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教学医院抗狂犬病诊所街头犬咬伤受害者认知的定性分析及其对预防犬咬伤的意义

Qualitative analysis of the perception of street dog bite victims and implication for the prevention of dog bites at a teaching hospital anti-rabies Clinic.

作者信息

Saleem Sheikh Mohd, Jan Shah Sumaya, Khan S Muhammad Salim

机构信息

Department of Community Medicine, Government Medical College, Srinagar, Jammu and Kashmir, India.

Department of Anatomy, Government Medical College, Srinagar, Jammu and Kashmir, India.

出版信息

J Family Med Prim Care. 2020 Aug 25;9(8):4118-4126. doi: 10.4103/jfmpc.jfmpc_522_20. eCollection 2020 Aug.

DOI:10.4103/jfmpc.jfmpc_522_20
PMID:33110819
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7586553/
Abstract

BACKGROUND

Aggression among the dogs has been stated as the most common cause of their biting nature by many dog experts. Most of the dog experts' opinion that many of the dog's bites are preventable.

OBJECTIVES OF THE STUDY

Explore the victim's perception regarding dog bite, its circumstances and events that led to the bite and prevention of future bites by dogs.

METHODOLOGY

This study involved one-to-one detailed interviews of dog bite victims to tell their tale and allowed the interviewer to ask questions related to all the circumstances that led to the bite. We included adults aged >20 years living in the Srinagar city who had been bitten by the street dog within last 24 h. Qualitative research protocol was adapted to conduct the study.

RESULTS

The perception of the victims vary from person to person which makes it difficult for public health practitioners to formulate standardized prevention tools. In our study, the participants had different perceptions regarding what constitute a dog bite. Some discussed a skin contact with piercing and oozing of blood as a dog bite while other perceived a simple jumping of dog over them. Some blamed the society; some blamed the dog; whereas some blamed themselves for the incident. Most of the participants never perceived that they will be bitten by the dog, so they did not use any strategies to prevent themselves. Reaction to the bite and the perception of responsibility and preventability appeared to be more related to the individual experiences of the victim and their belief about dogs in particular, than the actual circumstances which led to the bite and how preventable a bite could have been.

CONCLUSION

Our findings suggest that the apparent instantaneous nature of bites and recognized psychological barriers to being receptive to educational intervention may mean bites are not as easily preventable as previously assumed.

摘要

背景

许多犬类专家指出,犬类之间的攻击性是其咬人天性的最常见原因。大多数犬类专家认为,许多犬类咬伤是可以预防的。

研究目的

探究受害者对犬类咬伤的看法、导致咬伤的情况和事件,以及预防未来犬类咬伤的方法。

方法

本研究对犬类咬伤受害者进行一对一的详细访谈,让他们讲述自己的经历,并允许访谈者询问与导致咬伤的所有情况相关的问题。我们纳入了年龄大于20岁、居住在斯利那加市、在过去24小时内被流浪犬咬伤的成年人。采用定性研究方案进行该研究。

结果

受害者的看法因人而异,这使得公共卫生从业者难以制定标准化的预防措施。在我们的研究中,参与者对什么构成犬类咬伤有不同的看法。一些人认为皮肤接触并有出血和渗血才是犬类咬伤,而另一些人则认为犬类简单地跳到他们身上也算。一些人责怪社会;一些人责怪犬类;而一些人则为这一事件责怪自己。大多数参与者从未想到自己会被犬类咬伤,所以他们没有采取任何预防措施。对咬伤的反应以及对责任和可预防性的看法似乎更多地与受害者的个人经历以及他们对犬类的看法有关,而不是与导致咬伤的实际情况以及咬伤本来可以预防的程度有关。

结论

我们的研究结果表明,咬伤明显具有即时性,而且人们在接受教育干预方面存在公认的心理障碍,这可能意味着咬伤并不像之前假设的那样容易预防。