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[布基纳法索努纳地区卫生专业人员向患者母亲传授疟疾知识的评估]

[Evaluation of transfer of knowledge about malaria by health professionals to patients' mothers in Nouna, Burkina Faso].

作者信息

Dugas Marylène, Dubé Eric, Kouyaté Bocar, Bibeau Gilles

机构信息

Département de bioéthique, Dalhousie University, Halifax NE, Canada, Département de médecine sociale et préventive, université de Montréal, Montréal QC, Canada.

出版信息

Sante. 2008 Jul-Sep;18(3):149-54. doi: 10.1684/san.2008.0122.

Abstract

To reduce the infant mortality rate associated with malaria, the WHO recommends preventive home treatment by antimalarial drugs for all children with fever. This practice requires some medical knowledge by mothers who want to treat their children. In Burkina Faso, the main source of the transmission of such knowledge and skills is the interaction between health professionals and mothers during consultations for their children. The main objective of this study was to assess the transfer of knowledge by health professionals to mothers about the causes, symptoms and treatment of malaria in the health district of Nouna, in the province of Kossi, Burkina Faso. The results showed that at the time of the interview very few mothers were able to recognize malaria and treat it adequately. Mothers' lack of malaria-related knowledge and skills was quite substantial and even more pronounced in the sample of mothers from villages. Many did not know the exact cause of malaria or how to treat it. In view of the factors that must be taken into account for the successful treatment of malaria at home (appropriate dose for age, appropriate duration of treatment, appropriate, i.e.,antimalarial, drugs, quality of drugs) it is estimated that only 3.5% of all interviewed mothers had the knowledge necessary to treat malaria correctly at home. Health professionals appeared to agree that the mothers lacked these skills, but our data revealed that they did not provide information to the mothers to address this lack. Specifically, they did not routinely provide information about prevention by mosquito nets, diagnosis based on key symptoms such as fever, the importance of rapid consultation, rules for antimalarial dosing according to age, the risks of under-medication or the dangers related to the purchase and consumption of street drugs that may be counterfeit or have expired.

摘要

为降低与疟疾相关的婴儿死亡率,世界卫生组织建议对所有发烧儿童采用抗疟药物进行预防性家庭治疗。这种做法要求想要治疗孩子的母亲具备一定的医学知识。在布基纳法索,此类知识和技能传播的主要来源是卫生专业人员与母亲在为孩子进行咨询时的互动。本研究的主要目的是评估在布基纳法索科西省努纳卫生区,卫生专业人员向母亲传授有关疟疾病因、症状和治疗知识的情况。结果显示,在访谈时,很少有母亲能够识别疟疾并进行适当治疗。母亲们缺乏与疟疾相关的知识和技能的情况相当严重,在来自村庄的母亲样本中更为明显。许多人不知道疟疾的确切病因或如何治疗。鉴于在家中成功治疗疟疾必须考虑的因素(适合年龄的剂量、适当的治疗持续时间、合适的抗疟药物、药物质量),估计所有接受访谈的母亲中只有3.5%具备在家中正确治疗疟疾所需的知识。卫生专业人员似乎认同母亲们缺乏这些技能,但我们的数据显示,他们并未向母亲们提供信息以弥补这一不足。具体而言,他们没有常规提供有关蚊帐预防、基于发烧等关键症状的诊断、快速咨询的重要性、根据年龄的抗疟药物给药规则、用药不足的风险或购买和服用可能是假冒或过期的街头药物的危险等信息。

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