Sakya Jaswan, Sah Sujit Kumar, Bhandari Khakindra Bahadur, Pathak Laxmi Raj, Bhandari Santosh Bikram, Ghimire Sudha, Devkota Bhimsen, Hussmann Jurgen
Sushma Koirala Memorial Hospital, Sankhu, Kathmandu, Nepal.
Tribhuwan University, Kritipur, Nepal.
JNMA J Nepal Med Assoc. 2018 Nov-Dec;56(214):924-930. doi: 10.31729/jnma.3889.
Globally, eleven million people sustain burn injuries every year enough to require medical attention. WHO has estimated Disability associated limited years of 84,000 per year just due to deformities and 2100 people die every year due to burn injuries in Nepal. The overall objective of the study is to explore the effectiveness of burn injuries treatment and management approach of hospitals.
This qualitative study approached to 40 Health Personnel for Key Informants Interviews and 18 Focus Group Discussions with community people at the ten referral hospitals of eight district from May-June 2016. Qualitative data were analyzed using AtLas.ti software.
Female burn victims are brought late to the hospital compared to male patients and false reporting about incident is usually done by her attendants. More than three-fourth (80%) of the hospitals and about one-third male and female from FGD reported that the community people seek home remedy first rather than medical treatment. Majority of the medical doctors and nursing chiefs reported that first degree cases accounts for 50% of the total burn cases with a success rate of 80%. Medical and Nursing staff reported that deformities like hypertrophic scar, keloids, joint stiffness and compartment syndrome are mostly observed during the treatment. Hypothermia and sepsis were the major causes of death in most of the burn patients.
Usually, people who engaged in house and agriculture works, have visited public health posts/hospitals more frequently due to financial constraints and transportation issues where quality of burn care services are unavailable.
全球范围内，每年有1100万人遭受烧伤，严重到需要医疗救治。世界卫生组织估计，仅因畸形每年就有8.4万人出现与残疾相关的寿命受限情况，在尼泊尔，每年有2100人死于烧伤。本研究的总体目标是探讨医院烧伤治疗与管理方法的有效性。
这项定性研究于2016年5月至6月期间，在八个地区的十家转诊医院对40名卫生人员进行关键 informant访谈，并与社区居民进行了18次焦点小组讨论。使用AtLas.ti软件对定性数据进行分析。
与男性患者相比，女性烧伤受害者被送往医院的时间较晚，而且关于事故的虚假报告通常由其陪护人员做出。超过四分之三（80%）的医院以及焦点小组讨论中约三分之一的男性和女性表示，社区居民首先寻求家庭疗法而非医疗救治。大多数医生和护士长报告称，一度烧伤病例占烧伤总病例的50%，成功率为80%。医护人员报告称，在治疗过程中，最常观察到的畸形有增生性瘢痕、瘢痕疙瘩、关节僵硬和骨筋膜室综合征。体温过低和败血症是大多数烧伤患者死亡的主要原因。
通常，从事家务和农业工作的人由于经济限制和交通问题，更频繁地前往公共卫生所/医院，而这些地方无法提供高质量的烧伤护理服务。
