Ekanem E E, Akitoye C O, Adedeji O T, Salako Q A
Department of Community Health, College of Medicine, University of Lagos, Nigeria.
J R Soc Health. 1993 Oct;113(5):243-6. doi: 10.1177/146642409311300506.
This study aimed at assessing qualitatively and quantitatively the ability of Nigerian mothers to prepare salt-sugar solutions (SSS) (according to the Nigerian standard formula) under the usual home environment. Mothers were provided with the ingredients but not with measurement spoons nor containers. 274 mothers randomly selected from a peri-urban community participated in the study. Of the 192 (70.1%) who claimed knowledge on SSS preparation, only 47 (24.5%) gave a correct description of its constitution and 103 (54.2%) were willing to prepare the solution. Of the 103 who prepared the solution, 34 (33.0%) used the correct number of teaspoons of salt and of sugar. The composition of the solutions prepared by the mothers varied greatly with sodium levels ranging from 0-760 mmols/l (mean 225.8 +/- 155.3, median 177.3) and glucose, 0-262.6 mmols/l (mean 68.7 +/- 54.4, median 52.0). Only 7 mothers (6.8%) prepared solutions with acceptable sodium and glucose levels. It is concluded that salt-sugar solutions prepared by Nigerian mothers are not safe. There is a great need to review the oral rehydration therapy (ORT) promotion strategies and messages in order to avoid the dangers associated with improperly constituted solutions.
本研究旨在定性和定量评估尼日利亚母亲在通常家庭环境下按照尼日利亚标准配方配制盐糖溶液(SSS)的能力。为母亲们提供了所需成分,但未提供量匙和容器。从一个城郊社区随机选取的274名母亲参与了该研究。在192名(70.1%)声称了解SSS配制方法的母亲中,只有47名(24.5%)正确描述了其成分,103名(54.2%)愿意配制该溶液。在103名配制溶液的母亲中,34名(33.0%)使用了正确数量的盐和糖茶匙。母亲们配制的溶液成分差异很大——钠含量在0至760毫摩尔/升之间(平均225.8±155.3,中位数177.3),葡萄糖含量在0至262.6毫摩尔/升之间(平均68.7±54.4,中位数52.0)。只有7名母亲(6.8%)配制的溶液钠和葡萄糖含量合格。研究得出结论,尼日利亚母亲配制的盐糖溶液不安全。迫切需要审查口服补液疗法(ORT)的推广策略和信息,以避免与配制不当的溶液相关的危险。