Young Leaders' Program in Healthcare Administration, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Nagoya 466-8550, Japan.
Burns. 2012 Aug;38(5):751-7. doi: 10.1016/j.burns.2011.11.006. Epub 2012 Feb 17.
Burn is one of the leading causes of under-5 childhood injuries. Identification of risk factors and awareness level of caregivers could help reduction of burn-related morbidity. The objectives of this study were to identify general perceptions of risk factors of childhood burns, prevalence of burns among under-five Mongolian children, and to assess knowledge and practice of burn care and care seeking behaviors for care givers of those children. A household-based cross-sectional survey was conducted from September to October 2010 including 865 households with 1154 under-5 children. Data were collected by face-to-face interview using semi-structured questionnaire. Of total 1154 children, 291 (25.2%) had burn injury in their life-time. Above half of them had suffered a scald. Majority of burns occurred at home and urban children were at higher risk. The age up to 36 months, boys, and fewer children (<3) in the household were found as significant risk factors for childhood burns. Caregivers' knowledge and practices on childhood burns were generally insufficient; most of them indicated the importance of physical environment at home. We concluded that burns were common among under-5 children, and caregivers' knowledge and practices on burns was inadequate. Specific interventions like "Caregivers education program" encouraging safe domestic environmental conditions should be undertaken to increase their awareness on burn-related issues to reduce childhood burns in Mongolia.
烧伤是导致 5 岁以下儿童受伤的主要原因之一。识别危险因素和照顾者的意识水平有助于降低与烧伤相关的发病率。本研究的目的是确定蒙古 5 岁以下儿童对烧伤危险因素的一般看法、烧伤的流行情况，并评估照顾者对烧伤护理的知识和实践以及寻求护理的行为。2010 年 9 月至 10 月进行了一项基于家庭的横断面调查，包括 865 户家庭和 1154 名 5 岁以下儿童。使用半结构化问卷通过面对面访谈收集数据。在 1154 名儿童中，291 名（25.2%）在其一生中曾受过烧伤。其中一半以上是烫伤。大多数烧伤发生在家里，城市儿童的风险更高。36 个月以下的年龄、男孩以及家庭中较少的儿童（<3 名）被认为是儿童烧伤的显著危险因素。照顾者对儿童烧伤的知识和实践普遍不足；他们中的大多数人表示重视家庭的物理环境。我们得出结论，烧伤在 5 岁以下儿童中很常见，照顾者对烧伤的知识和实践不足。应开展“照顾者教育计划”等具体干预措施，鼓励家庭环境安全，以提高他们对与烧伤相关问题的认识，从而减少蒙古的儿童烧伤。
