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) .
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  • [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.
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