伤口负担：肯尼亚西部一家学术医院的点患病率研究

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100841

Julie Zuniga , Margaret Mungai , Moureen Adhiambo , Mary Kwambai , Lorna Obanda , Hellen Jemeli , Bernedicta Chepkorir , O’Brien Kyololo , Mary Kay Foster , Beth Altenburger , Dinah Chelagat , Rodica Muraru , Gregory Westin , Mithun Sinha , Adrian Gardner

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引用次数: 0

摘要

低收入和中等收入国家承受着沉重的创伤负担。在这些国家，由于与有限资源相关的系统性障碍，伤口负担的流行程度和程度难以量化。在这项研究中，我们报告了肯尼亚一家地区医院出现伤口的患者的患病率，并描述了这些患者的特征。方法对肯尼亚某教学转诊医院住院和门诊出现创伤的患者进行描述性研究。收集了患者特征、伤口和伤口护理特征以及健康的社会决定因素的数据。数据包括伤口流行率和伤口类型的时点信息。参与者（N = 122）主要是住院患者（68.9%）；55%为男性。创伤性慢性创伤最为常见（35.2%），其次是烧伤（18.8%）、糖尿病足溃疡（12.3%）和压伤（9.8%）。许多患者（77.9%）在某个时候担心他们的家庭食物会在他们获得足够的钱购买更多的食物之前耗尽，75%的患者因为没有足够的资金购买足够的食物而减少了他们的膳食份量；近一半（44.1%）的人感到饥饿，但由于没有钱为家人购买足够的食物而不吃东西。结论患者伤口广泛、多发，有伤口愈合缓慢的历史，绝大多数为食物不安全所致。如果不解决健康的社会决定因素，该区域的伤口护理负担仍将很高。

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Wound burden: A point prevalence study at an academic hospital in Western Kenya

Background

Low- and middle-income countries carry a high burden of wounds. In such countries, the prevalence and extent of wound burden are hard to quantify because of systemic barriers associated with limited resources. In this study, we report the prevalence of patients presenting with wounds at a regional hospital in Kenya and describe these patients’ characteristics.

Methods

A descriptive study of inpatients and outpatients presenting wounds was conducted in Kenya’s teaching and referral hospital. Data on patient characteristics, wound and wound care characteristics, and social determinants of health were collected.

Findings

The data comprise point-in-time information for wound prevalence and wound types. Participants (N = 122) were primarily inpatients (68.9 %); 55 % were male. Traumatic chronic wounds were the most prevalent (35.2 %), followed by burn injuries (18.8 %), diabetic foot ulcers (12.3 %), and pressure injuries (9.8 %). Many of the patients (77.9 %) worried at some point that food for their family would run out before they could obtain enough money to buy more, and 75 % reduced their meal portions because they lacked funds to buy sufficient food; almost half (44.1 %) had felt hungry but did not eat due to lack of money to purchase sufficient food for their families.

Conclusion

Patients had extensive and multiple wounds, with a history of wounds that were slow-healing, and a large majority suffered from food insecurity. Without addressing social determinants of health, the burden of wound care will remain high in this region.

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.