福建省2007-2011年新生兒死亡影響因素分析及干預(yù)對(duì)策研究
發(fā)布時(shí)間：2018-10-11 12:37
【摘要】：研究目的本課題立足于福建省建成新生兒救護(hù)網(wǎng)絡(luò)，分析近五年內(nèi)新生兒死亡現(xiàn)狀，進(jìn)而分析影響新生兒死亡的原因，探討政策實(shí)施過(guò)程中的問(wèn)題，進(jìn)而提出改進(jìn)措施，達(dá)到降低新生兒死亡的政策合理化。 研究方法應(yīng)用文獻(xiàn)分析、半結(jié)構(gòu)式訪談、觀察法收集監(jiān)測(cè)數(shù)據(jù)，并應(yīng)用SPSS15.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)描述和統(tǒng)計(jì)推斷。 研究結(jié)果1.2009年全省的新生兒死亡率與2001年比較，下降了67.2%，年平均下降速率達(dá)到11.6%。2.死亡新生兒出生體重構(gòu)成中，“3000-”組所占比例為32.8%；出生體重不足2500g的新生兒所占比重合計(jì)為65%。3.新生兒死亡出生日齡分組中，“7天”所占比例最大達(dá)到75.7%。4.新生兒死亡出生地點(diǎn)在鄉(xiāng)（街道）衛(wèi)生院出生的比例由2008年的17.0%降低到2011年的8.0%，而在�。ㄊ校┽t(yī)院出生的比例則由2007年的19.7%增長(zhǎng)到2011年的30.1%，但除2011年外，農(nóng)村地區(qū)仍有近3%的死亡新生兒出生在家中或途中。5.新生兒前5位主要死亡原因分別是早產(chǎn)或低出生體重、出生窒息、其它先天異常、先天性心臟病以及肺炎。6.新生兒死亡地點(diǎn)以醫(yī)院為主，各年來(lái)比例皆在80%左右。7.全省新生兒死前診斷級(jí)別構(gòu)成中以縣（區(qū)）醫(yī)院所占比例最大，�。ㄊ校┽t(yī)院比例5年內(nèi)增加了近9個(gè)百分點(diǎn)；而農(nóng)村地區(qū)仍有2.1%的新生兒死前沒(méi)有治療。 研究結(jié)論福建省新生兒死亡率自2000年起有明顯下降，低于全國(guó)及東部水平；早產(chǎn)和低出生體重兒以及出生窒息是我省新生兒的主要死因，，包括先天性心臟病在內(nèi)的先天異常在我省新生兒死因中的比例不斷升高；同時(shí)城鄉(xiāng)發(fā)展水平的不平衡、新生兒醫(yī)療保健服務(wù)的提供和利用能力的不足、產(chǎn)兒科協(xié)作能力不高是我導(dǎo)致我省新生兒死亡的主要原因。
[Abstract]:Objective this paper is based on the establishment of neonatal rescue network in Fujian Province, analyzes the present situation of neonatal death in recent five years, then analyzes the causes of neonatal death, probes into the problems in the process of policy implementation, and then puts forward some improvement measures. Rationalizing policies to reduce neonatal mortality. Methods document analysis, semi-structured interview and observation were used to collect the monitoring data, and SPSS15.0 software was used to describe and infer the data. Compared with 2001, the neonatal mortality rate in 2009 decreased 67.2%, and the annual average rate of decline reached 11.60.2. In the proportion of birth weight of dead newborns, the proportion of "3000-" group was 32.8g, and the proportion of newborns with birth weight less than 2500g was 65.3. In the group of neonatal death, the "7 days" accounted for the largest proportion of 75.7. 4. The proportion of births in township (street) hospitals decreased from 17.0% in 2008 to 8.0% in 2011, while the proportion of births in provincial (municipal) hospitals increased from 19.7% in 2007 to 30.1% in 2011, but with the exception of 2011, In rural areas, nearly 3 per cent of newborns are still born at home or en route. 5. 5. The leading causes of death in newborns were premature birth weight or low birth weight, birth asphyxia, other congenital abnormalities, congenital heart disease and pneumonia. Hospital is the main place of neonatal death, the proportion of each year is about 80. 7%. The proportion of county (district) hospitals was the largest in the premortem diagnosis grade of newborns in the province, and the proportion of provincial (municipal) hospitals increased by nearly 9 percentage points in 5 years, while 2.1% of the newborns in rural areas still had no treatment before death. Conclusion the neonatal mortality rate in Fujian Province has decreased significantly since 2000, which is lower than that in the whole country and the eastern part of China, and premature birth, low birth weight infants and asphyxia are the main causes of death of newborns in our province. The proportion of congenital abnormalities, including congenital heart disease, in the cause of death of newborns in our province is increasing. At the same time, the imbalance in the level of development between urban and rural areas and the lack of the ability to provide and utilize health care services for newborns, The main cause of neonatal death in our province is the low ability of paediatrics collaboration.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R172
