新疆维吾尔族地区新生儿复苏双语培训的效果  

Effect of neonatal resuscitation training in both Mandarin and Uygur in Uygur area in Xinjiang, China

作　　者：李龙[1] 努尔亚[1] 苏雅洁[1] 米热阿依[2] 哈斯叶提 张恒梅 岳阳[5] 章蔚维 段琳 阿依加马力[1] 古丽皮亚木 李明珠[1] 

机构地区：[1]新疆维吾尔自治区人民医院新生儿科,乌鲁木齐830001 [2]新疆维吾尔自治区人民医院产科,乌鲁木齐830001 [3]新疆维吾尔自治区乌鲁木齐市儿童医院新生儿科,830002 [4]新疆维吾尔自治区吐鲁番市人民医院新生儿科,838000 [5]新疆维吾尔自治区阿克苏地区第一人民医院新生儿科,843000 [6]新疆维吾尔自治区库车县人民医院新生儿科,842000 [7]新疆维吾尔自治区拜城县人民医院新生儿科,842300

出　　处：《中华围产医学杂志》2016年第1期39-43,共5页Chinese Journal of Perinatal Medicine

基　　金：中囝疾病预防控制中心妇幼保健中心新生儿复苏项目（2014FYN001）

摘　　要：目的探讨适合我国新疆维吾尔族地区的新生儿复苏培训方式及其效果。方法2014年10月至2015年2月，选择新疆维吾尔自治区吐鲁番地区中心医院、吐鲁番市人民医院及2家县医院，新疆维吾尔自治区阿克苏地区第一人民医院及3家县医院的产科医生、新生儿科（儿科）医生、助产士、麻醉师进行新生儿复苏培训，以维吾尔文翻译版《新生儿复苏指南》为教材，由维吾尔族省级师资为主进行授课、带教，每位师资带教不超过10人，以汉语讲解为主，重点、难点用维吾尔语补充。理论授课时间缩短至6 h，操作培训时间为8 h，首次培训前、后及3个月后复训前进行理论考核，并通过评价复苏各项技术的准确率来评价操作培训效果。采用重复测量的方差分析及χ2检验进行统计分析。结果共220名医护人员纳入分析。所有医务人员首次培训后理论考核成绩高于培训前[（85.68±8.52）与（65.37±12.08）分，t=18.532，P=0.000]，复训前成绩[（80.08±12.70）分]低于首次培训后（t=－4.943，P=0.000）。所有医务人员首次培训后快速评估、初步复苏、正确正压人工通气、胸外心脏按压与人工通气的正确配合、正确气管插管、正确使用复苏药物的＂正确完成＂比例分别为72.7%（160/220）、40.0%（88/220）、15.9%（35/220）、37.7%（83/220）、51.8%（114/220）和48.2%（106/220），均高于首次培训前[分别为1.4%（3/220）、0%（0/220）、0%（0/220）、8.2%（18/220）、5.9%（13/220）和10.5%（23/220）]，差异均有统计学意义（P值均〈0.01）；但复训前操作考核中仅正确使用复苏药物的＂正确完成＂比例高于首次培训后[49.6%（109/220）与48.2%（106/220），χ^2=9.129，P〈0.05]。结论在新疆维吾尔族地区开展汉语和维吾尔语双语新生儿复苏培训，有助于提高当地医务人员复苏技术掌握的正确率。Objective To explore an appropriate way and its effect on neonatal resuscitation training in Uygur area of Xinjiang, China. Methods From October 2014 to February 2015, obstetricians, neonatologists （pediatricians）, midwives and anesthetists from Turpan Region Central Hospital, Turpan City People＇s Hospital,Aksu Region First People＇s Hospital and other five hospitals at county level were chosen to attend the training course of neonatal resuscitation. The textbook for the course was Guidelines for Resuscitation which had been translated to Uygur language from English and the class was lead by less than ten Uygur trainees with Mandarin and Uygur when necessary in addressing some difficult or important points. The duration of theoretic courses took 6 h and the operational course took 8 h. Theorectical exam was taken before, immediately after and three months after （before re-training） the training. The accuracy rate was applied to assess the effect of training through evaluation for each resuscitation techniques. Repeated measures analysis of variance and Chi-square test were used for statistical analysis. Results A total of 220 health care staff were included in the study. The average score of theoretical examination after the training was higher than that before （85.68±8.52 vs 65.37±12.08, t=18.532, P=0.000）, and that before re-training was lower than that after training （80.08±12.70 vs 85,68±8.52, t=-4.943, P=0.000）. After the training, the proportions of ＂Done＂ in each item, including rapid assessment, preliminary resuscitation, correct positive pressure artificial ventilation, external cardiac massage together with artificial ventilation, proper endotracheal intubation and proper administration of resuscitation drugs, were all higher that those before [72.7%（160/220） vs 1.4%（3/220）, 40.0%（88/220） vs 0%（0/220）, 15.9%（35/220） vs 0%（0/220）, 37.7%（83/220） vs 8.2%（18/220）, 51.8%（114/220） vs 5.9%（13/220） and 48.2%（106/220） vs 10.5%（23/220）, al

关 键 词：新生儿窒息 复苏术 在职培训 多种语言能力 评价研究 

分 类 号：R722.12[医药卫生—儿科]