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土耳其米拉斯儿童烧伤的急救家庭治疗及一些启示

First-aid home treatment of burns among children and some implications at Milas, Turkey.

作者信息

Karaoz Banu

机构信息

Nursing Department, Trakya University, Faculty of Health Sciences, Edirne, Turkey.

出版信息

J Emerg Nurs. 2010 Mar;36(2):111-4. doi: 10.1016/j.jen.2009.12.018. Epub 2010 Jan 18.

Abstract

This descriptive study was conducted among 130 families in Milas, Turkey, who have children ages 0 to 14 years. Among the 130 families, a total of 53 children (40.8%) experienced a burn event. Twenty-seven subjects (51%) had treated the burn with inappropriate remedies including yogurt, toothpaste, tomato paste, ice, raw egg whites, or sliced potato. Of the 28 subjects (52.8%) who had applied cold water to the burn site, 21 patients (39.6%) applied only cold water and 7 patients (13.2%) used another substance along with cold water. In addition, 13 subjects (24.5%) applied ice directly on the skin at the time of the burn. Excluding the subjects who had treated their burns with only cold water or with only ice, raw egg whites were the most commonly used agent, both alone (n = 3) or accompanied by cold water or ice (n = 6) in a total of 11 subjects (21%) who applied eggs. Based on these observations, it is suggested that educational programs emphasizing first-aid application of only cold water to burn injuries would be helpful in reducing morbidity and mortality rates. A nationwide educational program is needed to ensure that young burn victims receive appropriate first aid and to reduce the use of inappropriate home remedies and burn morbidity.

摘要

这项描述性研究在土耳其米拉斯的130个有0至14岁孩子的家庭中进行。在这130个家庭中,共有53名儿童(40.8%)经历过烧伤事件。27名受试者(51%)曾用不恰当的疗法治疗烧伤,包括酸奶、牙膏、番茄酱、冰块、生蛋清或土豆片。在28名(52.8%)曾在烧伤部位使用过冷水的受试者中,21名患者(39.6%)仅使用了冷水,7名患者(13.2%)在使用冷水的同时还使用了其他物质。此外,13名受试者(24.5%)在烧伤时直接将冰块敷在皮肤上。排除仅用冷水或仅用冰块治疗烧伤的受试者,生蛋清是最常用的物质,共有11名(21%)使用过蛋清的受试者单独使用生蛋清(n = 3)或与冷水或冰块一起使用(n = 6)。基于这些观察结果,建议开展强调烧伤损伤仅用冷水进行急救的教育项目,这将有助于降低发病率和死亡率。需要开展一项全国性的教育项目,以确保年轻的烧伤受害者得到适当的急救,并减少不恰当的家庭疗法的使用和烧伤发病率。

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