124所爱婴医院新生儿早期基本保健技术服务实施现状调查  

Investigation on early essential newborn care practices in 124 baby-friendly hospitals

作　　者：俞春兰 陶花[1] 王晓娇 张俊平[1,3] 朱新丽[1,3] 顾春怡[1] Yu Chunlan;Tao Hua;Wang Xiaojiao;Zhang Junping;Zhu Xinli;Gu Chunyi(Department of Nursing,Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200011,China;School of Nursing,Fudan University,Shanghai 200032,China;Department of Obstetrics and Neonatology,Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200011,China)

机构地区：[1]复旦大学附属妇产科医院护理部,上海200011 [2]复旦大学护理学院,上海200032 [3]复旦大学附属妇产科医院产儿部,上海200011

出　　处：《中华围产医学杂志》2023年第1期59-64,共6页Chinese Journal of Perinatal Medicine

基　　金：国家自然科学基金(72004029);上海市卫生健康委员会卫生行业临床研究专项(202040097);复旦大学证据临床转化项目(FNDGJ20201)。

摘　　要：目的了解我国爱婴医院新生儿早期基本保健(early essential newborn care,EENC)技术服务的实施现况。方法采用方便抽样方法进行现况调查。调查对象为开展助产医疗技术的爱婴医院、医院等级为一级及以上、医院类型为综合医院或妇产专科和妇幼保健院且医院相关科室(产房、产科病房、新生儿科)负责人自愿接受调查。于2021年4月1日至30日采用自行设计的调查问卷以微信问卷星的方式向相关科室负责人发放问卷,收集国内爱婴医院EENC技术服务实施情况。采用χ^(2)检验进行统计学分析。结果共发放问卷126份,回收124份(124所爱婴医院)。124所爱婴医院中东部地区74所,中部地区18所,西部地区32所。在124所抽样医院中,以90所三级爱婴医院为主(72.6%);综合爱婴医院80所(64.5%),其次为妇产专科和妇幼保健院44所(35.5%)。东、中、西部地区抽样医院在机构类型、等级、EENC实施情况和培训情况、以及EENC主要推荐措施实施方面,差异均无统计学意义(P值均>0.05)。98所(79.0%)爱婴医院实施至少1项EENC主要推荐措施;东、中、西部地区爱婴医院EENC实施率(即实施至少1项EENC主要推荐措施的比例)分别为86.4%(64/74)、13/18和65.6%(21/32),差异无统计学意义(χ^(2)=6.60,P=0.159)。实施10项及以上EENC主要推荐措施的医院占64.5%(80/124),其中东、中、西部地区分别为71.6%(53/74)、10/18和53.1%(17/32),差异无统计学意义(χ^(2)=4.08,P=0.130)。EENC的17项主要推荐措施中,东、中、西部地区医院生后持续90 min母婴皮肤接触的实施率分别为10.8%(8/74)、2/18和18.8%(6/32),延迟脐带结扎实施率分别为66.2%(49/74)、11/18和68.8%(22/32),推迟常规保健至母婴皮肤接触后实施率分别为25.7%(19/74)、7/18和21.9%(7/32),差异均无统计学意义(χ^(2)值分别为6.57、0.34和4.53,P值均>0.05)。结论我国东、中、西部地区大部分爱婴医院实施EENC技术服务现况与世界�Objective To analyze the implementation of early essential newborn care(EENC)in baby-friendly hospitals in China.Methods This is an investigation carried out using convenience sampling method.People in charge of labor ward,obstetric wards or neonatology department of the selected hospitals,such as baby-friendly hospitals with birth facilities,primary or higher level of hospitals,or general hospitals or those specialized in obstetrics and gynecology or materal and child health care centers,were selected as the subjects of the survey.Information about EENC practices in these hospitals was collected using a self-designed questionnaire sent through WeChat from April 1 to 30,2021.Chi-square test was used for statistical analysis.Results A total of 126 questionnaires were distributed and 124(124 baby-friendly hospitals)were withdrawn.There were 74 hospitals in the eastern,18 in the central and 32 in the western region.Among the 124 hospitals,tertiary hospitals,general hospitals,and maternity and child care hospitals accounted for 72.6%(n=90),64.5%(n=80)and 35.5%(n=44),respectively.There were no significant differences in the hospital type,levels,EENC coverage and training,or implementation of mainly recommended EENC practices among the hospitals in the eastern,central and western regions(all P>0.05).The implementation rate of at least one mainly recommended EENC practice was 79.0%(98/124)and there was no significant difference in the implementation rates among eastern,central and western regions[86.4%(64/74),13/18 and 65.6%(21/32),χ^(2)=6.60,P=0.159].A total of 80(64.5%)hospitals implemented 10 or more recommended EENC practices,and the implementation rates in eastern,central and western regions were 71.6%(53/74),10/18 and 53.1%(17/32),respectively(χ^(2)=4.08,P=0.130).Among the 17 mainly recommended measures of EENC,in eastern,central and western hospitals,the implementation rates were 10.8%(8/74),2/18 and 18.8%(6/32)for mother-infant skin-to-skin contact for 90 min after birth;66.2%(49/74),11/18 and 68.8%(22/32)for

关 键 词：婴儿护理 婴儿 新生 卫生计划实施 调查和问卷 医院 

分 类 号：R174[医药卫生—妇幼卫生保健]