McLennan John D
Canadian Centre for Studies of Children at Risk and Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON.
J Health Popul Nutr. 2002 Sep;20(3):245-54.
The purpose of this study was to identify local knowledge and practices of, and barriers to, the home management of childhood diarrhoea in a poor periurban district of the Dominican Republic. In total, 582 caregivers of children aged five years and younger were interviewed using a structured questionnaire. Forty-six percent of the caregivers reported that one of their children had experienced diarrhoea within the last month. There was high reported use of ORS and knowledge of its preparation and principal function. However, there were many obstacles to its use. Other concerns included high rates of dietary restrictions during diarrhoea, positive view of the use of antibiotics, poor knowledge of preparation of sugar-salt solutions, and low attention given to clinical indicators as reasons for seeking professional treatment. Health-promotion efforts should target these areas of concerns to further improve the management of childhood diarrhoea in this district.
本研究的目的是确定多米尼加共和国一个贫困城郊地区儿童腹泻家庭管理的当地知识、做法及障碍。总共对582名五岁及以下儿童的照料者进行了结构化问卷调查。46%的照料者报告称，他们的孩子在过去一个月内患过腹泻。据报告，口服补液盐（ORS）的使用率很高，且对照料者对其配制方法和主要功能的知晓率也很高。然而，口服补液盐的使用存在诸多障碍。其他问题包括腹泻期间饮食限制比例高、对抗生素使用持肯定态度、对糖盐溶液配制方法知晓率低，以及作为寻求专业治疗原因的临床指标关注度低。健康促进工作应针对这些问题领域，以进一步改善该地区儿童腹泻的管理。
