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苏丹加法尔·伊本诺夫儿童医院儿童传统治疗方法的使用模式及影响因素。

Pattern and determinants of use of traditional treatments in children attending Gaafar Ibnauf Children's Hospital, Sudan.

作者信息

Satti Satti Abdelrahim, Mohamed-Omer Sarah Fakhreldin, Hajabubker Mashair Abdelgadir

机构信息

Elmughtarabeen University , Khartoum , Sudan.

General Practioner, United Kingdom.

出版信息

Sudan J Paediatr. 2016;16(2):45-50.

PMID:28096558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5237834/
Abstract

Traditional Sudanese medicine is based on experiences of every day people, systems of taboos, customs and deep-rooted traditions. This is a cross-sectional, hospital-based study done in Gaafar Ibnauf Children's Hospital including inpatient and outpatient subjects from October 2009 to January 2010, to identify the pattern and determinants of use, prevalence and commonest types of traditional treatments in Sudanese children. Of the hundred interviewed families 70% were using traditional treatments, causing delay in presentation to hospital in 24% of children. Eighty seven percent of illiterate mothers used traditional treatments while only 46% of secondary education mothers used it. Percentage of use of traditional treatments increased from 61.5% to 88.9% with the increase in child's age. The commonest traditional treatment used was sesame oil (77%), followed by cautery (40%). Sesame oil was used mainly for flu and to maintain health. Only two mothers practiced removal of canines for reasons of vomiting and diarrhea. All mothers believed that mint, hilba and harjal are effective but 79% of them believed that cautery is not effective; 74% thought that sesame oil is effective while only 56% believed that rice water is effective. All mothers who practiced removal of canines thought that it is not effective. Except for cutting the uvula, most of practiced treatments had no significant sequelae. A quarter of studied mothers used rice water to treat vomiting and diarrhea, which we consider a useful healthy practice. Health education is needed for mothers through mass media and in health facilities.

摘要

传统苏丹医学基于普通人的经验、禁忌体系、习俗及根深蒂固的传统。这是一项基于医院的横断面研究,于2009年10月至2010年1月在加法尔·伊本纳夫儿童医院开展,研究对象包括住院和门诊患儿,旨在确定苏丹儿童使用传统疗法的模式、决定因素、患病率及最常见的传统治疗类型。在接受访谈的100个家庭中,70%使用传统疗法,24%的儿童因此延迟就医。87%的文盲母亲使用传统疗法,而接受过中等教育的母亲中只有46%使用。随着孩子年龄增长,传统疗法的使用比例从61.5%增至88.9%。最常用的传统疗法是芝麻油(77%),其次是烧灼疗法(40%)。芝麻油主要用于治疗流感和维持健康。只有两位母亲因孩子呕吐和腹泻而实施犬齿拔除术。所有母亲都认为薄荷、希尔巴和哈尔贾尔有效,但79%的母亲认为烧灼疗法无效;74%的母亲认为芝麻油有效,而只有56%的母亲认为米汤有效。所有实施犬齿拔除术的母亲都认为该方法无效。除了切割悬雍垂外,大多数实施的治疗没有明显后遗症。四分之一的受访母亲用米汤治疗呕吐和腹泻,我们认为这是一种有益健康的做法。需要通过大众媒体和医疗机构对母亲进行健康教育。

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