Chen Chulin, Gui Li, Kan Ting, Li Shuang, Qiu Chen
Department of Emergency Nursing, School of Nursing, Second Military Medical University, Shanghai 200433, China.
Int J Environ Res Public Health. 2016 Dec 26;14(1):15. doi: 10.3390/ijerph14010015.
A snakebite is a neglected extrinsic injury associated with high morbidity and global mortality. Members of Chinese field forces are at high risk of snakebites, and their perception and knowledge of snakebites are unknown. The aim of this study is to assess perception and knowledge of snakebites in field forces in southeast China; Methods: A cross-sectional questionnaire-based survey was conducted in July 2016. A total of 216 field force members participated in this study; Results: A total of 10.3% had experienced snakebites and 86.4% rated their demands for knowledge about snakebite as "high". No significant correlation between the actual and perceived snakebite knowledge status was detected (κ = 0.0237, = 0.3852). Ineffective and harmful traditional first-aid methods, such as the application of tourniquets, sucking the venom out of the wound, and making local incisions, were used by more than three quarters of the respondents. However, pressure immobilization bandages were applied by only 17.3% of members. The proportion of responses for each question was not significantly different among the respondents when considering separate demographic groups; Conclusions: Snakebite knowledge among Chinese field force members is inadequate and in some cases misleading, when focusing on manifestation, prevention, and first-aid. A pragmatic, intensive educational scheme should be undertaken in at-risk populations.
蛇咬伤是一种被忽视的外部损伤，发病率和全球死亡率都很高。中国野战部队成员面临较高的蛇咬伤风险，而他们对蛇咬伤的认知和了解情况尚不清楚。本研究旨在评估中国东南部野战部队对蛇咬伤的认知和了解情况；方法：2016年7月进行了一项基于问卷调查的横断面研究。共有216名野战部队成员参与了本研究；结果：共有10.3%的人曾经历过蛇咬伤，86.4%的人将他们对蛇咬伤知识的需求评为“高”。未发现实际和感知到的蛇咬伤知识状况之间存在显著相关性（κ = 0.0237，P = 0.3852）。超过四分之三的受访者使用了无效和有害的传统急救方法，如使用止血带、从伤口吸出毒液和进行局部切开。然而，只有17.3%的成员使用了加压固定绷带。在考虑不同人口统计学分组时，各问题的回答比例在受访者之间没有显著差异；结论：中国野战部队成员对蛇咬伤的知识不足，在临床表现、预防和急救方面，有些情况甚至具有误导性。应对高危人群实施切实可行的强化教育计划。
