Citation: | YUE Qing, YAO Shi Yi, MEI Yue, XU Tao. Weakness of neonatal resuscitation awareness among health professionals: a current situation analysis based on the neonatal resuscitation training platform[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2024, 15(3): 11-16. DOI: 10.19757/j.cnki.issn1674-7763.2024.03.003 |
To analyze the weakness of neonatal resuscitation awareness among health professionals in China, so as to provide support for targeted training and improve training effects.
Examination data were collected from the National Neonatal Resuscitation Training System from Jul 1st, 2020 to Aug 25th, 2022. The first time approval rate, total approval rate and accuracy rate of each question were analyzed and compared between medical staff of different specialties.
The first time approval rates of 8 courses were lower than 80% among 38 780 medical personnel, and that rates of endotracheal intubation, positive pressure ventilation, premature infant resuscitation, special circumstances and initial resuscitation were lower than 60%. The accuracy rates of 42 questions ranged from 44.48% to 78.75%, with 12 questions below 60%, which were mainly concentrated on the courses of positive pressure ventilation, basic knowledge of resuscitation, initial resuscitation, endotracheal intubation and medication use. Courses of chest compression and premature infant resuscitation were better. Comparison between different medical professionals showed that the doctors had a better awareness than nurses/midwives. The accuracy rates of doctors in 30 questions were higher than nurses/midwives, while the accuracy rates of 6 questions were lower than nurses/midwives (all P < 0.05).
The first time approval rate of neonatal resuscitation course is low. There are obvious weak points and gaps between doctors and nurses/midwives. It is important to develop targeted training programs and improve neonatal resuscitation capabilities for health professionals, so as to ensure neonatal safety.
[1] |
Gillam-Krakauer M,Gowen Jr CW. Birth asphyxia[EB/OL]. (2023-08-14)[2024-01-12]. https://www.ncbi.nlm.nih.gov/books/NBK430782/.
|
[2] |
Odd D,Heep A,Luyt K,et al. Hypoxic-ischemic brain injury:planned delivery before intrapartum events[J]. J Neonatal-Perinatal Med,2017,10(4):347-353. doi: 10.3233/NPM-16152
|
[3] |
Gibson A,Noguchi L,Kinney MV,et al. Galvanizing collective action to accelerate reductions in maternal and newborn mortality and prevention of stillbirths[J]. Glob Health Sci Pract,2021,9(2):268-273. doi: 10.9745/GHSP-D-20-00575
|
[4] |
World Health Organization. The global burden of disease:2004 update[R]. Geneva:World Health Organization,2008:14-16.
|
[5] |
徐韬. 新生儿复苏培训降低新生儿死亡率的效能分析:文献综述,meta分析与Delphi法的应用[J]. 中国妇幼卫生杂志,2012,3(2):85-98.
|
[6] |
Wang C,Yue Q,Xu T. Reducing neonatal mortality with a three-stage neonatal resuscitation training programme — China,2004 – 2021[J]. China CDC Wkly,2022,4(36):807-810.
|
[7] |
Xu T,Wang HS,Gong L,et al. The impact of an intervention package promoting effective neonatal resuscitation training in rural China[J]. Resuscitation,2014,85(2):253-259. doi: 10.1016/j.resuscitation.2013.10.020
|
[8] |
Huang JC,Tang Y,Tang J,et al. Educational efficacy of high-fidelity simulation in neonatal resuscitation training:a systematic review and meta-analysis[J]. BMC Med Educ,2019,19(1):323. doi: 10.1186/s12909-019-1763-z
|
[9] |
Bettinger K,Mafuta E,Mackay A,et al. Improving newborn resuscitation by making every birth a learning event[J]. Children (Basel),2021,8(12):1194. doi: 10.3390/children8121194
|
[10] |
臧贤玲. 新生儿窒息复苏技术培训效果评价[J]. 中国妇幼保健,2012,27(12):2.
|
[11] |
毛新梅,高红卫,李晓强,等. 基层新生儿复苏技术培训模式的探索及效果评价[J]. 中国妇幼卫生杂志,2016,7(2):5.
|
[12] |
Jackson CB,Quetsch LB,Brabson LA,et al. Web-based training methods for behavioral health providers:a systematic review[J]. Adm Policy Ment Health,2018,45(4):587-610. doi: 10.1007/s10488-018-0847-0
|
[13] |
Halamek LP,Weiner GM. State-of-the art training in neonatal resuscitation[J]. Semin Perinatol,2022,46(6):151628. doi: 10.1016/j.semperi.2022.151628
|
[14] |
叶鸿瑁. 新生儿复苏培训模式的进展:案例模拟和参与式反馈[J]. 中华围产医学杂志,2013,16(12):3.
|
[15] |
Lindhard MS,Thim S,Laursen HS,et al. Simulation-based neonatal resuscitation team training:a systematic review[J]. Pediatrics,2021,147(4):e2020042010. doi: 10.1542/peds.2020-042010
|
[16] |
李敏,周鸣,奚晓红,等. 新生儿复苏的理论知识掌握情况[C]//浙江省医学会围产医学分会,上海市医学会围产医学分会,江苏省医学会围产医学分会,等. 2019长三角围产医学学术会议暨浙江省围产医学学术大会论文汇编. 上海:上海市第一妇婴保健院同济大学医学院,2019:99.
|
[17] |
Aziz K,Lee HC,Escobedo MB,et al. Part 5:Neonatal resuscitation:2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care[J]. Circulation,2020,142(16 Suppl 2):S524-S550.
|
[18] |
中国新生儿复苏项目专家组,中华医学会围产医学分会新生儿复苏学组. 中国新生儿复苏指南(2021年修订)[J]. 中华围产医学杂志,2022,25(1):9.
|
[19] |
Łukasz S. Knowledge of newborn resuscitation among emergency medical personnel[J]. Anaesthesiol Intensive Ther,2013,45(2):73-76. doi: 10.5603/AIT.2013.0016
|
[20] |
闫迪,夏海鸥. 基于聚类分析的产科护理人员岗位内容研究[J]. 中华护理杂志,2020,55(5):7.
|
[21] |
World Health Organization. World health statistics 2018:monitoring health for the SDGs,sustainable development goals[R]. Geneva:World Health Organization,2018,4-11.
|
[22] |
中华人民共和国国务院. 国务院关于印发中国妇女发展纲要和中国儿童发展纲要的通知[EB/OL]. (2021-09-08) [2024-01-12]. https://www.gov.cn/gongbao/content/2021/content_5643262.htm.
|
[23] |
布如飞,杨磊,李怀玉,等. 2019年宁夏回族自治区新生儿死亡情况调查[J]. 中国妇幼保健,2023,38(3):5.
|
[24] |
Izquierdo M,Iriondo M,Ruiz C,et al. Survey of neonatal resuscitation practices showed post-training improvements but need to reinforce preterm management,monitoring and adrenaline use[J]. Acta Paediatr,2017,106(6):897-903. doi: 10.1111/apa.13791
|