Ali Mashal Binte, Warda Tahniat, Raza Fizza Zehra, Laeeq Tooba, Ali Meher Binte, Ali Mukkaram, Imtiaz Fauzia
Dow Medical College, Dow University of Health Sciences (DUHS), Baba-e-Urdu Road, Saddar Town, 7440 Karachi, Sindh, Pakistan.
Burns. 2020 Jun;46(4):876-881. doi: 10.1016/j.burns.2019.10.002. Epub 2019 Nov 4.
Burn injury in developing countries is a major cause of morbidity and mortality. Pakistan faces a widespread problem of burn complications. The objective of this cross sectional study was to assess knowledge and attitudes in medical students regarding burn complications. A 12-question survey was distributed among 3rd, 4th and 5th year students of public sector medical colleges of Karachi, Pakistan. Out of 353 respondents, the proportion of students that were aware of burn complications was the following, with an expected response of 100% for each complication: depression [86%], fear [53.3%], post-traumatic stress disorder [40.8%], suicidal tendencies [35.1%], sleep disorder [30%], anxiety [27%], guilt [12.7%], personality changes [7%], eating disorder [5.4%], cardiac arrest [68%], hypothermia [64.3%], contractures [61%], infection [43.6%], chronic pain [41.6%], scarring [33%], chronic inflammation [24.9%], and muscle wasting [22.9%]. Most students were of the view that scarring occurs in third-degree burns [68%] only; being unaware of its presence in second-degree burns. 19.3% of the students incorrectly thought that surgery is needed for the healing of all burn patients. There appears to be a lack of basic knowledge about the physiological and psychological complications of burns among medical students of Pakistan.
在发展中国家，烧伤是发病和死亡的主要原因。巴基斯坦面临着烧伤并发症的广泛问题。这项横断面研究的目的是评估医学生对烧伤并发症的知识和态度。在巴基斯坦卡拉奇公立医学院的三年级、四年级和五年级学生中进行了一项包含12个问题的调查。在353名受访者中，知晓烧伤并发症的学生比例如下，每种并发症的预期知晓率为100%：抑郁[86%]、恐惧[53.3%]、创伤后应激障碍[40.8%]、自杀倾向[35.1%]、睡眠障碍[30%]、焦虑[27%]、内疚[12.7%]、性格改变[7%]、饮食失调[5.4%]、心脏骤停[68%]、体温过低[64.3%]、挛缩[61%]、感染[43.6%]、慢性疼痛[41.6%]、瘢痕形成[33%]、慢性炎症[24.9%]和肌肉萎缩[22.9%]。大多数学生认为瘢痕形成仅发生在三度烧伤中[68%]；不知道二度烧伤中也会出现瘢痕。19.3%的学生错误地认为所有烧伤患者的愈合都需要手术。巴基斯坦医学生似乎缺乏关于烧伤生理和心理并发症的基本知识。
