| Objective:The purpose of this study was to the current situation of the pediatric emergency in the spectrum and emergency equipment in township hospitals. Furthermore, we analyzed the understanding degree of the emergency appropriate health technologies of pediatric in primary healthcare workers and the restraining factors and drawbacks to make the training approach and mode in the process of promoting. The eventually aim to provide the scientific basis for popularization and application the seven emergency appropriate health technologies of pediatric in township hospitals.Methods:Data was collected by a questionnaire survey and a face to face survey. Database was established by Epidata3.2version and carefully checked. All computerized analysis was performed using the Statistic Package for Social Sciences for Windows version18.0. The figures were plotted by Microsoft Excel2007. All statistical tests were two-sided. P value less than0.05was considered statistically significant. The results were presented as percentages. Differences between groups were assessed by2tests for categorical data. Multivariate logistic regression was used to estimate OR (odd ratios) and95%CI (confidence intervals) for the relationship between demographic characteristics and the level of.the emergency appropriate health technologies of pediatric.Results:(1) There were1095general practitioners attending the seven emergency appropriate health technologies of pediatric. The mean score of seven technologies was27.56±5.12, and only305(27.85%) general practitioners have passed the examination. The pass rate of appropriate health technologies was reduced with the growth of age, and the pass rate in circumjacent area of Changsha Zhuzhou,Xiangtan was higher than other areas in the multiple factors logistics models. The mastery degree of children pneumonia, antimicrobial application community acquired infections in children and children fever management was higher than other four appropriate health technologies. The mastery degree of febrile convulsion, fluid therapy for children, and children diarrhea with oral rehydration salts was significant statistically difference in different areas (P<0.05).(2)58(4.77%) township hospitals had not any pediatric emergency equipment within the scope of survey. No more than30%township hospitals had trachea cut bags, heart defibrillation apparatus, infant incubator, infant radiation stations and infusion pumps. The majority of township hospitals were not able to save the patients who suffered from acute respiratory failure, heart failure, or shock. The amount and type of emergency medicine were different among the township hospitals in different areas, but the difference had no statistical significance (P>0.05)(3) In recent3years, the percentage of pediatric advance general practitioners was statistically significant in different districts in township hospitals (x2=48.60, P<0.0001), and the percentage of pediatric training general practitioners was statistically significant in different districts in township hospitals (x2=54.27, P<0.0001). The percentage of pediatric advance or training nurses was not statistically significant in different districts (χ2=3.78, P>0.05). The mean of general practitioners attending the pediatric emergency appropriate health technologies was1.32±0.76in total township hospitals. And the amount of training general practitioners was statistically significant in different districts (x2=21.81, P<0.0001).Conclusion: The theory knowledge of the seven emergency appropriate health technologies has obvious flaws in general practitioners. The pass rate of appropriate health technologies was different in different age groups, and the pass rate in circumjacent area of Changsha Zhuzhou, Xiangtan was higher than other areas. The pediatric emergency equipments and drugs not only were limited, but also the time of continuing education was rare on pediatric. Therefore, for one thing, the proper training mode should be adopted in order to enhance and improve the ability of pediatric emergency at the grass-roots level. For another thing, the standard of pediatric emergency equipments and drugs should be invested by the department of public health under the State Council in township hospitals. The ultimate goal was that the general hospitals were served as the center, and the township served as the pioneer in the network. |
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