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希腊北部成年人热烧伤急救实践中的知识与态度:一项横断面研究

Knowledge and Attitudes in First Aid Practices for Thermal Burns: a Cross-sectional Study Among Adults in Northern Greece.

作者信息

Papachristodoulou Vasiliki, Tripsianis Gregory, Constantinidis Theodoros C, Kakagia Despoina D

机构信息

School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

Laboratory of Medical Statistics, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

出版信息

Mater Sociomed. 2023 Sep;35(3):228-233. doi: 10.5455/msm.2023.35.228-233.

DOI:10.5455/msm.2023.35.228-233
PMID:37795163
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10545918/
Abstract

BACKGROUND

Burns are a major cause of morbidity, including prolonged hospitalization, disfigurement, disability, and emotional trauma. Long-term absence from work and high healthcare costs for burn treatment have a significant socio-economic impact.

OBJECTIVE

his study aims to evaluate the level of knowledge for burn management in the adult population of Thrace in Northern Greece and to determine factors associated with a better level of knowledge.

METHODS

A questionnaire-based cross-sectional study was conducted οn a random sample of the adult population of Thrace. Data were collected using a structured pre-coded questionnaire, which included subjects' socio-demographic characteristics and the first aid practices for burns. Multivariate logistic regression analysis was used to determine the effect of subjects' characteristics on their knowledge of burn first aid practices.

RESULTS

A total of 711 subjects (49.6% males; mean age, 41.89±16.48 years) were included in the study. The incidence of a previous burn was 55.4%. Only 10.5% of the subjects would apply the optimal practice, consisting of rinsing the burn wound with cool running water for at least 10 minutes, applying only non-adhesive dressing on it and leaving the blisters intact. The optimal practice was independently associated with female gender (aOR=1.86, p=0.016), high education level (aOR=2.00, p=0.023), the presence of >3 children (aOR=2.27, p=0.009) and previous training in first aid (aOR=2.36, p=0.001). A large number of participants reported the application of toothpaste (38%), moisturizer (35.4%), aloe (31.8%) or yogurt (27.7%) to the burn surface.

CONCLUSION

Only a small proportion of the participants were aware of the optimal burn first aid practices, most of them female, of high socioeconomic status. We recommend a more targeted approach in the design of health campaigns in the future, in order to reach vulnerable parts of the population.

摘要

背景

烧伤是发病的主要原因之一,包括住院时间延长、毁容、残疾和精神创伤。长期缺勤以及高昂的烧伤治疗医疗费用具有重大的社会经济影响。

目的

本研究旨在评估希腊北部色雷斯成年人群体中烧伤管理的知识水平,并确定与较高知识水平相关的因素。

方法

对色雷斯成年人群体的随机样本进行了一项基于问卷的横断面研究。使用结构化预编码问卷收集数据,该问卷包括受试者的社会人口学特征以及烧伤急救措施。采用多因素逻辑回归分析来确定受试者特征对其烧伤急救知识的影响。

结果

共有711名受试者(49.6%为男性;平均年龄41.89±16.48岁)纳入研究。既往有烧伤史的发生率为55.4%。只有10.5%的受试者会采用最佳做法,即先用冷流水冲洗烧伤伤口至少10分钟,仅在伤口上使用非粘性敷料,并保持水泡完整。最佳做法与女性性别(调整后比值比[aOR]=1.86,p=0.016)、高教育水平(aOR=2.00,p=0.023)、有3个以上孩子(aOR=2.27,p=0.009)以及之前接受过急救培训(aOR=2.36,p=0.001)独立相关。大量参与者报告在烧伤表面涂抹牙膏(38%)、保湿霜(35.4%)、芦荟(31.8%)或酸奶(27.7%)。

结论

只有一小部分参与者了解最佳烧伤急救措施,其中大多数为女性,社会经济地位较高。我们建议未来在设计健康宣传活动时采用更具针对性的方法,以便覆盖人群中的弱势群体。

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