如皋市新生儿复苏培训效果评价(1)
【摘要】 目的：评估新生儿复苏培训结束时的效果和近期效果。方法：对全市新生儿复苏相关医务人员进行分批培训，通过比较培训前摸底得分与培训结束后测试得分评估培训结束时的效果；复苏培训后5个月组织复苏案例处理竞赛，通过分别比较竞赛得分与复苏培训前后得分评估复苏培训的近期效果。结果：全市新生儿复苏培训分11批次进行，纳入效果评价的医务人员291名。卫生所妇幼医生、医院医生、医院护士复苏前摸底得分与培训后测试得分比较，差异均有统计学意义(t=3.715、10.909、5.583，P=0.000)。18名妇产科医生参加复苏案例处理竞赛，竞赛得分与复苏培训前该18名摸底得分比较差异无统计学意义(t=1.751，P=0.098)，与该18名复苏培训后测评得分比较差异有统计学意义(t=5.586，P=0.000)；与139名妇产科医生复苏培训前摸底得分(F=3.107，P=0.080，t=3.800，P=0.000)、培训结束后测评得分比较，差异均有统计学意义(F=15.086，P=0.000，t=2.135，P=0.036)。结论：复苏培训有助于提高培训结束时的测试得分，但近期效果并不理想，建议构建区域性复苏长效培训体系。
【关键词】 新生儿； 复苏； 培训； 效果； 评价
Evaluation of Neonatal Resuscitation Training in Rugao City/DING Yan，LI Hongbin，CHEN Jihua，et al.//Medical Innovation of China，2017，14(35)：109-113
【Abstract】 Objective：To evaluate the immediate effect and the short-term effect of neonatal resuscitation training.Method：The medical staff of neonatal resuscitation was trained in batches，then the effect of neonatal resuscitation training were evaluated by comparing the scores before and after the training.A neonatal resuscitation competition was organized after 5 months of training.Finally the short-term effect of neonatal resuscitation training was evaluated comparing the scores of competition with before and after training.Result：Neonatal resuscitation training was conducted in 11 batches，291 medical staff were included.There was significant difference in maternal and child doctors(t=3.715，P=0.000)，hospital doctors(t=10.909，P=0.000)and hospital nurses(t=5.583，P=0.000)before and after training.Eighteen obstetricians participated in the recovery competition，the difference was not statistically significant between the competition and before training(t=1.751，P=0.098).The difference was statistically significant between the competition and after training(t=5.586，P=0.000).Compared with 139 obstetricians，the differences were statistically significant between the competition and before training(F=3.107，P=0.080，t=3.800，P=0.000) and after training(F=15.086，P=0.000，t=2.135，P=0.036).Conclusion：Neonatal resuscitation training helps to raise test scores at the end of training，but the short-term results are not satisfactory.We suggest that a long-term training system should be constructed.
【Key words】 Neonate； Resuscitation； Training； Effect； Evaluation
First-author’s address：Maternal and Child Health Care Family Planning Service Center of Rugao，Rugao 226500，China
doi：10.3969/j.issn.1674-4985.2017.35.030
新生兒复苏技术有助于降低新生儿窒息发生率和死亡率[1-2]。复苏培训项目在我国经历了试点推广、项目省推广、面向基层推广三个阶段[3]，第一周期于2004年启动了项目省推广，2011年开始第二周期工作，新生儿复苏培训由项目省推广到非项目省，并向县乡基层发展[4]。如皋市2006年组织了一次全市新生儿复苏专题培训，推广应用复苏技术，由于如皋实施了乡镇医院产权制度改革，尽管每年妇幼健康例会都进行相关培训，但在2013年的基层民营一级医院复苏现状调查显示现场考核合格率仅36.59%[5]，得到卫生行政主管部门的高度重视，逐步部署落实了综合干预措施，着力构建复苏培训与复苏后救治体系[3]。2016年举办了全市复苏技术小班培训和复苏案例处理竞赛活动，对复苏培训效果进行评估，为上级主管部门研究制定复苏培训长效体系提供决策参考依据。现报道如下。(丁燕 李鸿斌 陈继华 朱继华 张小燕 王志红)