探索孟加拉国农村社区烧伤后常见做法的认知。
Exploring perceptions of common practices immediately following burn injuries in rural communities of Bangladesh.
机构信息
Reproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), House B 162, Road 23, New DOHS, Mohakhali, Dhaka, 1206, Bangladesh.
Department of Public Health Science, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
出版信息
BMC Health Serv Res. 2018 Jun 18;18(1):467. doi: 10.1186/s12913-018-3287-3.
BACKGROUND
Burns can be the most devastating injuries in the world, they constitute a global public health problem and cause widespread public health concern. Every year in Bangladesh more than 365,000 people are injured by electrical, thermal and other causes of burn injuries. Among them 27,000 need hospital admission and over 5600 people die. Immediate treatment and medication has been found to be significant in the success of recovering from a burn. However, common practices used in the treatment of burn injuries in the community is not well documented in Bangladesh. This study was designed to explore the perception of local communities in Bangladesh the common practices used and health-seeking behaviors sought immediately after a burn injury has occurred.
METHODS
A qualitative study was conducted using Focus Group Discussions (FGD) as the data collection method. Six unions of three districts in rural Bangladesh were randomly selected and FGDs were conducted in these districts with six burn survivors and their relatives and neighbours. Data were analyzed manually, codes were identified and the grouped into themes.
RESULTS
The participants stated that burn injuries are common during the winter in Bangladesh. Inhabitants in the rural areas said that it was common practice, and correct, to apply the following to the injured area immediately after a burn: egg albumin, salty water, toothpaste, kerosene, coconut oil, cow dung or soil. Some also believed that applying water is harmful to a burn injury. Most participants did not know about any referral system for burn patients. They expressed their dissatisfaction about the lack of available health service facilities at the recommended health care centers at both the district level and above.
CONCLUSIONS
In rural Bangladesh, the current first-aid practices for burn injuries are incorrect; there is a widely held belief that using water on burns is harmful.
背景
烧伤可能是世界上最具破坏性的伤害，它们构成了一个全球性的公共卫生问题，并引起了广泛的公众关注。在孟加拉国，每年有超过 365,000 人因电、热和其他原因导致烧伤。其中 27,000 人需要住院治疗，超过 5600 人死亡。已经发现，在烧伤康复方面，及时的治疗和药物治疗是非常重要的。然而，在孟加拉国，社区中用于治疗烧伤的常见做法并没有得到很好的记录。本研究旨在探讨孟加拉国当地社区对烧伤后立即使用的常见做法和寻求卫生服务行为的看法。
方法
采用焦点小组讨论（FGD）作为数据收集方法进行定性研究。随机选择孟加拉国三个区的六个联盟，并在这些区进行 FGD，参与者包括六名烧伤幸存者及其亲属和邻居。手动分析数据，识别代码，并将其分组为主题。
结果
参与者表示，在孟加拉国的冬季，烧伤很常见。农村地区的居民表示，以下做法在烧伤后立即应用于受伤区域是常见的，也是正确的：蛋清、盐水、牙膏、煤油、椰子油、牛粪或土壤。一些人还认为，用水处理烧伤是有害的。大多数参与者不知道有任何转介系统用于烧伤患者。他们对缺乏可用的卫生服务设施表示不满，这些设施在地区和以上的推荐保健中心都没有。
结论
在孟加拉国农村，目前用于烧伤急救的方法是不正确的；有一种普遍的观点认为，用水处理烧伤是有害的。
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