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父母对睾丸扭转的认知与了解:一项横断面研究。

Parents' awareness and knowledge of testicular torsion: A cross-sectional study.

作者信息

Alyami Fahad A, Modahi Nawaf H, Alharbi Ahmed M, Alkhelaif Abdulrahman A, Alhazmi Hamdan, Trbay Mahmoud Salem, Neel Khalid Fouda

机构信息

Department of Surgery, Division of Urology, College of Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.

Department of Surgery, College of Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.

出版信息

Urol Ann. 2019 Jan-Mar;11(1):58-61. doi: 10.4103/UA.UA_62_18.

Abstract

BACKGROUND

Testicular torsion (TT) is one of the most common emergencies in pediatric urology. Family awareness of this condition could lead to early diagnosis and intervention and salvage of the effected testicle. The purpose of this study is to assess parental awareness about TT and their source of knowledge. We also evaluated the response of the parents to their children's scrotal pain.

METHODS

A quantitative, observational, cross-sectional study was conducted from March 2017 to September 2017 at our institution. The study target were parents attending the pediatric urology clinic and the comparison group included parents attending the general pediatric clinic in the same period. We distributed a questionnaire and then compared the results in both groups.

RESULTS

A total of 200 parents participated in this study (100 parents from each clinic). Nineteen percent of pediatric urology clinic parents were aware and 14% of general pediatric clinic parents were aware about TT with no statistically significant difference observed ( = 0.341). The parents in urology clinic choose doctor as their main source of knowledge (42.1%), while in general pediatric clinic, doctor and through a friend as the main source of knowledge had the same percentage (28.6%). Response of the parents to their children's scrotal pain during working hours in urology and general pediatric clinics was to drive their children to the emergency room immediately with 85% and 82%, respectively. The response of the parents after working hours in both clinics did not show difference, with 83% of parents in pediatric urology clinic and 85% in general pediatric clinic driving their children immediately to the emergency room.

CONCLUSION

TT in boys is a common problem we face as pediatric urologists and it may lead to testicular loss if not diagnosed and treated early. We found that the awareness of TT in children is low in our community and it is our responsibility to raise it to improve our children's well-being.

摘要

背景

睾丸扭转(TT)是小儿泌尿外科最常见的急症之一。家庭对这种疾病的认知有助于早期诊断、干预并挽救受影响的睾丸。本研究旨在评估家长对睾丸扭转的认知情况及其知识来源。我们还评估了家长对孩子阴囊疼痛的反应。

方法

2017年3月至2017年9月在我们机构进行了一项定量、观察性横断面研究。研究对象是到小儿泌尿外科门诊就诊的家长,对照组包括同期到普通儿科门诊就诊的家长。我们发放了问卷,然后比较两组结果。

结果

共有200名家长参与本研究(每个门诊各100名家长)。小儿泌尿外科门诊的家长中有19%知晓睾丸扭转,普通儿科门诊的家长中有14%知晓,差异无统计学意义(P = 0.341)。泌尿外科门诊的家长选择医生作为主要知识来源的比例为42.1%,而在普通儿科门诊,医生和通过朋友作为主要知识来源的比例相同(均为28.6%)。在工作时间,泌尿外科和普通儿科门诊的家长对孩子阴囊疼痛的反应都是立即开车送孩子去急诊室,比例分别为85%和82%。两家门诊非工作时间家长的反应无差异,小儿泌尿外科门诊83%的家长和普通儿科门诊85%的家长都立即开车送孩子去急诊室。

结论

男孩的睾丸扭转是我们小儿泌尿外科医生面临的常见问题,如果不及早诊断和治疗可能导致睾丸丧失。我们发现我们社区对儿童睾丸扭转的认知度较低,提高认知度以改善我们孩子的健康状况是我们的责任。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4425/6362777/dcd3b8017a16/UA-11-58-g001.jpg

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