Kasagga Brian, Baluku Joseph Baruch, Bongomin Felix, Kasozi Derrick, Muwanguzi Eria, Namazzi Mercy, Sadiq Yusuf, Alenyo Rose, Kalanzi Edris Wamala, Balumuka Darius, Elobu Alex Emmanuel
Department of Surgery, Mulago National Referral Hospital, Kampala, Uganda.
Women's Hospital International and Fertility Centre, Kampala, Uganda.
PLoS One. 2025 Feb 3;20(2):e0318087. doi: 10.1371/journal.pone.0318087. eCollection 2025.
Low- and middle-income countries experience higher burn-related morbidity and mortality compared to high-income countries. Prehospital Burn First Aid (BFA) improves outcomes. We assessed BFA knowledge and water lavage practices and their associated factors among burn victims, caregivers, and visitors at a tertiary health facility in Uganda.
A cross-sectional study was conducted at the Burns Unit of Kiruddu National Referral Hospital in Kampala between 1st April 2022 and 30th November 2022. Participants included burn patients, caregivers, and hospital visitors. Data on BFA knowledge and practices were collected using an interviewer-administered questionnaire. BFA knowledge was evaluated using 13 questions, with a ≥80% score considered adequate. Logistic regression was used to assess for associations.
We enrolled 404 participants, comprising 68 (16.8%) burn victims, 161(39.9%) primary caregivers, and 175 (43.3%) hospital visitors. Overall, 339 (83.9%) participants had never received BFA information, and 392 (97.0%) had no first aid training. The mean BFA knowledge score was 56±13.9%, with only 5.4% of the participants demonstrating adequate knowledge. Only 26 (27.7%) of current and former burn victims used water lavage as BFA. No statistically significant associations were found between BFA knowledge, water lavage usage, and demographic variables at univariable and multivariable binary logistic regression analyses.
We highlight inadequate BFA knowledge and practices among victims of burns, their caregivers, and the general population. Addressing these deficiencies through community-based initiatives is crucial to improving burn care in Uganda.
与高收入国家相比，低收入和中等收入国家烧伤相关的发病率和死亡率更高。院前烧伤急救（BFA）可改善治疗结果。我们评估了乌干达一家三级医疗机构中烧伤受害者、护理人员和访客的烧伤急救知识、冷水冲洗做法及其相关因素。
2022年4月1日至2022年11月30日期间，在坎帕拉基鲁杜国家转诊医院烧伤科进行了一项横断面研究。参与者包括烧伤患者、护理人员和医院访客。使用访谈员管理的问卷收集有关烧伤急救知识和做法的数据。通过13个问题评估烧伤急救知识，得分≥80%被认为是足够的。采用逻辑回归分析相关性。
我们招募了404名参与者，其中包括68名（16.8%）烧伤受害者、161名（39.9%）主要护理人员和175名（43.3%）医院访客。总体而言，339名（83.9%）参与者从未接受过烧伤急救信息，392名（97.0%）没有接受过急救培训。烧伤急救知识的平均得分是56±13.9%，只有5.4%的参与者表现出足够的知识。目前和以前的烧伤受害者中只有26名（27.7%）使用冷水冲洗作为烧伤急救措施。在单变量和多变量二元逻辑回归分析中，未发现烧伤急救知识、冷水冲洗使用与人口统计学变量之间存在统计学上的显著关联。
我们强调烧伤受害者、其护理人员和普通人群的烧伤急救知识和做法不足。通过基于社区的举措解决这些不足对于改善乌干达的烧伤护理至关重要。
