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用于蛇咬伤中毒评估和估值的定性工具的开发、标准化及情境化。

Development, standardization, and contextualization of qualitative tools for possible use in the assessment and valuation of snakebite envenomation.

作者信息

Chauhan Nidhi, Raina Sunil Kumar, Gupta Rahul, Kumar Dinesh, Chauhan Raman, Chaudhary Ankit, Gupta Rajiv Kumar

机构信息

Department of Community Medicine, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India.

Department of Forensic Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

出版信息

J Family Med Prim Care. 2023 Jul;12(7):1315-1319. doi: 10.4103/jfmpc.jfmpc_1877_22. Epub 2023 Jul 14.

Abstract

BACKGROUND

Snakebite envenoming, a neglected tropical disease (NTD), is an important public health problem that is responsible for more than 1 lakh deaths annually across the world. However, the majority of the data in this regard is from health institutions and data from community settings are scarce. The aim of the current study was to develop valid and reliable qualitative tools for assessing the burden of snakebites and the health-seeking behavior of the community. The tools developed thus will serve in creating a community connection and thereby strengthen primary care teams engaged in managing snakebites at the primary care level.

METHODS

A four-step design was used; (a) review of the available literature on the burden of disease, tools used to assess the burden, and the guidelines on snakebite (b) development, laying out, and contextualization of questions/items for the tools (c) pilot testing and establishment of validity.

RESULTS

A focus group discussion guide, key informant interview schedule for health professionals, community leaders, and traditional faith healers were matured for the implementation.

CONCLUSION

A reliable and valid qualitative tool was developed to discern the speculations related to snakebites and its management in rural field settings.

摘要

背景

蛇咬伤中毒是一种被忽视的热带病,是一个重要的公共卫生问题,全球每年有超过10万人因此死亡。然而,这方面的大多数数据来自卫生机构,社区层面的数据稀缺。本研究的目的是开发有效且可靠的定性工具,以评估蛇咬伤的负担以及社区的就医行为。由此开发的工具将有助于建立社区联系,从而加强在初级保健层面处理蛇咬伤的初级保健团队。

方法

采用四步设计;(a)回顾关于疾病负担、用于评估负担的工具以及蛇咬伤指南的现有文献(b)为工具开发、列出并情境化问题/条目(c)进行预测试并确定有效性。

结果

为实施制定了焦点小组讨论指南、针对卫生专业人员、社区领袖和传统信仰治疗师的关键信息访谈提纲。

结论

开发了一种可靠且有效的定性工具,以辨别农村实地环境中与蛇咬伤及其处理相关的推测。

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