Zhao Shu Yan , Sun Huang , Sun Jie , Pan Jia Hua , Guo Tao , Zhao Ling , Li Ya Ni , Peng Yun Zhu , Yang Zu Huan . The Training Effect of Ability to Timely Screening for Congenital Heart Disease among Primary Medical Workers in Yunnan Province[J]. Journal of Kunming Medical University, 2018, 39(05): 39-44.
Citation: Zhao Shu Yan , Sun Huang , Sun Jie , Pan Jia Hua , Guo Tao , Zhao Ling , Li Ya Ni , Peng Yun Zhu , Yang Zu Huan . The Training Effect of Ability to Timely Screening for Congenital Heart Disease among Primary Medical Workers in Yunnan Province[J]. Journal of Kunming Medical University, 2018, 39(05): 39-44.

The Training Effect of Ability to Timely Screening for Congenital Heart Disease among Primary Medical Workers in Yunnan Province

Funds:

基金: 云南省卫生科技计划基金资助项目 (2014NS135); 云南省教育厅科学研究基金资助项目 (2016YJS054);

  • Received Date: 2017-10-21
  • Objective To improve the early diagnosis of congenital heart disease (CHD) , investigate the awareness, screening knowledge and screening ability of CHD among health care providers in the rural areas of Yunnan province and discover an effective way to improve the related knowledge and skills of CHD screening.Me thods From 2015 September to 2017 April, we set up charity mobile schools and chose eight areas as the investigating and training sites. We designed two questionnaires, and adopted the theoretical training as the main method combined with the training of clinical skills.We investigated and trained a total of 1022 medical staff.The training content include the awareness of CHD, the knowledge and skills of CHD screening.We also evaluated the outcomes of the training.Re s ultsA total of 2044 questionnaires were collected.After training, the number of objects which would screen CHD in future increased, and the cognition of the incidence and common clinical manifestations of CHD, Eisenmanger's syndrome, cardiac auscultation, pulse oximetry and the related knowledge of CHD were also improved;563 took the test on practical skills of CHD detection.The correct rate of auscultation, period of murmurs and characteristics of murmurs was 98.22% (553) , 30.55% (172) and 28.60% (161) .The correct rate of murmurs in ventricular septal defect, atrial septal defect and patent ductus arteriosus was 45.47% (256) , 39.79 (224) and 50.80% (286) respectively.Online training was advised by 244 trainees.Increasing investment in congenital heart disease screening was suggested by 652 trainees.Conclus ionsThe awareness of CHD screening in grassroots medical workers of Yunnan province is insufficient.It is an effective way to establish charity mobile school and to train the grassroots medical staff with the theory and practical knowledge to improve the awareness, screening knowledge and screening skills of CHD.The next step suggests that we can improve the early diagnosis of congenital heart disease (CHD) .
  • loading
  • [1]冯文霄.国内外出生缺陷的流行分布情况[J].中国妇幼保健, 2012, 27 (10) :1586-1589.
    [2]
    [2]LEUNG MP, YUNG T C, NG Y K, et al.Pattern of symptomatic congenital heart disease among oriental neonates—a decade's experience[J].Cardiology in the Young, 1996, 6 (4) :291-297.
    [3]
    [3]ALMAWAZINI A M, HANAFI H K, MADKHALI H A, et al.Effectiveness of the critical congenital heart disease screening program for early diagnosis of cardiac abnormalities in newborn infants[J].Saudi Medical Journal, 2017, 38 (10) :1019.
    [4]张又祥, 卓美瑛, 杜薇云, 等.新生儿先天性心脏病的早期临床特征[J].中国妇幼保健, 2005, 20 (3) :339-340.
    [5]秦怀金, 朱军.中国出生缺陷防治报告[M].北京:人民卫生出版社, 2013:2-5.
    [6]
    [6]CHANG R K, GURVITZ M, RODRIGUEZ S.Missed diagnosis of critical congenital heart disease[J].Archives of Pediatrics&Adolescent Medicine, 2008, 162 (10) :969.
    [7]
    [7]KEMPER A R, MAHLE W T, MARTIN G R, et al.Strategies for implementing screening for critical congenital heart disease[J].Pediatrics, 2011, 128 (5) :e1259.
    [8]
    [8]THANGARATINAM S, BROWN K, ZAMORA J, et al.Pulse oximetry screening for critical congenital heart defects in asymptomatic newborn babies:a systematic review and meta-analysis[J].Lancet, 2012, 379 (9835) :2459-2464.
    [9]
    [9]DE-WAHL G A, WENNERGREN M, SANDBERG K, et al.Impact of pulse oximetry screening on the detection of duct dependent congenital heart disease:a Swedish prospective screening study in 39, 821 newborns[J].Bmj British Medical Journal, 2009, 338 (7687) :145-149.
    [10]
    [10]ALVERSON C J, STRICKLAND MJ, GILBOA S M, et al.Maternal smoking and congenital heart defects in the Baltimore-Washington Infant Study[J].Pediatrics, 2011, 127 (3) :e647.
    [11]
    [11]RYAN D J, MIKULA E B, GERMANA S, et al.Screening for critical congenital heart disease in newborns using pulse oximetry:evaluation of nurses'knowledge and adherence[J].Advances in Neonatal Care Official Journal of the National Association of Neonatal Nurses, 2014, 14 (2) :119-128.
    [12]
    [12]MAHLE W T, MARTIN G R, MORROW W R.Endorsement of Health and Human Services recommendation for pulse oximetry screening for critical congenital heart disease[J].Pediatrics, 2012, 129 (1) :190-192.
  • Relative Articles

