采用定性方法评估孟加拉国达卡5岁以下腹泻儿童口服补液配制和管理方面的孕产妇知识、态度和做法。

IF 2.3 4区 医学 Q2 PEDIATRICS
Md Ridwan Islam, Md Fuad Al Fidah, Syed Jayedul Bashar, Rukaeya Amin, Sneha Paul, Chowdhury Ali Kawser, Tahmeed Ahmed, Sharika Nuzhat
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引用次数: 0

摘要

背景:口服补液盐(ORS)溶液在大幅降低腹泻相关死亡率方面发挥了重要作用,特别是在孟加拉国等资源受限的环境中。然而,口服补液的充分有效性经常因制备不充分、储存不当和不正确的给药而受到损害。在本研究中,我们旨在评估母亲对患有腹泻的儿童口服补液的准备和给药的知识、态度和做法。方法:采用定性研究方法在达卡医院进行研究。基于数据饱和,对2024年2月至4月期间在该医院就诊的31名5岁以下儿童的母亲进行了深度访谈。转录后的数据采用定性内容分析对数据进行描述和分析。结果:多数产妇对口服补液的准备和使用持积极态度,但对一些问题缺乏正确的认识,妨碍了正确的操作。10名母亲不知道正确的粉包用量,9名母亲缺乏正确的水来准备ORS,这是相当令人震惊的。只有五位母亲认识到ORS不会通过母乳传给婴儿。14位母亲在每次排便后都给孩子服用口服补液,其余的则不服用。在孩子生病期间,只有15名母亲在给予ORS时遵守了推荐的喂养方法。结论:本研究强调,母亲需要接受有关口服补液的制备和使用的适当健康教育,以及有针对性的政策,以提高口服补液治疗腹泻的疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Qualitative approach to assess maternal knowledge, attitude and practice regarding oral rehydration solution preparation and administration among under-5 children suffering from diarrhoea in Dhaka, Bangladesh.

Qualitative approach to assess maternal knowledge, attitude and practice regarding oral rehydration solution preparation and administration among under-5 children suffering from diarrhoea in Dhaka, Bangladesh.

Qualitative approach to assess maternal knowledge, attitude and practice regarding oral rehydration solution preparation and administration among under-5 children suffering from diarrhoea in Dhaka, Bangladesh.

Qualitative approach to assess maternal knowledge, attitude and practice regarding oral rehydration solution preparation and administration among under-5 children suffering from diarrhoea in Dhaka, Bangladesh.

Background: Oral rehydration salt (ORS) solution has been instrumental in substantially reducing diarrhoea-related mortality, particularly in resource-constrained settings such as Bangladesh. However, the full effectiveness of ORS is often undermined by inadequate preparation, improper storage and incorrect administration. We aimed to evaluate mothers' knowledge, attitude and practice regarding ORS preparation and administration for children suffering from diarrhoea in this study.

Methods: The study was carried out at Dhaka Hospital, ICDDR,B, using a qualitative research approach. Based on data saturation, in-depth interviews were conducted with 31 mothers of children under 5 who sought care at the hospital between February and April 2024. The transcribed data were analysed using qualitative content analysis to describe and analyse data.

Results: Although the majority of the mothers had a positive attitude regarding ORS preparation and administration, they lacked proper knowledge on several points, which hampered correct practices. Ten mothers did not know the correct amount of sachet powder to use, while nine mothers lacked the proper knowledge regarding the right amount of water to prepare ORS, which was rather alarming. Only five mothers recognised that ORS does not transfer to the baby through breast milk. Fourteen mothers provided ORS to their child after each episode of purging while the rest did not. Only 15 mothers adhered to the recommended feeding practices while administering ORS during their child's illness.

Conclusion: This study underscores mothers' need for proper health education regarding the preparation and administration of ORS as well as targeted policies promoting the efficacy of ORS in diarrhoea.

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来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
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