Nottidge Te, Akpanudo Ei, Akinbami O
University of Uyo Teaching Hospital, Department of Surgery Nigeria.
University of Uyo Teaching Hospital, Uyo Department of Surgery, Nigeria.
J West Afr Coll Surg. 2011 Jan;1(1):53-67.
Background The general perception in Uyo, the capital city of Akwa-Ibom State, is that the populace prefers Traditional Bone Setter (TBS) care to Modern Orthopaedic Fracture care. Aims and Objectives Given the option, this study aims to ascertain the attitude of the population on choice between TBS and orthopaedic fracture care and identify some of the reasons for such a preference, thus providing a basis for improving orthodox care delivery and increasing patronage of same. Design of the study This is a prospective observational study, using self-administered pre-tested questionnaires. Setting The study was carried out in two sites - the General Out-patient Department of the University of Uyo Teaching Hospital (UUTH) and in the major town based public transport park in Uyo. Materials and Methods This study was carried out on two populations: one in the General Out-patient Department of the University of Uyo Teaching Hospital over a three-day period, and the other in the general Uyo community over a five-day period, using a self-administered pre-tested questionnaire. The required sample size was determined to be 24 for both populations, using the Statcalc domain of Epi-info 3.4.1. However, 95 respondents were recruited into the GOP arm and 150 into the Community group. Consent for the study was obtained from the Ethical Research Board of the Hospital. Results Sixty percent (60%) of our hospital clients will opt for hospital care if they sustain a fracture. In the community, 64% prefer TBS treatment for a fracture, while 36% prefer hospital care for the same problem. When both sets of data were combined 134 people (54.7%) preferred TBS care. There was a positive correlation between the preference for hospital care and the highest level of education that the person achieved. People in the community indicated that the fear of a limb amputation was their main reason for preferring TBS care, if they or a relation sustained a fracture. Conclusion This study shows a greater preference for TBS care in Uyo, due to the fear of amputation, the long time to see the doctor, a presumed high cost of orthodox care and a lack of formal education. Religious concerns and the duration of care are not important determinants. Reducing the waiting time for seeing a doctor and the immediate cost of orthopaedic care; improving the patient - doctor relationship and public enlightenment about the processes of medical care (especially to allay the fear of amputation), will help to improve the proportion of the Uyo populace, who access and benefit from Orthopaedic fracture care.
阿夸伊博姆州首府乌约的普遍看法是，民众更倾向于传统接骨师的治疗而非现代骨科骨折治疗。
本研究旨在确定在有选择的情况下，民众对传统接骨师治疗和骨科骨折治疗的选择态度，并找出这种偏好的一些原因，从而为改善正统治疗服务和增加其受惠程度提供依据。
这是一项前瞻性观察研究，采用自行填写的预测试问卷。
研究在两个地点进行——乌约大学教学医院综合门诊部和乌约主要城镇的公共交通枢纽。
本研究针对两个人群展开：一个是在乌约大学教学医院综合门诊部进行为期三天的调查，另一个是在乌约社区进行为期五天的调查，使用自行填写的预测试问卷。使用Epi - info 3.4.1的Statcalc模块确定两个群体所需样本量均为24。然而，综合门诊部组招募了95名受访者，社区组招募了150名。研究获得了医院伦理研究委员会的同意。
我们医院60%的患者如果骨折会选择医院治疗。在社区中，64%的人骨折时更喜欢传统接骨师治疗，而36%的人更喜欢医院治疗。两组数据合并后，134人（54.7%）更喜欢传统接骨师治疗。对医院治疗的偏好与个人所达到的最高教育水平呈正相关。社区中的人表示，如果他们或亲属骨折，担心肢体截肢是他们更喜欢传统接骨师治疗的主要原因。
本研究表明，由于担心截肢、看医生等待时间长、认为正统治疗费用高以及缺乏正规教育，乌约民众更倾向于传统接骨师治疗。宗教因素和治疗时长并非重要的决定因素。减少看医生的等待时间和骨科治疗的直接费用；改善医患关系并对医疗过程进行公众宣传（特别是消除对截肢的恐惧），将有助于提高乌约民众接受和受益于骨科骨折治疗的比例。
