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目的了解新生儿复苏项目实施10年来新疆的项目管理及培训情况。方法采用分层整群抽样方法,按行政区域将新疆划分为南疆地区、北疆地区,在南北疆随机选取1个地(州),对抽中地(州)市级卫生行政部门、116家医疗机构、956名产科、儿科、麻醉科医护人员及41名各级师资开展一系列问卷调查、访谈、座谈。结果 1项目管理:到第二周期为止,南、北疆地区都建立了新生儿复苏领导小组、制定了督导计划并深入开展乡级培训。2院内培训制度:县级及县级以上医疗机构培训执行较好,乡级较差。南疆地区由于儿科医生缺乏,相关培训制度未建立。3人员培训:82%的医护人员认为复苏技术中最难掌握的是气管插管;40%的医护人员认为自己缺乏在复苏现场评估新生儿状态并决定下一步操作的判断能力。结论新疆新生儿复苏工作要得到各级卫生行政部门的重视。未来应加大经费支持力度,做好各级培训、督导、考核,以巩固培训效果。
Objective To understand the project management and training in Xinjiang during the 10 years of neonatal resuscitation. Methods A stratified cluster sampling method was used to divide Xinjiang into two regions (southern Xinjiang and northern Xinjiang) according to the administrative region. One prefecture (prefecture) 116 medical institutions, 956 obstetricians, pediatrics, anesthesiologists and 41 teachers at all levels conducted a series of questionnaires, interviews and discussions. Results 1 Project Management: As of the second cycle, the leading group for neonatal resuscitation has been set up in the southern and northern regions, and a supervisory plan has been drawn up and township level training has been carried out. 2 hospital training system: the implementation of training at county level and above medical institutions is better, township level is poor. Due to the lack of pediatricians in southern Xinjiang, the relevant training system has not been established. 3 Personnel training: 82% of the medical staffs think the most difficult technique in the resuscitation technique is tracheal intubation; 40% of the medical staffs consider themselves lacking the ability to judge the status of a newborn and decide on the next step in the resuscitation field. Conclusion Neonatal recovery work in Xinjiang should receive the attention of the health administrative departments at all levels. In the future, we should increase financial support and do a good job in training, supervision and assessment at all levels so as to consolidate the training effect.