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培训医护人员对乌干达农药中毒诊断和治疗的影响。

Effects of Teaching Health Care Workers on Diagnosis and Treatment of Pesticide Poisonings in Uganda.

作者信息

Sibani Claudia, Jessen Kristian Kjaer, Tekin Bircan, Nabankema Victoria, Jørs Erik

机构信息

Research Unit of Occupational and Environmental Medicine, University of Southern Denmark, Odense, Denmark.

Uganda National Association of Community and Occupational Health (UNACOH), Kampala, Uganda.

出版信息

Environ Health Insights. 2017 Aug 29;11:1178630217726778. doi: 10.1177/1178630217726778. eCollection 2017.

DOI:10.1177/1178630217726778
PMID:28890656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5580847/
Abstract

BACKGROUND

Acute pesticide poisoning in developing countries is a considerable problem, requiring diagnosis and treatment. This study describes how training of health care workers in Uganda affects their ability to diagnose and manage acute pesticide poisoning.

METHOD

A postintervention cross-sectional study was conducted using a standardized questionnaire. A total of 326 health care workers in Uganda were interviewed on knowledge and handling of acute pesticide poisoning. Of those, 173 health care workers had received training, whereas 153 untrained health care workers from neighboring regions served as controls.

RESULTS

Trained health care workers scored higher on knowledge of pesticide toxicity and handling of acute pesticide poisoning. Stratification by sex, profession, experience, and health center level did not have any influence on the outcome.

CONCLUSIONS

Training health care workers can improve their knowledge and treatment of pesticide poisonings. Knowledge of the subject is still insufficient among health care workers and further training is needed.

摘要

背景

在发展中国家,急性农药中毒是一个相当严重的问题,需要进行诊断和治疗。本研究描述了乌干达医护人员培训如何影响他们诊断和处理急性农药中毒的能力。

方法

采用标准化问卷进行干预后横断面研究。对乌干达总共326名医护人员进行了关于急性农药中毒知识和处理的访谈。其中,173名医护人员接受过培训,而来自邻近地区的153名未受过培训的医护人员作为对照。

结果

受过培训的医护人员在农药毒性知识和急性农药中毒处理方面得分更高。按性别、职业、经验和卫生中心级别分层对结果没有任何影响。

结论

培训医护人员可以提高他们对农药中毒的知识和治疗水平。医护人员对该主题的知识仍然不足,需要进一步培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc51/5580847/a2b664d86fa3/10.1177_1178630217726778-img1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc51/5580847/a2b664d86fa3/10.1177_1178630217726778-img1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc51/5580847/a2b664d86fa3/10.1177_1178630217726778-img1.jpg

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本文引用的文献

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Changes in Perceptions and Practices of Farmers and Pesticide Retailers on Safer Pesticide Use and Alternatives: Impacts of a Community Intervention in Chitwan, Nepal.尼泊尔奇旺社区干预对农民和农药零售商在安全使用农药及替代品方面认知与实践的影响
Environ Health Insights. 2017 Jul 10;11:1178630217719270. doi: 10.1177/1178630217719270. eCollection 2017.
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Acute pesticide poisoning--a global public health problem.急性农药中毒——一个全球公共卫生问题。
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Assessment of the ability of health care providers to treat and prevent adverse health effects of pesticides in agricultural areas of Tanzania.
Doctors experiences on the quality of care for pesticide poisoning patients in hospitals in Kampala, Uganda: a qualitative exploration using donabedian's model.
乌干达坎帕拉医院医生对农药中毒患者护理质量的体验:应用唐纳比德模式的定性探索。
BMC Health Serv Res. 2020 Jan 9;20(1):30. doi: 10.1186/s12913-020-4891-6.
评估坦桑尼亚农业地区医疗服务提供者治疗和预防农药对健康产生不良影响的能力。
Int J Occup Med Environ Health. 2001;14(4):349-56.
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Acute pesticide poisoning: a major global health problem.急性农药中毒:一个重大的全球健康问题。
World Health Stat Q. 1990;43(3):139-44.