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学科主题: 临床医学
题名:
The impact of an intervention package promoting effective neonatal resuscitation training in rural China
作者: Xu, Tao1; Wang, Huishan1; Gong, Limin1; Ye, Hongmao2; Yu, Renjie3; Wang, Danhua4; Wang, Lixin5; Feng, Qi6; Lee, Henry Chong7; McGowan, Jane Ellen8; Zhang, Tong1
关键词: Resuscitation ; Asphyxia neonatorum ; Neonatal mortality ; In-service training ; Intervention ; China
刊名: RESUSCITATION
发表日期: 2014-02-01
DOI: 10.1016/j.resuscitation.2013.10.020
卷: 85, 期:2, 页:253-259
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Critical Care Medicine ; Emergency Medicine
研究领域[WOS]: General & Internal Medicine ; Emergency Medicine
关键词[WOS]: SKILL RETENTION ; EXPERIENCE ; KNOWLEDGE ; TEAMWORK ; CARE
英文摘要:

Objective: To evaluate an intervention package promoting effective neonatal resuscitation training at county level hospitals across China.

Methods: The intervention package was implemented across 4 counties and included expert seminars, training workshops, establishment of hospital-based resuscitation teams, and supervision of training by national and provincial instructors. Upon completing the activities, a survey was conducted in all county hospitals in the 4 intervention counties and 4 randomly selected control counties. Data on healthcare providers′ knowledge and self-confidence, and incidence of deaths from birth asphyxia from 2009 to 2011 in all hospitals were collected and compared between the two groups.

Results: Eleven intervention and eleven control hospitals participated in the evaluation, with 97 and 87 health providers, respectively, completing the questionnaire survey. Over 90% of intervention hospitals had implemented neonatal resuscitation related practice protocols, while in control hospitals the proportion was less than 55%. The average knowledge scores of health providers in the intervention and control counties taking a written exam were 9.2 +/- 1.2 and 8.4 +/- 1.5, respectively (P < 0.001) out of maximum possible score of 10, and the average self-confidence scores were 57.3 +/- 2.5 and 54.1 +/- 8.2, respectively (P < 0.001). Incidence of birth asphyxia (defined as 1-min Apgar score < 7) decreased from 8.8% to 6.0% (P < 0.001) in the intervention counties, and asphyxia-related deaths in the delivery room decreased from 27.6 to 5.0 per 100,000 (P = 0.076). There was no difference over time in asphyxia rates for the control counties.

Conclusions: The intervention has not only improved skills of health providers, decreased the mortality and morbidity of birth asphyxia, but also resulted in effective implementation of guidelines and protocols within hospitals. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

语种: 英语
项目资助者: China-Australia Health and HIV/AIDS Facility (CAHHF)
WOS记录号: WOS:000332776200026
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63371
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: 1.St Christophers Hosp Children, Div Neonatol, Philadelphia, PA USA
2.Peking Univ, Hosp 1, Beijing, Peoples R China
3.Stanford Univ, Div Neonatal & Dev Med, Stanford, CA 94305 USA
4.China CDC, Natl Ctr Women & Childrens Hlth, Beijing, Peoples R China
5.Peking Univ, Hosp 3, Beijing, Peoples R China
6.Tinghua Univ, Hosp 1, Beijing, Peoples R China
7.Beijing Union Med Coll Hosp, Beijing, Peoples R China
8.Capital Med Univ, Beijing Matern Hosp, Beijing, Peoples R China

Recommended Citation:
Xu, Tao,Wang, Huishan,Gong, Limin,et al. The impact of an intervention package promoting effective neonatal resuscitation training in rural China[J]. RESUSCITATION,2014,85(2):253-259.
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