Alzahrani Samer A, Alanazi Salman, Alzahrani Mohammed M, Aldhalaan Reema, Alghamdi Meshari A, Alghamdi Lama F
Family Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.
Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.
Cureus. 2023 Sep 21;15(9):e45670. doi: 10.7759/cureus.45670. eCollection 2023 Sep.
Background Epistaxis (nosebleed) is a frequent emergency presentation in the emergency department (ED). Generally, any harm to the nasal mucosa lining can lead the nose to bleed. The etiologies of epistaxis are widely classified as environmental, local, systemic, and medication-related causes. The initial management for epistaxis is first aid. First aid by applying pressure on the nostrils is essential to stop the bleeding and minimize discomfort. This study intends to evaluate teachers' awareness regarding epistaxis first aid management inside schools in Al-Baha region, Saudi Arabia. Methodology A cross-sectional study was conducted among a target of 439 teachers regarding epistaxis first aid management inside schools in Al-Baha region, Saudi Arabia. Data were collected using a structured questionnaire and analyzed using descriptive statistics and a chi-square test. Results Of the teachers, 50.7% had received training regarding epistaxis, while 49.3% had never been trained. Also, 73.3% considered that applying nasal compression may help stop bleeding, while the rest were completely unaware. On further investigation, tilting the head forward would be done by 56.27% of the teachers, while 40.73% said that the head should be tilted back. Of the teachers, 53.3% would go to the emergency if bleeding continued for more than 10 minutes. No association between age, gender, and working area, and training received regarding the management of epistaxis was found (p>0.05), but teachers from a scientific background, as compared to those from a literature background, were able to answer better regarding the management of epistaxis (p<0.05). Conclusion The study highlights knowledge gaps regarding epistaxis first aid management inside schools in Al-Baha region, Saudi Arabia. The research highlights the need for focused training programs and awareness efforts to enhance teachers' knowledge and first aid practices. Addressing misknowledge and mispractices, enhancing the practices and attitudes of healthcare providers toward appropriate feeding practices, and promoting a supportive and safe environment could all contribute to the improvement of quality of life and health among the population of Saudi Arabia.
背景 鼻出血是急诊科常见的紧急情况。一般来说，鼻黏膜内衬受到任何损伤都可能导致鼻出血。鼻出血的病因广泛分为环境、局部、全身和药物相关原因。鼻出血的初始处理是急救。通过按压鼻孔进行急救对于止血和减轻不适至关重要。本研究旨在评估沙特阿拉伯巴哈地区学校教师对鼻出血急救处理的认识。方法 对沙特阿拉伯巴哈地区439名教师进行了一项关于学校内鼻出血急救处理的横断面研究。使用结构化问卷收集数据，并采用描述性统计和卡方检验进行分析。结果 在教师中，50.7%接受过鼻出血相关培训，而49.3%从未接受过培训。此外，73.3%的教师认为按压鼻腔可能有助于止血，其余教师则完全不知道。进一步调查发现，56.27%的教师会让头部前倾，而40.73%的教师表示头部应后仰。在教师中，如果出血持续超过10分钟，53.3%的教师会前往急诊室。未发现年龄、性别和工作区域与接受的鼻出血处理培训之间存在关联（p>0.05），但与文科背景的教师相比，理科背景的教师在鼻出血处理方面回答得更好（p<0.05）。结论 该研究凸显了沙特阿拉伯巴哈地区学校内鼻出血急救处理方面的知识差距。该研究强调需要有针对性的培训项目和提高认识的努力，以增强教师的知识和急救实践。纠正错误认知和错误做法、改善医护人员对适当喂养做法的态度以及营造支持性和安全的环境，都有助于提高沙特阿拉伯民众的生活质量和健康水平。
