|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|
|收录类别||SCI ; SSCI|
|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|
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.
|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
|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.|