Trevisanuto Daniele, Ferrarese Paola, Cavicchioli Paola, Fasson Alessandra, Zanardo Vincenzo, Zacchello Franco
Pediatric Department, Medical School, University of Padova, Padova, Italy.
Paediatr Anaesth. 2005 Nov;15(11):944-7. doi: 10.1111/j.1460-9592.2005.01589.x.
The efficacy of the Neonatal Resuscitation Program (NRP) courses was previously evaluated, demonstrating good retention of knowledge in the participants. However, there is a lack of information regarding the participants' performance in relation to the different steps of neonatal resuscitation. We aimed to assess the knowledge gained and retained by pediatric residents who participated in a NRP course in relation to the different steps.
An 80-item questionnaire derived from the standard test contained in the American Heart Association and American Academy of Pediatrics Neonatal Resuscitation Manual was given to 25 pediatric residents before, immediately after and 6 months after the course.
The percentages of correct answers significantly improved from before (37.6 +/- 3.1%) to immediately after the course (94.1 +/- 0.9%) (P < 0.001). The percentages at the 6 months follow-up test (62.7 +/- 2.2%) significantly decreased from posttest (P < 0.001), but remained significantly higher with respect to pretest performance (P < 0.001). The percentages of correct answers were different among the four neonatal resuscitation steps during the entire study (pretest, posttest and follow-up test).
The knowledge gained by pediatric residents participating in the NRP course was very high, but was only partially retained over time. In particular, it was different among the four steps of neonatal resuscitation suggesting further studies on teaching resuscitation.
先前已对新生儿复苏项目（NRP）课程的效果进行了评估，结果显示参与者对知识的掌握情况良好。然而，关于参与者在新生儿复苏不同步骤中的表现，目前缺乏相关信息。我们旨在评估参加NRP课程的儿科住院医师在不同步骤中所获得并保留的知识。
在课程开始前、课程结束后立即以及课程结束6个月后，向25名儿科住院医师发放一份源自美国心脏协会和美国儿科学会《新生儿复苏手册》中标准测试的80项问卷。
正确答案的百分比从课程开始前（37.6±3.1%）显著提高到课程结束后立即测试时（94.1±0.9%）（P<0.001）。6个月随访测试时的百分比（62.7±2.2%）与课程结束后立即测试相比显著下降（P<0.001），但仍显著高于课程开始前的表现（P<0.001）。在整个研究过程中（课程开始前、课程结束后立即测试和随访测试），新生儿复苏四个步骤的正确答案百分比有所不同。
参加NRP课程的儿科住院医师所获得的知识水平很高，但随着时间推移仅部分得以保留。特别是，新生儿复苏四个步骤中的知识情况有所不同，这表明需要对复苏教学进行进一步研究。
