Rehman G N, Qazi S A, Mull D S, Khan M A
Children's Hospital, Pakistan Institute of Medical Sciences, Islamabad.
J Pak Med Assoc. 1994 Aug;44(8):185-8.
Pneumonia is a major child killer in the developing world; to prevent such deaths, mothers must be able to differentiate pneumonia from common cold. Local concepts regarding these illnesses were studied by interviewing 315 mothers of young children in their homes in Punjabi villages. Mothers described pneumonia differently from cough-and-cold but only a few volunteered fast breathing as a sign of pneumonia. Both illnesses were thought to be caused by "coldness," and were initially treated with "heat-producing" home remedies and feeding was continued in both. Spiritual healers were not consulted for cough-and-cold or pneumonia. Virtually all mothers said that allopathic medicines were necessary for both illnesses and 2/3rd said that if a child did not improve after 2 days of a given medicine, they would change the medicine and/or the doctor.
肺炎是发展中国家儿童的主要杀手;为预防此类死亡,母亲们必须能够区分肺炎和普通感冒。通过在旁遮普村庄的家中采访315名幼儿母亲,研究了当地对这些疾病的认知。母亲们对肺炎的描述与咳嗽和感冒不同,但只有少数人主动提到呼吸急促是肺炎的症状。两种疾病都被认为是由“着凉”引起的,最初都用“发热”的家庭疗法治疗,并且两种情况都继续喂食。咳嗽、感冒或肺炎都不咨询灵媒治疗师。几乎所有母亲都说,两种疾病都需要使用对抗疗法药物,三分之二的母亲说,如果孩子在服用某种药物两天后没有好转,她们会更换药物和/或医生。