Subedi Nuwadatta, Paudel Ishwari Sharma, Khadka Ajay, Shrestha Umesh, Mallik Vipul Bhusan, Ankur K C
Department of Forensic Medicine, Gandaki Medical College, Pokhara, 33700 Nepal.
Department of Community Medicine, Gandaki Medical College, Pokhara, Nepal.
J Occup Med Toxicol. 2018 Aug 15;13:26. doi: 10.1186/s12995-018-0210-0. eCollection 2018.
Snake bite is a neglected public health problem in tropical and subtropical region. The study was conducted with objectives to determine the knowledge of first aid methods in snake bite and the perception of snake bite among the medical students of Gandaki Medical College, Pokhara, Nepal.
We conducted a cross sectional survey among 302 (231 preclinical and 71 clinical) Bachelor of Medicine and Bachelor of Surgery (MBBS) students of Gandaki Medical College using a pretested questionnaire to assess the knowledge of first aid of snake bite based on WHO protocol and perception of snakebite. The study duration was from January to May 2018. The total score of the knowledge was obtained and compared among variables using Mann-Whitney U test. Chi square test was used for comparing the responses with the level of students. value of < 0.05 was considered as significant.
Among 302 respondents, 193(63.9%) were from Mountain districts. The families of 25 (8.3%) respondents were bitten by snakes. The correct responses were significantly higher from the 71 (23.5%) clinical students for most of the questions and the knowledge score of clinical students was significantly higher than the 231 (76.5%) preclinical students. Twenty eight (9.27%) students believed that the snake should be killed after it bites the victim and 25 (8.28%) believed that the snake will capture the image of the offender who teases it and takes revenge later. School books were the commonest source of such knowledge among the preclinical students.
Most of the preclinical students had inadequate knowledge of first aid of snake bite. The common source of the knowledge was school books which often provide faulty knowledge. Only a few students had negative perception about snakes. Incorporation of proper first aid measures in the textbooks of various levels is essential.
蛇咬伤是热带和亚热带地区一个被忽视的公共卫生问题。本研究旨在确定尼泊尔博卡拉甘达基医学院医学生对蛇咬伤急救方法的了解以及对蛇咬伤的认知。
我们使用预先测试的问卷，对甘达基医学院302名（231名临床前学生和71名临床学生）医学学士和外科学士（MBBS）学生进行了横断面调查，以评估基于世界卫生组织协议的蛇咬伤急救知识以及对蛇咬伤的认知。研究时间为2018年1月至5月。获得知识总分，并使用曼-惠特尼U检验对变量进行比较。卡方检验用于比较学生水平与回答情况。P值<0.05被认为具有统计学意义。
在302名受访者中，193名（63.9%）来自山区。25名（8.3%）受访者的家人曾被蛇咬伤。对于大多数问题，71名（23.5%）临床学生的正确回答明显更多，临床学生的知识得分明显高于231名（76.5%）临床前学生。28名（9.27%）学生认为蛇咬伤受害者后应将其杀死，25名（8.28%）学生认为蛇会记住戏弄它的冒犯者的样子，之后进行报复。在临床前学生中，学校课本是此类知识最常见的来源。
大多数临床前学生对蛇咬伤急救知识掌握不足。知识的常见来源是学校课本，而这些课本往往提供错误信息。只有少数学生对蛇有负面认知。在各级教科书里纳入适当的急救措施至关重要。
