis of health care status and demands of children of birth defects

ZHANG Ying, DING Hui

2011, 19(1): 80-82.

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【Objective】 To acknowledge the health care status and demands of children born with birth defects. 【Methods】 Between July 2007 and September 2008, 453 live born cases of birth defects were diagnosed and registered by the Beijing Birth Defects Monitoring network-a hospital based birth defects registry system. Their parents were called to assess their survival status from birth up to the age of 6~8 months. 【Results】 The proportions of 315 live born infants with birth defects inhabited in Beijing, Expanded Program of Immunization, and physical examination were 94.00%, 93.40% respectively. The proportions of having been to the hospital once at least, not having been to the hospital, not acknowledging the fact of infants' birth defects were 70.70%, 27.10%, and 2.20% respectively. 【Conclusions】 The medical services were not enough for the demands of children born with birth defects. To establish registry system of children born with birth defects, to accomplish the net of diagnosis, therapy and transport of children born with birth defect will provide more services to the children born with birth defects.

Establishing and operating a quality assurance system for children's health care management

XU Pei-bin, CHEN Feng-xiang, LIANG Dong-mei

2011, 19(1): 90-92.

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【Objective】 To establish a quality assurance system to ensure that children's systematic health care performs its seven functions correctly, which contains testing, evaluating, guiding and so on, and provides standard, convenient and allround health care services to children. 【Methods】 To investigate the process of systematic health care according to relevant policy rules, the components of quality system for systematic health care was analyzed. Study was designed from four aspects: running subject, process approach, supporting conditions and evaluation. 【Results】 The quality assurance system for children's health care management was established, which was based on "testing-evaluating-guiding" integration and some corresponding supporting elements. The system covered all the critical quality control points and solved the difficulties in quality control and execution standard of systematic health care. 【Conclusions】 Establishing and operating a quality assurance system is an effective quality control method for children's health care management.

Influence of knowledge, attitude and practice of the guardians of the floating children to the vaccination of hepatitis B vaccine

LI Hai-hong, QIAN Dan

2011, 19(1): 93-94.

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【Objective】 To determine the influence of knowledge, attitude, practice (KAP) of the guardians of the floating children to the vaccination of the hepatitis B vaccine. 【Methods】 Three to five districts were chose with relatively more floating population and lower immunization coverage rates as the study location. Also the information about the immunization of hepatitis B vaccine was collected. 【Results】 The knowledge of the guardians of the floating children was poor. 84.3% of them did not know the hepatitis B vaccine being free for newborn infants after 2002 in our country. 64.3% of them knew the effect of hepatitis B vaccine and only 23.8% of the guardians knew the number of HB vaccine doses. The timely immunization rate of hepatitis B vaccine was 70.28%, which was far less than that of the local children. 【Conclusion】 Health education should be implemented to the guardians from various channels in order to improve the hepatitis B vaccine coverage rate among the floating children.

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