尼泊尔东部农村地区蛇咬伤发生率、蛇咬伤管理的普遍认识和信念

S. Parajuli, Heera Kc, Anish Luitel, M. Shrestha, Baidehi Upadhyaya
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引用次数: 0

摘要

背景:了解人们对毒蛇咬伤管理的认识将对尼泊尔地方层面制定战略计划大有裨益。我们旨在确定农村社区毒蛇咬伤的发生率、人们对毒蛇咬伤管理的普遍认识和信念。材料和方法:2022年9月至11月,在布迪甘加农村市对245户家庭进行了一项基于社区的横断面研究。伦理审查是从比拉特医学院的机构审查委员会获得的。数据分析采用微软Excel 2019和SPSS软件ver.2025。结果:年毒蛇咬伤发生率为2332/100000人。大多数人(71%)无法识别咬人的蛇,并去看传统治疗师(70%)。在研究参与者中,25%的人错误地认为带状海蓝素无毒。据报道,对蛇咬伤急救管理的各种错误信念,如使用止血带(81%)、清洗咬伤部位(53.47%)、切割咬伤部位(52%)等。此外,对食物相关做法的普遍错误信念是蛇喝牛奶(85.31%)、蛇咬伤后给受害者喝水有益(47%)、给被咬伤者冷水有益(41.63%)等。结论:尽管存在毒蛇咬伤的负担,但人们并不知道正确的治疗方法,仍然将传统治疗师作为治疗手段。关于毒蛇咬伤急救管理的错误观念非常普遍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Snakebite Incidence, General Awareness and Belief of Snakebite Management at a Rural Municipality of Eastern Nepal
Background: Understanding people’s awareness on snakebite management would be highly beneficial to develop strategic program at local levels of Nepal. We aimed to identity snakebite incidence, general awareness and beliefs of people regarding snakebite management in rural communities. Materials and Methods: A community-based cross-sectional study was conducted at Budhiganga Rural Municipality from September to November 2022 among 245 households. Ethical clearance was taken from institutional review committee of Birat Medical College. Microsoft Excel 2019 and SPSS software ver. 2025 were used for data analysis. Results: Annual snakebite incidence rate was 2332 per 100000 populations. Majority (71%) could not identify biting snake and attended traditional healers (70%). Among study participants, 25% had false belief that banded krait is not poisonous. Various false beliefs on snakebite first aid management were reported such as use of tourniquet (81%), washing bite sites (53.47%), cutting bite site (52%) and so on. Further, prevalent false beliefs on food-related practices were snake drinks milk (85.31%), giving victim water following the snakebite was beneficial (47%), giving chilly to those bitten was beneficial (41.63%) and so on. Conclusion: Despite the existing burden of snakebites, people are not aware about the correct ways to manage them and were still attending traditional healers as a means of treatment. The mis beliefs about snakebite first aid management are very much prevalent.
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