在新生儿复苏培训后保持技能的一种混合方法:评估有效性
R Dhungana1, M Chalise2, M K Visick3
1Safa Sunaulo Nepal, Kathmandu, Nepal.
Journal of neonatal-perinatal medicine
|May 24, 2024
概括
在尼泊尔实施帮助婴儿呼吸 (HBB) 培训,使新生儿死亡率减少了40%以上. 这种混合方法结合了面对面和远程支持,即使在COVID-19大流行期间也被证明是有效的.
科学领域:
- 全球健康 全球健康
- 新生儿复苏术 新生儿复苏
- 孕产妇和儿童的健康
背景情况:
- 围产死亡仍然是一个重大的全球卫生挑战.
- 简单的复苏干预,如帮助婴儿呼吸 (HBB),可以预防新生儿死亡率.
- 末日圣徒慈善机构 (LDSC) 和Safa Sunaulo Nepal (SSN) 旨在扩大尼泊尔的HBB培训规模.
研究的目的:
- 评估扩大帮助婴儿呼吸 (HBB) 培训计划对尼泊尔卡纳利省新生儿结果的影响.
- 评估在COVID-19大流行期间结合现场和远程支持的混合实施方法的有效性.
- 报告与独特实施战略相关的围产期结果的变化.
主要方法:
- 预期队列设计,比较16个公共卫生机构的出生队列.
- 从2020年1月到2021年2月实施的干预,使用混合现场和远程支持模型.
- 分析了计划实施期的前三个月和最后三个月的结果.
主要成果:
- 在产后死亡 (23%) 和24小时内新生儿死亡 (27%) 的显著下降.
- 在出生24小时后,新生儿死亡率大幅减少 (41.3%).
- 557名医疗保健提供者接受了HBB培训和指导,其中一半是在COVID-19期间接受培训的.
结论:
- 混合方法证明了改善围产期结果的潜力.
- 使用混合模型扩大新生儿复苏培训是可行的,即使在医疗系统中断的情况下.
- 该计划强调了混合学习的适应性和有效性,并在资源有限的环境中支持策略.
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