    [1] Wei HU, Jinnan LI, Wei YANG, Li SU, Zhuo YU, Zhisong CHEN. Interventional Treatment of Muscular Ventricular Septal Defect in Children. Journal of Kunming Medical University, 2024, 45(3): 48-53.  doi: 10.12259/j.issn.2095-610X.S20240307
    [2] Jianhong XU, Zhengmin REN, Yanjiao ZHAO, Shiyun LI, Ruijuan ZHANG, Faguo ZHANG. Screening of Congenital Heart Disease at Different Time in Neonates in Anning Area by Auscultation Combined with Pulse Oximetry. Journal of Kunming Medical University, 2023, 44(4): 128-132.  doi: 10.12259/j.issn.2095-610X.S20230425
    [3] Yun-juan WANG, Yan-liang ZHANG, Qiu-yue XU, Ying ZHAO, Zhao-wu HU, Yang SU. Gene Screening and Result Analysis of 2 376 Cases of Thalassemia. Journal of Kunming Medical University, 2021, 42(1): 68-71.  doi: 10.12259/j.issn.2095-610X.S20210130
    [4] Fang Chu Long , Li Ya Xiong , Wang Xiao Yan , Wang Zhao , Wang Yi , Zhou Cai Qin , Yan Ming Liang , Li Shu Xi , Liu Bi . . Journal of Kunming Medical University, 2020, 41(04): 137-141.
    [5] Feng Shu Qing , Qin Li , Liu Yan , Yang Xiao Yun , Zeng Ming Hui , Luo Ting Ting , Zong Shao Yun . . Journal of Kunming Medical University, 2019, 40(07): 92-95.
    [6] Li Zhen , Ye Qing , He Biao Hua , Li Guan Xi , Wang Hong , Zeng Yong Li , Yu Zhuo , Li Hua , Chen Zhi Song . Epidemiological Investigation on Children and Teenagers with Congenital Heart Disease in three Counties in Zhaotong Area from 2015 to 2016. Journal of Kunming Medical University, 2018, 39(03): 77-80.
    [7] Xia Li Bin , Shi Xin , Shen Yan , Luo Zhi Ling . . Journal of Kunming Medical University, 2018, 39(12): 16-22.
    [8] Yang Xu , Ma Run Wei , Song Yi , Zhang Xiao Yu , Wang Ji Yang , Zhang Da Yong . . Journal of Kunming Medical University, 2017, 38(05): 68-73.
    [9] Han Ci Lin , Jiang Li Hong , Hou Zong Liu , Wang Wen Ju , Zhang Yu . Epidemic Characteristics of Congenital Heart Disease of Adolescents between 3 to 18 ages Among Different Regions in Yunnan. Journal of Kunming Medical University, 2017, 38(08): 30-34.
    [10] Zhang Ti Ling . . Journal of Kunming Medical University,
    [11] Xu Jing . . Journal of Kunming Medical University,
    [12] Zhang Hong Yun . . Journal of Kunming Medical University,
    [13] Zhang Hong Yun . . Journal of Kunming Medical University,
    [14] Wang Yi . . Journal of Kunming Medical University,
    [15] Wang Xiao Yan . . Journal of Kunming Medical University,
    [16] Gao Zhan . . Journal of Kunming Medical University,
    [17] Luo Zhong Ming . . Journal of Kunming Medical University,
    [18] Kang Ying Hong . . Journal of Kunming Medical University,
    [19] Ding Yun Chuan . . Journal of Kunming Medical University,
    [20] Chen Wen Min . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (1974) PDF downloads(54) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return