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目的:了解2009年与2013年福建省妇幼保健院新生儿疾病筛查中心所属采血机构工作状况的变化,找出工作中的进步和不足,为进一步调整对采血机构的管理、提高其筛查工作质量提供规划。方法:采用横断面调查方法,通过整群系统抽样法2009年对127家采血机构与300位产妇、2013年对118家采血机构与300位产妇进行问卷调查,采血机构问卷内容包括筛查率、样本合格率、样本邮寄时间、筛查管理系统使用频率;产妇问卷内容包括:新生儿筛查知识知晓情况、对筛查样本采集的满意度、对筛查结果反馈情况的满意度。结果:2009年与2013年新生儿筛查采血机构的筛查率、样本合格率、样本邮寄时间及筛查网络管理系统使用频率比较差异均有统计学意义(P<0.05);产妇的新生儿筛查知识知晓情况、对筛查样本采集的满意度及对筛查结果反馈情况的满意度比较差异均有统计学意义(P<0.05)。结论:针对新生儿筛查采血机构的筛查率、样本合格率、邮寄时间、筛查管理系统使用频率及产妇的新生儿筛查知识知晓情况和对筛查工作满意度的变化,应以产妇的需求为导向,加大对新生儿筛查知识的宣教力度,提高广大采血机构医务人员对筛查网络管理系统的利用率,不断提升产妇对筛查工作的满意度。
OBJECTIVE: To understand the changes in the working conditions of blood collection institutions affiliated to the Neonatal Screening Center of MCH in Fujian Province in 2009 and 2013, and to find out the progress and deficiencies in the work. In order to further adjust the management of blood collection institutions and improve their screening work Quality planning. Methods: A total of 127 blood collection institutions and 300 maternal women in 2009 were collected by cluster sampling method. In 2013, 118 blood sampling institutions and 300 maternal women were surveyed. The questionnaires included screening rate, Sample pass rate, sample mailing time, frequency of screening management system; maternal questionnaire includes: awareness of neonatal screening knowledge, the satisfaction of the screening sample collection, the satisfaction of the feedback of the screening results. Results: There were significant differences in the screening rate, sample eligibility rate, sample mailing time and the frequency of screening network management system between neonatal screening blood collection agencies in 2009 and 2013 (P <0.05). Neonatal The knowledge of screening knowledge, the satisfaction of screening sample collection and the satisfaction of screening results were statistically significant (P <0.05). Conclusion: According to screening rate of neonatal screening blood collection agencies, sample passing rate, mailing time, the frequency of screening management system and maternal newborn screening knowledge and changes in satisfaction with the screening work should be mothers The demand for the guidance, to increase awareness of newborn screening of publicity, improve the blood collection agencies medical staff on the utilization of screening network management system, and constantly improve maternal satisfaction with the screening work.