IR@PKUHSC  > 北京大学第三临床医学院
学科主题临床医学
The impact of an intervention package promoting effective neonatal resuscitation training in rural China
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
2014-02-01
DOI10.1016/j.resuscitation.2013.10.020
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
资助者China-Australia Health and HIV/AIDS Facility (CAHHF) ; China-Australia Health and HIV/AIDS Facility (CAHHF)
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
资助者China-Australia Health and HIV/AIDS Facility (CAHHF) ; China-Australia Health and HIV/AIDS Facility (CAHHF)
WOS记录号WOS:000332776200026
引用统计
被引频次:13[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/63371
专题北京大学第三临床医学院
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
推荐引用方式
GB/T 7714
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.
APA Xu, Tao.,Wang, Huishan.,Gong, Limin.,Ye, Hongmao.,Yu, Renjie.,...&Zhang, Tong.(2014).The impact of an intervention package promoting effective neonatal resuscitation training in rural China.RESUSCITATION,85(2),253-259.
MLA Xu, Tao,et al."The impact of an intervention package promoting effective neonatal resuscitation training in rural China".RESUSCITATION 85.2(2014):253-259.
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