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在以助产士为主导的产科环境中,消费者对新生儿脉搏血氧饱和度筛查的满意度。

Consumer Satisfaction with Newborn Pulse Oximetry Screening in a Midwifery-Led Maternity Setting.

作者信息

Cloete Elza, Gentles Thomas L, Lutter Robert A, Richards Kelly, Ward Kim, Bloomfield Frank H

机构信息

Liggins Institute, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.

Paediatric and Congenital Cardiac Services, Starship Children's Hospital, Auckland 1023, New Zealand.

出版信息

Int J Neonatal Screen. 2018 Dec 2;4(4):38. doi: 10.3390/ijns4040038. eCollection 2018 Dec.

DOI:10.3390/ijns4040038
PMID:33072958
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7548887/
Abstract

Pulse oximetry screening to detect hypoxaemia in newborn infants was introduced at birthing facilities in New Zealand during a feasibility study determining barriers and enablers to universal screening in a midwifery-led maternity system focused on community values and partnership with, and participation by, consumers. During the 2-year study period, parents of infants who underwent pulse oximetry screening were invited to complete a written survey to investigate consumer satisfaction. Respondents ranked their satisfaction with the test and with information resources on a five-level Likert scale. Additional comments were added in a free text space. Participation was voluntary and anonymous. A total of 657 surveys were included for analysis. Consumers were satisfied with the screening procedure; 94% either agreed or strongly agreed that it is an important health check. Although the quality of information sources was deemed good, a third of participants indicated a wish to obtain more information. Some participants stated that retention of information was an issue, reporting that they were fatigued following the birth. Consumers are receptive to pulse oximetry screening. Sharing information (while considering the receptivity of parents) and engaging the parents of newborn infants are factors that are paramount to the success of newborn screening initiatives.

摘要

在一项可行性研究期间,新西兰的分娩机构引入了脉搏血氧饱和度筛查以检测新生儿低氧血症。该研究旨在确定在以社区价值观以及与消费者建立伙伴关系并让消费者参与为重点的助产士主导的孕产妇系统中进行普遍筛查的障碍和促进因素。在为期两年的研究期间,接受脉搏血氧饱和度筛查的婴儿的父母被邀请完成一份书面调查,以调查消费者满意度。受访者根据五级李克特量表对他们对测试和信息资源的满意度进行排名。在自由文本空间中添加了其他评论。参与是自愿且匿名的。总共657份调查问卷被纳入分析。消费者对筛查程序感到满意;94%的人同意或强烈同意这是一项重要的健康检查。尽管信息来源的质量被认为良好,但三分之一的参与者表示希望获得更多信息。一些参与者表示信息留存是个问题,称他们在分娩后很疲惫。消费者接受脉搏血氧饱和度筛查。(在考虑父母接受程度的同时)分享信息以及让新生儿父母参与是新生儿筛查举措成功的关键因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f4b/7548887/a440a3c2502c/IJNS-04-00038-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f4b/7548887/f2397d1f0a61/IJNS-04-00038-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f4b/7548887/a440a3c2502c/IJNS-04-00038-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f4b/7548887/f2397d1f0a61/IJNS-04-00038-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f4b/7548887/a440a3c2502c/IJNS-04-00038-g002.jpg

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Association of US State Implementation of Newborn Screening Policies for Critical Congenital Heart Disease With Early Infant Cardiac Deaths.
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JAMA. 2017 Dec 5;318(21):2111-2118. doi: 10.1001/jama.2017.17627.
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