The Present Condition And Counter-measure Research Of A Hearing Screening Model For Newborn In Taian

Objective:The article is aimed at the city ’s screening problems.The study puts forward the correspondingsolutions, To form a continuous improvement intervention mechanism,Promotion of maternal and childhealth work carried out,Provide a theoretical reference for the improvement and development of the city ’sscreening.Methods:By convenient sampling and cluster sampling method, research areas include all the city of Taian,TaiShan Regin, DaiYue Regin, ningyang county, xintai city, DongPing county, status of six counties. Wecollected the data of the hearing screening in2008-2011work report to the maternal and child care; At thesame time，it was asked questions admitted to the medical workers engaged in neonatal hearing screeningquestionnaire, understand the progress of the work including the newborn hearing screening, screeningprocedures, reporting system, information management, work harder, human resource situation, job advice,etc. USES the interview method for parents of newborns, disabled persons’ federation, federation involvedin-depth interviews, further understand parents of newborn hearing screening purpose and attitude;Interviews with disabled persons’ federation and the all-china women’s federation, the purpose is tounderstand the status quo for the work of screening and the medical institutions of cooperation and thebasic situation of the intervention work and discuss solutions and Suggestions. The survey data by use ofExcel to create multiple database and support SPSS11.5software package for statistical analysis.Results:1Hearing screening time, technology and applicationThis city newborn hearing screening in the early screening method for the TEOAE, for transientevoked oaes, namely in neonatal hearing impairment diagnose mainly adopt the way of combination ofABR and ASSR. Screening time is24-72hours after birth, multiple screen time is42days to3months,confirmed the time for3to6months. Different from national standard requirement,the city of the TaiAnrequires that all newborns, regardless of whether the first screening positive, all to attend after screening. Hearing screening the specific procedures: by the midwife has the technology equipment units at all levelsfor newborn hearing screening in the early, and then to compound sieve screen positive for early work,twice passed the screening did not need to specify the maternal and child health care institutions ondiagnosis of hearing impairment children further diagnosis and intervention therapy.2The basic situation of2screening work(1) from the working status of newborn hearing screening in nearly four years, you can see that thecity’s registration number of live births in2008-2011about205894people, one screen at the beginning of205068people, accounting for99.60%of the total number of live births, and this city each year at thebeginning of the sieve rate remained at about99.5%. Compound sieve to participate in the total was only22244people, accounting for10.85%of the total screen at the beginning.42days lost to follow-up rate ishigher, at more than50%.(2) for diagnosis in children, children with confirmed within3months of confirmed accounts for about21.76%of the total,3-6months to diagnose (63.43%),6and12months of diagnosis was5.68%, more than12months to diagnose children about9.13%, which accounted for about4%of12to24months, more than24months of about5.20%.(3) the diagnosis of neonatal home address distribution, probably including TaiShan Regin accountedfor12.74%,16.26%DaiYue Regin, XinTai city11.32%,24.37%status, the ningyang county20.22%,DongPing conty8.41%, from1.79%, accounted for4.89%of undocumented address.(4) in the early intervention treatment, main is to use wear hearing AIDS. Confirmed positive for thecrowd has33people with hearing AIDS. This city was founded in2002newborn hearing screeningdiagnosis and treatment of disorders center, but did not set up on neonatal hearing rehabilitation facility.(5) Hearing screening means of health education based on the proportion of high to low as follows:distributing promotional materials, pasted posters, set up promotional display panels, lectures, play videoand audio material and seminars; proportion as follows:34.43%,27.32%,22.40%,12.57%,1.64%,1.64%.(6) The city engaged in hearing screening a limited number of personnel, and tasks. Surveyed63hearing screening personnel, college education accounted for the majority, less the proportion ofundergraduate and graduate education. Titles, mainly junior titles and titles; senior professional titles and fewer intermediate grade. Specializing in screening staff of only20people, accounting for31.75%of thetotal number of screening personnel;43part-time hearing screening, accounting for68.25%. Amongthem, the the Taishan District and part-time staff most other counties have less-time and part-time staff.Work Experience63hearing screening is mainly concentrated in the group less than or equal to3years,accounting for46.03%. From the regional distribution, Taishan District, mostly with the screeningagencies and screening.(7) in the city since established in2002, the routine screening examination of diseases of newbornbabies information reporting system, screening units once every one year or half year report diseasescreening information; Have unified neonatal disease screening data report, quarterly report the screeningdata; Has unified the screening examination of diseases of newborn babies the book presented, told doctorsand parents of hearing screening results. No unified information management system.(8) rarely coordination between departments, women’s federation only tell them to listen to sieve theNumbers, there is almost no other cooperation. Disabled persons’ federation each year only a partial reliefto wear hearing AIDS and simple language rehabilitation training.(9) in different stages of the hearing screening did not go smoothly1) some parents don’t accept the cause of the hearing screening: top three reasons, some parents believe thatchildren no problem, don’t understand the purpose of screening, hearing transportation factors.2) initial screening failed not to screen: no attention, do not understand the purpose of screening andparents don’t think there is something wrong with the children listening proportion.3) compound sieve failed to timely diagnosis and treatment of reason: located in the top three reasonsare to follow, not lost to follow-up and for economic reasons.Conclusion：1screening is not thorough enough, mainly in the screening, screening work continuity, system ofrelatively poor, showing "the screen without check, check without diagnosis, diagnosis but not rule"situation.2The shortage of human resources, personnel structure and regional distribution is not reasonable,need further adjustment.3information management are lack of system, the feedback is not timely, remain to perfect further. 4to carry out single location and means of health education, popularize degree restricted hearingscreening knowledge.