儿科年龄组急性中毒相关突发事件的定性研究

Kavinda Chandimal Dayasiri, S. Jayamanne, C. Jayasinghe
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引用次数: 1

摘要

背景:这项定性研究对斯里兰卡农村儿童中毒相关的心理、社会、文化和身体经济因素进行了深入评估。方法:该研究在Anuradhapura教学医院(THA)的儿科病房进行,为期两年(2012-2014)。数据收集的主要方法是参与者的叙述和焦点小组讨论。所有急性中毒儿童的父母都被招募参加FGD。现象的结构是在描述性现象学研究的基础上发展起来的,在数据分析阶段确定了关键主题。结果:383名家长参加了焦点小组讨论。数据分为四个领域;(1) 父母对中毒风险的认识,(2)儿童、父母和环境相关风险因素的存在,(3)与急救护理和提供护理有关的问题,直到儿童被带到急诊室,以及(4)防止进一步中毒的可能措施。在故意和非故意中毒的儿童中观察到多种危险因素的相互作用。意外中毒与某些文化习俗、不安全的环境和不安全的毒药储存有关。故意投毒的儿童经常扰乱家庭关系。有害的急救措施和在初级保健室的延迟就诊对中毒相关结果产生了负面影响。家长们认为,社区教育、毒物的安全储存和安全的环境可能会降低与毒物相关的发病率。结论:人、毒物和环境相关危险因素可导致斯里兰卡农村儿童急性中毒突发事件。通常,多种风险因素相互作用导致中毒事件。避免采取有害的急救措施并尽早在初级保健室就诊将降低与中毒相关的发病率。应从预防中毒的角度评价社区教育、毒物安全储存和安全环境的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Qualitative Study of Acute Poisoning related Emergencies in the Paediatric Age Group
Background: This qualitative study presents an in-depth evaluation of the contributory psycho-socio-cultural and physical-economic factors related to paediatric poisoning in rural Sri Lanka. Method: The study was conducted at paediatric wards of Anuradhapura teaching hospital (THA) over a period of two years (2012 – 2014). Main methods of data collection were participants’ narrative and focus group discussions (FGDs). All parents of children with acute poisoning were recruited to FGDs. The structure of phenomena was developed based on descriptive phenomenological inquiries and key themes were identified at data analysis stage. Results: 383 parents participated in focus group discussions. Data were categorized to four domains; (1) parental awareness of poisoning risks, (2) presence of child, parent and environment related risk factors, (3) issues related to first aid care and provision of care until child was brought to emergency care unit, and (4) possible measures to prevent further poisoning. Interaction of multiple risk factors was observed in children with both intentional and unintentional poisoning. Accidental poisonings were associated with certain cultural practices, unsafe environment and unsafe storage of poisons. Children with intentional poisoning frequently had disrupted family relationships. Harmful first aid measures and delayed presentation at the primary care unit had negative impact on poisoning related outcomes. Parents believed community education, safe storage of poisons, and safe environment would likely bring down poison related morbidity.  Conclusion: Person, poison and environment related risk factors can lead to acute poisoning emergencies in children in rural Sri Lanka. Often multiple risk factors interact to bring about the poisoning event. Avoidance of harmful first aid measures and early presentation at the primary care unit would bring down poisoning related morbidity. Effect of community education, safe storage of poisons and safe environment should be evaluated in the view of preventing poisoning.
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来源期刊
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审稿时长
12 weeks
期刊介绍: Asia Pacific Journal of Medical Toxicology (APJMT) aims to expand the knowledge of medical toxicology and tries to provide reliable information in this field for medical and healthcare professionals. APJMT mainly focuses on research related to medical toxicology issues in the Asia Pacific region and publishes articles on clinical and epidemiological aspects of toxicology, poisonings emergency care, addiction, drug interactions and adverse effects. The journal accepts and welcomes high quality papers in the form of original articles and rarely review articles, case reports and scientific letters relevant to medical practice in toxicology.
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