Indian Oil Corporation Limited, Guwahati Refinery Hospital, Noonmati, Guwahati 781020, Assam, India.
Burns. 2011 Mar;37(2):265-72. doi: 10.1016/j.burns.2010.08.003. Epub 2010 Oct 14.
Burns are noteworthy causes of morbidity and mortality in India. Community-based interventions in the forms of multi-strategic and multi-focussed preventive programs are, however, lacking. This study, undertaken in the remote corner of Northeastern India, aims at reducing the incidence of burns through focussed attention towards sensitising the community with well-structured preventive programmes. Participatory community seminars, shop floor visit to industrial locations, use of print and electronic media and lectures and demonstrations in schools were the tools used in the preventive programmes. Analysis of inpatient and outpatient records of burn-injured patients treated in the Burn Unit and a scoring system in the school education programme helped in the assessment of the impact of Burn Preventive Programs (BPPs). For convenience of assessment, a comparative analysis of the results in early (block I) and later part (block II) of the study period was made. Results showed reduction of admission and also reduction in percent total body surface area (%TBSA) burn in the majority of the patients in block II in comparison to block I. Water was used to extinguish fire in 36.1% patients in block I and 73.4% patients in block II. Water was also used to cool burn wounds by 31% patients in Block I, and by 72% patients in block II. While 80% of the patients made inappropriate topical applications on the wounds in block I, only 34.4% did so in block II. Increased awareness amongst the general population was reflected by reduction of average reporting time in hospital after injury and significant reduction of firecracker burns from 21.5% (block I) to 14.6% (block II). Similarly, improved awareness amongst the students was evident from the improved scoring by the majority of the students and reduction in burns amongst them in the later part of block II. The results indicate that BPP has made a positive impact in society.
烧伤是印度发病率和死亡率的重要原因。然而，在社区层面缺乏多策略和多焦点的预防计划。本研究在印度东北部偏远地区进行，旨在通过关注社区，通过精心设计的预防计划来提高社区的敏感性，从而减少烧伤的发生率。参与式社区研讨会、工业场所实地考察、利用印刷和电子媒体以及在学校开展讲座和示范，是预防计划中使用的工具。烧伤患者住院和门诊记录的分析，以及学校教育计划中的评分系统，有助于评估烧伤预防计划（BPP）的效果。为了方便评估，对研究早期（第 I 组）和后期（第 II 组）结果进行了比较分析。结果表明，与第 I 组相比，第 II 组患者的住院人数和烧伤总面积百分比（%TBSA）都有所减少。在第 I 组中，36.1%的患者使用水灭火，而在第 II 组中，73.4%的患者使用水灭火。第 I 组中有 31%的患者用水冷却烧伤创面，而在第 II 组中，有 72%的患者用水冷却烧伤创面。在第 I 组中，80%的患者对伤口进行了不适当的局部用药，而在第 II 组中，只有 34.4%的患者进行了不适当的局部用药。由于受伤后到医院就诊的平均时间缩短，公众的意识提高，鞭炮烧伤从第 I 组的 21.5%降至第 II 组的 14.6%。同样，学生的意识提高也体现在大多数学生的得分提高，以及第 II 组后半部分学生烧伤人数减少。结果表明，BPP 对社会产生了积极影响。
