儿童蛇咬伤的急救实践和医院前护理
Kavinda Dayasiri1, Nayani Suraweera2, Priyanga Burhan3
1Department of Paediatrics, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka. kavindadayasiri@gmail.com.
BMC pediatrics
|August 8, 2025
概括
在斯里兰卡儿童中,有害的蛇咬伤急救做法很常见,与低教育和社会经济地位有关. 对文化敏感的教育和更好的农村交通对于改善结果至关重要.
科学领域:
- 儿科急救医学 儿科急救医学
- 公共卫生 公共卫生
- 毒理学 毒理学 毒理学
背景情况:
- 蛇咬是斯里兰卡儿童健康的重大威胁,特别是在农村地区.
- 不充分的急救和延迟的医疗护理加剧了负面结果.
- 这项研究调查了护理人员的做法和儿童蛇病例的因素.
研究的目的:
- 检查斯里兰卡儿科蛇咬伤患者的护理人员急救实践.
- 确定与有害的急救反应相关的因素.
- 探索与蛇咬伤管理相关的护理人员信仰和行为.
主要方法:
- 一种混合方法的方法,结合了定量和定性数据.
- 与364名儿童蛇患者的护理人员进行了结构化采访.
- 后勤回归分析,以确定有害行为的预测因素.
- 与54名护理人员进行了定性采访,以了解他们的信仰和行为.
主要成果:
- 虽然基本的伤口洗 (73.4%) 和安慰 (61.1%) 是常见的,但有害的做法,如带 (26.7%) 和传统疗法 (7.4%) 是常见的.
- 有害的做法与母亲/父亲教育水平较低,社会经济地位较低和文化信仰有显著的关联.
- 之前的蛇咬伤急救培训显示有保护作用 (AOR 0.21).
结论:
- 在斯里兰卡,尽管人们对推措施有一定认识,但有害的蛇咬伤急救做法仍然存在.
- 需要有针对性的,文化敏感的教育干预措施.
- 加强农村紧急运输服务对于减少延误和预防并发症至关重要.
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