EVALUATION OF THE RESULTS OF THE CONGENITAL HEART SCREENING TRAINING PROGRAM AT LAO CAI PROVINCE HOSPITALS

Tóm tắt

Objective: Describe the current situation of medical capacity to diagnose and treat children with congenital heart disease in Lao Cai in the period 2022-2023, including infrastructure, human resources and pharmaceutical warehouses product.

Research subjects and methods: During the period from November 2023 to January 2025, a prospective study was conducted at the Obstetrics and Pediatrics Hospital of Lao Cai province and 8 district hospitals of Lao Cai province, with 97 doctors, nurses and midwives participated in the study.

Result: For the screening class, in terms of professional qualifications, there are 77 doctors (accounting for 79.4%), 13 nurses (accounting for 13.4%), and 7 midwives (accounting for 7.2%). For the ultrasound class, there are 20 medical doctors participating in the Pediatric Echocardiography training class, 3 doctors from the provincial level (accounting for 15%) and 17 doctors from the district level (accounting for 85%). The average age of doctors participating in the training class is 30.8 ± 3.9 years old, the lowest age is 27 years old, the highest age is 37 years old. The average theoretical score in the group of provincial doctors increased from 6.0±1.95 points to 8.8±0.87 points after training, (p<0.001). The average score of the group of district doctors increased from 5.7±0.79 points to 8.0±0.82 points (p<0.001). The average theoretical score of the nursing group at the district level increased from 5.2±0.69 points to 7.5±0.66 points (p<0.001). The midwifery group at the district level had an average theoretical score increase from 5.1±0.69 points to 7.0±1.0 points (p<0.001).

Conclusion: Medical staff at the provincial and district levels in Lao Cai have limitations in the field of congenital heart disease, and these limitations are partly enhanced thanks to a theoretical training program combined with practice and supervision closely after the study.