本文編號(hào)：2264221
[Abstract]:Objective this paper is based on the establishment of neonatal rescue network in Fujian Province, analyzes the present situation of neonatal death in recent five years, then analyzes the causes of neonatal death, probes into the problems in the process of policy implementation, and then puts forward some improvement measures. Rationalizing policies to reduce neonatal mortality. Methods document analysis, semi-structured interview and observation were used to collect the monitoring data, and SPSS15.0 software was used to describe and infer the data. Compared with 2001, the neonatal mortality rate in 2009 decreased 67.2%, and the annual average rate of decline reached 11.60.2. In the proportion of birth weight of dead newborns, the proportion of "3000-" group was 32.8g, and the proportion of newborns with birth weight less than 2500g was 65.3. In the group of neonatal death, the "7 days" accounted for the largest proportion of 75.7. 4. The proportion of births in township (street) hospitals decreased from 17.0% in 2008 to 8.0% in 2011, while the proportion of births in provincial (municipal) hospitals increased from 19.7% in 2007 to 30.1% in 2011, but with the exception of 2011, In rural areas, nearly 3 per cent of newborns are still born at home or en route. 5. 5. The leading causes of death in newborns were premature birth weight or low birth weight, birth asphyxia, other congenital abnormalities, congenital heart disease and pneumonia. Hospital is the main place of neonatal death, the proportion of each year is about 80. 7%. The proportion of county (district) hospitals was the largest in the premortem diagnosis grade of newborns in the province, and the proportion of provincial (municipal) hospitals increased by nearly 9 percentage points in 5 years, while 2.1% of the newborns in rural areas still had no treatment before death. Conclusion the neonatal mortality rate in Fujian Province has decreased significantly since 2000, which is lower than that in the whole country and the eastern part of China, and premature birth, low birth weight infants and asphyxia are the main causes of death of newborns in our province. The proportion of congenital abnormalities, including congenital heart disease, in the cause of death of newborns in our province is increasing. At the same time, the imbalance in the level of development between urban and rural areas and the lack of the ability to provide and utilize health care services for newborns, The main cause of neonatal death in our province is the low ability of paediatrics collaboration.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R172
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 趙國(guó)華;;新生兒窒息的產(chǎn)科原因分析與對(duì)策[J];當(dāng)代醫(yī)學(xué);2011年03期
2 李梅;;基層醫(yī)院新生兒死亡95例原因分析[J];當(dāng)代醫(yī)學(xué);2011年15期
3 劉建新;陳自勵(lì);;新生兒窒息產(chǎn)前危險(xiǎn)因素Logistic回歸分析[J];當(dāng)代醫(yī)學(xué);2011年19期
4 劉靜;李淑萍;李桂芳;;305例新生兒死亡情況分析[J];當(dāng)代醫(yī)學(xué);2011年19期
5 董兆華;隋萍;;農(nóng)村新生兒死亡119例原因分析[J];臨床醫(yī)學(xué);2008年10期
6 陳誠(chéng);劉慶紅;周翔;劉貴敏;任路中;肖政祥;麻莉;;婦幼保健網(wǎng)在完善區(qū)域性新生兒轉(zhuǎn)運(yùn)網(wǎng)絡(luò)中的實(shí)踐[J];中國(guó)兒童保健雜志;2009年06期
7 張玲;吳朝霞;;貴州省2002-2006年新生兒死亡監(jiān)測(cè)資料分析[J];貴州醫(yī)藥;2009年09期
8 王立新;;助產(chǎn)士在新生兒復(fù)蘇過(guò)程中的作用及管理對(duì)策[J];護(hù)理管理雜志;2007年01期
9 李軍文;;新生兒死亡原因及對(duì)策分析[J];農(nóng)墾醫(yī)學(xué);2008年04期
10 買爾江 ,買爾燕;新生兒窒息和住院新生兒死亡兩年回顧性調(diào)查及死亡原因分析[J];海南醫(yī)學(xué);2003年12期
相關(guān)碩士學(xué)位論文 前1條
1 劉霞;山東省2000～2009年嬰兒主要死因變化趨勢(shì)及干預(yù)措施的研究[D];山東大學(xué);2010年
本文編號(hào)：2264221
本文鏈接：http://sikaile.net/yixuelunwen/yufangyixuelunwen/2264221.html
最近更新
教材專著
