Department of Paediatrics and Child Health, Rivers State University Teaching Hospital, Rivers State, Nigeria.
Department of Paediatrics and Child Health, University of Port Harcourt, Rivers State, Nigeria.
Pan Afr Med J. 2021 Jan 22;38:75. doi: 10.11604/pamj.2021.38.75.25812. eCollection 2021.
birth attendants' retention of knowledge and skills of neonatal resuscitation post-training can prevent birth asphyxia by repeatedly applying neonatal resuscitation guidelines. This study assessed primary healthcare workers' retention of knowledge and skills of basic neonatal resuscitation.
in 28 primary health centres, 106 birth attendants had their knowledge and skills assessed following a one-day neonatal resuscitation training. The evaluation was before, immediately after training, at three months (a subset of participants) and six months. Paired t-tests were used to compare mean scores at two different evaluation times.
the mean baseline knowledge and skills scores were 35.22% ± 12.90% and 21.40% ± 16.91% respectively. Immediately after training, it increased to 81.48% ± 7.05% and 87.40% ± 13.97% respectively (p=0.0001). At three months, it decreased to 55.37% ± 20.50% and 59.11% ± 25.55% respectively (p=0.0001), at six months it was 55.77% ± 14.28% and 60.38% ± 19.79% respectively (p=0.0001). Following immediate post-training at 6 months, knowledge and skills scores increased to 94.91 ± 7.28% and 96.02 ± 4.50% respectively (p=0.0001). No participant had adequate knowledge and one had adequate skills at baseline. The proportion of those with adequate knowledge and skills markedly increased immediate post-training but decreased remarkably at three-month and at six-month evaluations respectively. 99.1% had adequate knowledge and all had adequate skills immediate post-training at 6 months.
neonatal resuscitation training led to an improvement in knowledge and skills with suboptimal retention at three to six months post-training. Re-training improved knowledge and skills. We recommend that the retention of knowledge and skills could improve by retraining and mentoring at least 3-6 monthly.
培训后，接生员保留新生儿复苏知识和技能可以通过反复应用新生儿复苏指南预防出生窒息。本研究评估了基层医疗保健工作者基本新生儿复苏知识和技能的保留情况。
在 28 个初级卫生中心，对 106 名接生员进行了为期一天的新生儿复苏培训后的知识和技能评估。评估在培训前、培训后立即、三个月（部分参与者）和六个月进行。使用配对 t 检验比较两次不同评估时间的平均分数。
基线知识和技能得分的平均值分别为 35.22%±12.90%和 21.40%±16.91%。培训后立即，分别增加至 81.48%±7.05%和 87.40%±13.97%（p=0.0001）。三个月时，分别降至 55.37%±20.50%和 59.11%±25.55%（p=0.0001），六个月时，分别降至 55.77%±14.28%和 60.38%±19.79%（p=0.0001）。培训后立即 6 个月时，知识和技能得分分别增加至 94.91%±7.28%和 96.02%±4.50%（p=0.0001）。没有参与者在基线时有足够的知识，只有一名有足够的技能。培训后立即有足够知识和技能的参与者比例显著增加，但在三个月和六个月评估时分别显著下降。99.1%的人在培训后立即有足够的知识，所有人都有足够的技能。
新生儿复苏培训可提高知识和技能，但培训后 3-6 个月的保留效果不佳。再培训可提高知识和技能。我们建议至少每 3-6 个月进行一次再培训和指导，以提高知识和技能的保留率。
