Ughasoro Maduka Donatus, Madu Anazoeze Jude, Kela-Eke Iheoma Clara, Akubuilo Uzoamka
Department of Paediatrics, University of Nigeria, Enugu Campus, Enugu, Nigeria.
Department of Haematology, University of Nigeria, Enugu Campus, Enugu, Nigeria.
Int J Pediatr. 2019 Aug 19;2019:7242607. doi: 10.1155/2019/7242607. eCollection 2019.
Control of anemia can be achieved with early detection of pallor by parents at home. However, most parents lack the capacity to recognize pallor; thus most cases of anaemia are detected during hospital visit due to other symptoms. This study aimed to evaluate parental ability to detect pallor when aided with the anaemia screening tool.
In the study information on the symptoms of illness and parental knowledge on anaemia. Their ability to detect anaemia aided with the Home-Base anaemia-screen tool (HB-Anae) was compared to the healthcare providers' assessment of pallor. The haemoglobin estimation with the Hb-301 haemoglobinometer was used as the gold standard.
None of the children in their previous illnesses had paleness as a complaint. Few (20.8%) parents knew what anaemia meant. Only 18.3% knew sites on the body where pallor can be detected. Many (55.1%; 304/552) surveyed children were anaemic (Hb<11g/dl) based on HB 301. Majority (88.8%; 270/304) of the parents aided with the HB-Anae were able to detect pallor on the children who were anaemic compared to 95.1% (289/304) detected by healthcare workers unaided, and the difference was not statistically significant (p=0.25).
There was poor knowledge on anaemia among parents. The ability of parents to detect anaemia could be improved with the simple HB-Anae screen tool.
通过家长在家中早期发现面色苍白可实现贫血的控制。然而，大多数家长缺乏识别面色苍白的能力；因此，大多数贫血病例是在因其他症状就诊时被发现的。本研究旨在评估家长在使用贫血筛查工具辅助时检测面色苍白的能力。
在研究中收集了疾病症状信息以及家长对贫血的了解情况。将他们使用家庭贫血筛查工具（HB-Anae）辅助检测贫血的能力与医护人员对面色苍白的评估进行比较。以Hb-301血红蛋白仪进行的血红蛋白测定作为金标准。
之前患病的儿童中无一以面色苍白为主诉。很少有家长（20.8%）知道贫血是什么意思。只有18.3%的家长知道身体上可检测到面色苍白的部位。基于HB 301，许多（55.1%；304/552）接受调查的儿童贫血（血红蛋白<11g/dl）。在使用HB-Anae辅助的家长中，大多数（88.8%；270/304）能够检测出贫血儿童的面色苍白，相比之下，医护人员未辅助时检测出贫血儿童面色苍白的比例为95.1%（289/304），差异无统计学意义（p=0.25）。
家长对贫血的了解不足。使用简单的HB-Anae筛查工具可提高家长检测贫血的能力。
