新生儿复苏质量控制体系实施效果研究

Neonatal resuscitation effect of implementing quality control system

目的探讨建立新生儿复苏项目质量控制体系对新生儿复苏人员复苏知识、技能的知晓率及保持率的作用;对新生儿复苏成功率、窒息率、死亡率的影响。方法选择参与新生儿复苏的所有产、儿科医护人员及麻醉师作为研究对象。对比建立新生儿复苏项目质量控体系前后一年新生儿窒息发生率、复苏成功率及死亡率的变化情况。分析建立新生儿复苏项目质量控制体系后所有参与新生儿复苏的人员对新生儿复苏知识、技能的知晓率及保持率。结果 2014年新生儿复苏成功率上升,差异有统计学意义(P<0.05);窒息发生率下降(1.57%降至0.77%),死亡率下降(9.38/万降至2.15/万),差异均有统计学意义(P<0.05)。所有参与新生儿复苏的人员其新生儿复苏知识及技能均明显提高,知晓率上升(P<0.05)、保持率良好。结论通过建立新生儿复苏项目质量控制体系,提高了复苏人员的复苏技能,从而提高了新生儿复苏成功率,降低了窒息发生率及死亡率。

Objective Discussion on establishment of neonatal resuscitation project quality control system for neonatal resuscitation know personnel recoveryknowledge, skills and keep the rate rates; on neonatal resuscitation success rate, mortality rate, the influence of asphyxia. Methods Choose to participate in neonatal resuscitation of all production, pediatric medical staff and anaesthetists as second groups of subjects. In contrast to the establishment control system before and after a year ofneonatal asphyxia rate changes, successful resuscitation rate and the mortality rate of neonatal resuscitation program quality. Analysis of the establishment of quality control system of neonatal resuscitation programafter all personnel involved in the neonatal resuscitation of neonatal resuscitation skills knowledge, awareness rate and conservation rate. Results Neonatal resuscitation success rate rise in 2014, the difference was statistically significant （P 〈 0.05） ; asphyxia rate decreased （ 1.57% to 0.77% ）, mortality decreased （9.38/104 to 2. 15/104） , the difference was statistically significant （P 〈 0.05）. All personnel involved in the neonatal resuscitation of neonatal resuscitationknowledge and skills are significantly improved, awareness rate increased （ P 〈 0.05 ） , retention of good. Conclusion Through the establishment of neonatal resuscitation project quality control system, improve therecovery of personnel recovery skills, thereby enhancing the neonatal resuscitation success rate, reduce theincidence and mortality of asphyxia.