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东非新生儿复苏:卫生保健提供者的知识水平及其决定因素。系统评价和荟萃分析。

Neonatal resuscitation in Eastern Africa: health care providers' level of knowledge and its determinants. A systematic review and meta-analysis.

机构信息

School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

出版信息

Glob Health Action. 2024 Dec 31;17(1):2396636. doi: 10.1080/16549716.2024.2396636. Epub 2024 Sep 12.

DOI:10.1080/16549716.2024.2396636
PMID:39263866
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11395871/
Abstract

BACKGROUND

Even though effective neonatal resuscitation prevents the consequences of neonatal death related to birth asphyxia, a significant portion of healthcare personnel lacked understanding or performed it inconsistently. It is critical to have a comprehensive study that demonstrates the overall level of knowledge of healthcare providers regarding neonatal resuscitation in Eastern Africa.

METHODS

Articles were searched from Science Direct, JBI databases, Web of Sciences, PubMed, and Google Scholar. The primary outcome was the level of knowledge of health care providers regarding neonatal resuscitation. Data were analyzed using Stata version 18 statistical software. The overall estimates with a 95% confidence interval were estimated using a random effect model.

RESULTS

In this meta-analysis study, 7916 healthcare providers were included. The overall level of knowledge on neonatal resuscitation among healthcare providers in Eastern Africa was 59% [95% CI: 48-70]. Trained health care providers (OR = 3.63, 95% CI: 2.26, 5.00), and work experience of 5 years and above (OR = 2.08, 95% CI: 1.00, 3.16) were determinants of the level of knowledge. However, the level of education and availability of equipment were found to be insignificantly associated with the level of knowledge.

CONCLUSIONS

The results of this meta-analysis showed that healthcare professionals in Eastern Africa lacked sufficient knowledge about neonatal resuscitation. Having 5 years of work experience and training in neonatal resuscitation was found to be strongly associated with knowledge level. Thus, continuing education, training courses, and frequent updates on neonatal resuscitation protocols are required for healthcare professionals.

摘要

背景

尽管有效的新生儿复苏可以预防与出生窒息相关的新生儿死亡的后果,但相当一部分医护人员对此缺乏了解或操作不一致。因此,有必要进行一项全面的研究,以展示东非医护人员对新生儿复苏的整体知识水平。

方法

文章从 Science Direct、JBI 数据库、Web of Sciences、PubMed 和 Google Scholar 中进行搜索。主要结果是医护人员对新生儿复苏的知识水平。使用 Stata 版本 18 统计软件分析数据。使用随机效应模型估计总体估计值和 95%置信区间。

结果

在这项荟萃分析研究中,共纳入了 7916 名医护人员。东非医护人员对新生儿复苏的总体知识水平为 59%[95%CI:48-70]。受过培训的医护人员(OR=3.63,95%CI:2.26,5.00)和 5 年以上工作经验(OR=2.08,95%CI:1.00,3.16)是知识水平的决定因素。然而,教育水平和设备的可及性与知识水平没有显著相关性。

结论

这项荟萃分析的结果表明,东非的医护人员对新生儿复苏缺乏足够的知识。拥有 5 年的工作经验和新生儿复苏培训被发现与知识水平密切相关。因此,需要对医护人员进行继续教育、培训课程和新生儿复苏方案的频繁更新。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/2ff5ce8d6699/ZGHA_A_2396636_F0006_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/16f106b36c7e/ZGHA_A_2396636_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/5f584b7180dc/ZGHA_A_2396636_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/73248325d40e/ZGHA_A_2396636_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/7edabeaafb00/ZGHA_A_2396636_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/98365c2586c5/ZGHA_A_2396636_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/2ff5ce8d6699/ZGHA_A_2396636_F0006_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/16f106b36c7e/ZGHA_A_2396636_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/5f584b7180dc/ZGHA_A_2396636_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/73248325d40e/ZGHA_A_2396636_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/7edabeaafb00/ZGHA_A_2396636_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/98365c2586c5/ZGHA_A_2396636_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c96/11395871/2ff5ce8d6699/ZGHA_A_2396636_F0006_OC.jpg

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