巴勒斯坦医学生蛇咬伤诊断与处理能力评估：一项横断面研究
An assessment of medical students' proficiency in the diagnosis and management of snakebites: a cross-sectional study from Palestine.
作者信息
Sulaiman Suha S, Kharusha Isra K, Samara Ahmad M, Al-Jabi Samah W, Zyoud Sa'ed H
机构信息
1Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839 Palestine.
2Department of Clinical and Community Pharmacy, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839 Palestine.
出版信息
J Occup Med Toxicol. 2020 Feb 19;15:3. doi: 10.1186/s12995-020-00254-3. eCollection 2020.
BACKGROUND
Snakebites are emergent and life-threatening injuries that may require intensive care. Physicians face difficulties in dealing with snakebite injuries due to the knowledge gaps in the diagnosis and management of snakebites. The study aimed to assess medical students' knowledge about the diagnosis and management of snakebite injuries, as well as their proficiency in first aid methods in case of snakebite and perception regarding snakes and snakebite injuries.
METHODS
A cross-sectional study conducted among 200 medical students in their clinical years at An-Najah National University. A questionnaire was developed and distributed among those students. The questionnaire assessed the students' knowledge regarding the diagnosis and management of snakebites and their attitude regarding snakes and snakebites. The total scores of knowledge were obtained and tested based on the participants' demographic characteristics using the Kruskal-Wallis test and the Mann-Whitney U test. -values of < 0.05 were considered to be statistically significant.
RESULTS
The mean age of participating medical students was 22.2 ± 2.4 (year). Half of these medical students were in there final year of study (sixth year). After the analysis was done, we found a knowledge deficit in snakebite diagnosis and management among medical students. The mean knowledge scores regarding , signs and symptoms, laboratory investigations, anti-venom, and first aid were 3.8/13, 8.2/16, 6.1/10, 3.6/11 and 8.3/15 respectively for medical students. It was found that medical students in higher years of study had a higher knowledge of laboratory investigation, and males were more knowledgeable in the correct way for first aid methods than females ( < 0.036).
CONCLUSIONS
The level of knowledge regarding the diagnosis and management of snakebites was not good enough among most of the students. In order to improve their knowledge, snakebite diagnosis and management should be introduced and focused on in medical curriculum. Also, formal first aid training classes for medical students should be introduced in order to teach them the correct and updated methods of first aid as they will be the future health care providers and proper first aid will effectively decrease morbidity and mortality of snakebites.
背景
蛇咬伤是紧急且危及生命的伤害，可能需要重症监护。由于蛇咬伤诊断和管理方面的知识差距，医生在处理蛇咬伤时面临困难。本研究旨在评估医学生对蛇咬伤诊断和管理的知识，以及他们在蛇咬伤情况下的急救方法熟练程度、对蛇和蛇咬伤的认知。
方法
在纳贾赫国立大学对200名临床阶段的医学生进行了一项横断面研究。设计了一份问卷并分发给这些学生。该问卷评估了学生对蛇咬伤诊断和管理的知识以及他们对蛇和蛇咬伤的态度。根据参与者的人口统计学特征，使用Kruskal-Wallis检验和Mann-Whitney U检验获得并检验知识总分。P值<0.05被认为具有统计学意义。
结果
参与研究的医学生平均年龄为22.2±2.4岁（岁）。这些医学生中有一半处于最后一年学习（第六年）。分析完成后，我们发现医学生在蛇咬伤诊断和管理方面存在知识不足。医学生关于病因、体征和症状、实验室检查、抗蛇毒血清和急救的平均知识得分分别为3.8/13、8.2/16、6.1/10、3.6/11和8.3/15。发现高年级医学生对实验室检查的知识更丰富，男性在正确的急救方法方面比女性更有知识（P<0.036）。
结论
大多数学生对蛇咬伤诊断和管理的知识水平不够好。为了提高他们的知识，应在医学课程中引入并重点关注蛇咬伤的诊断和管理。此外，应为医学生开设正规的急救培训课程，以便教授他们正确和最新的急救方法，因为他们将成为未来的医疗保健提供者，适当的急救将有效降低蛇咬伤的发病率和死亡率。
Zotero 插件