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尼日利亚贝宁城公立基层医疗机构医护人员对儿童腹泻管理中锌补充剂的认知与使用情况

Knowledge and use of zinc supplementation in the management of childhood diarrhoea among health care workers in public primary health facilities in Benin-City, Nigeria.

作者信息

Omuemu Vivian Ossaidiom, Ofuani Ifeanyi Jude, Kubeyinje Itse Clementina

机构信息

Department of Community Health, Colleg eof Medical Sciences, University of Benin, Edo State, Nigeria.

出版信息

Glob J Health Sci. 2012 Feb 29;4(2):68-76. doi: 10.5539/gjhs.v4n2p68.

Abstract

INTRODUCTION

Zinc supplementation reduces the severity, duration and recurrence of childhood acute diarrhoea. These beneficial effects of zinc in the treatment of diarrhoea led to the inclusion of a 10-14 days treatment regimen by the WHO/UNICEF. This study assessed the level of knowledge and use of zinc supplementation in the management of childhood diarrhoea among health care workers in public primary health facilities in Benin-City, Nigeria.

METHODOLOGY

This cross-sectional study was carried out among the total population of health care providers in public primary health facilities in Benin-City. Data collection was done using a pre-tested, structured, self-administered questionnaire and data was analyzed using SPSS version 15.0.

RESULTS

A total of 168 health care workers participated in the study. Two-thirds of them were aware of zinc supplementation but specific knowledge of zinc supplementation in the management of childhood acute diarrhoea was poor. Thirty-five percent of them prescribed zinc when managing childhood diarrhoea and only 10% of these do so for every case of childhood diarrhoea. About 84.6% of them prescribed the correct dose of zinc while less than half of them prescribe it for the correct duration. All but one of them prescribed zinc in addition to ORS in line with the WHO guideline.

DISCUSSION

The study revealed a gap in the knowledge and practice of use of zinc supplementation in the management of childhood diarrhoea. It is recommended that nationwide campaigns should be embarked on to promote the use of zinc supplementation in the clinical management of childhood diarrhoea.

摘要

引言

补充锌可减轻儿童急性腹泻的严重程度、缩短病程并减少复发。锌在腹泻治疗中的这些有益作用促使世界卫生组织/联合国儿童基金会纳入了为期10 - 14天的治疗方案。本研究评估了尼日利亚贝宁城公立基层医疗机构医护人员在儿童腹泻管理中对补充锌的知识水平和使用情况。

方法

本横断面研究在贝宁城公立基层医疗机构的全体医护人员中开展。使用预先测试的结构化自填式问卷进行数据收集,并使用SPSS 15.0版软件进行数据分析。

结果

共有168名医护人员参与了研究。其中三分之二的人知晓补充锌,但对补充锌在儿童急性腹泻管理中的具体知识了解不足。他们中有35%在处理儿童腹泻时会开具锌剂,而其中只有10%对每一例儿童腹泻都这样做。约84.6%的人开具了正确剂量的锌剂,但只有不到一半的人开具了正确的疗程。除一人外,所有人都按照世界卫生组织的指南在口服补液盐之外开具了锌剂。

讨论

该研究揭示了在儿童腹泻管理中补充锌的知识和实践方面存在差距。建议开展全国性运动,以促进在儿童腹泻的临床管理中使用补充锌剂。

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