巴西伯南布哥州一家急诊科对5岁以下儿童护理人员进行的关于急性腹泻预防与管理的知识调查。

Knowledge about prevention and management of acute diarrhoea among caregivers of children aged under 5 years treated at an emergency department in Pernambuco, Brazil.

作者信息

Dos Santos Yuri Fc, de B Correia Jailson, Falbo Ana R

机构信息

Professor and Coordinator, Pediatrics Internship Program, Universidade Federal do Vale do São Francisco, Petrolina, PE, Brazil Physician Preceptor, Medical Residency Program in Pediatrics, Instituto de Medicina Integral Prof. Fernando Figueira/Hospital Dom Malam, Petrolina, PE, Brazil

Secretary, Recife Department of Health, Recife, PE, Brazil Adjunct Professor, School of Medical Sciences of Universidade de Pernambuco, Recife, Pernambuco, Brazil.

出版信息

Trop Doct. 2015 Apr;45(2):126-8. doi: 10.1177/0049475514562493. Epub 2014 Dec 22.

DOI:10.1177/0049475514562493

PMID:25537295

Abstract

BACKGROUND

The World Health Organization stresses the need for training families in the adequate management of acute diarrhoea to reduce child mortality and morbidity. This study analysed caregiver knowledge about diarrhoea prevention and management in north-east Brazil.

METHODS

Cross-sectional study of 213 children aged under 5 years treated at a public emergency department in Pernambuco, Brazil. Caregiver knowledge was assessed with a questionnaire.

RESULTS

Caregivers believed that breastfeeding until age 6 months, not using tap water for food preparation, vaccination against rotavirus and other diseases help prevent diarrhoea. Regarding treatment, caregivers reported taking children to the hospital at the first sign of diarrhoea (57.3%), administering medication (68.1%) and withholding solids (63.7%). Only 40.8% knew how to prepare oral rehydration solution; 78.4% believed it could cure diarrhoea. Only 43.9% of caregivers mentioned one or more signs of dehydration.

CONCLUSIONS

Caregivers in this region had limited knowledge of appropriate diarrhoea management.

摘要

背景

世界卫生组织强调有必要培训家庭对急性腹泻进行适当管理，以降低儿童死亡率和发病率。本研究分析了巴西东北部照顾者关于腹泻预防和管理的知识。

方法

对在巴西伯南布哥州一家公共急诊科接受治疗的213名5岁以下儿童进行横断面研究。通过问卷评估照顾者的知识。

结果

照顾者认为，6个月前进行母乳喂养、不使用自来水制备食物、接种轮状病毒和其他疾病疫苗有助于预防腹泻。关于治疗，照顾者报告在腹泻初起时就带孩子去医院（57.3%）、给药（68.1%）和停止喂食固体食物（63.7%）。只有40.8%的人知道如何配制口服补液盐；78.4%的人认为它可以治愈腹泻。只有43.9%的照顾者提到一种或多种脱水迹象。