坦桑尼亚东部对鼻衄的认识和实践：耳鼻喉科急诊横断面研究

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE African Journal of Emergency Medicine Pub Date : 2024-03-19 DOI:10.1016/j.afjem.2024.03.002

Zephania Saitabau Abraham , Onesmo Cyprian Fussi , Aveline Aloyce Kahinga

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引用次数: 0

摘要

导言：据估计，全球约有 60% 的人在一生中经历过鼻衄。尽管鼻衄在坦桑尼亚很普遍，但对参与者鼻衄经验的研究却很有限。本研究旨在了解在坦桑尼亚东部一家医疗机构就诊的患者对鼻衄的原因、急救处理和做法的了解情况。方法采用描述性横断面研究，使用结构化问卷对 371 名 15 岁及以上的参与者进行了访谈。数据使用社会科学统计软件包 23 版进行分析。结果约三分之二（60.9%）的研究参与者对鼻衄的原因有较好的了解。大多数参与者知道过度操作鼻子（95.1%）是导致鼻衄的最常见原因，而提及最少的原因是慢性肝病（24.8%）。另一方面，77.6% 的参与者对鼻衄的急救知识了解较多，22.4% 的参与者对鼻衄的急救知识了解较少。在这项研究中，328 名（88.4%）参与者知道按压鼻子可以止衄，164 名（44.2%）参与者知道止衄的最佳姿势是将头向前倾，在 205 名有过鼻衄病史的参与者中，150 名（73.2%）将捏鼻子作为急救方法。同样，133 人（35.8%）认为戒烟可减少鼻衄的发生。鼻衄急救处理知识与一些社会人口特征（如年龄和教育水平）之间存在明显的关联。结论大多数参与者对鼻衄的原因和急救处理方法有较好的了解。

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Knowledge and practices of epistaxis in Eastern Tanzania: A cross-sectional study of an emergency in otorhinolaryngology

Introduction

It's approximated that 60% of the population globally experience epistaxis during lifetime. Despite epistaxis being prevalent in Tanzania, there are limited studies that have explored experience of participants on epistaxis. This study aims to determine knowledge on the causes, first aid management and practices of epistaxis among patients attending a health facility in Eastern Tanzania

Methods

A descriptive cross-sectional study was conducted where 371 participants aged 15 years and above were interviewed using structured questionnaires. Data was analyzed using Statistical Package of Social Sciences version 23. Chi-square tests were performed and a p-value <0.05 was considered to be statistically significant

Results

About two-thirds (60.9%) of the study participants had good knowledge of the causes of epistaxis. Majority of participants knew excessive nose manipulation (95.1%) to be the commonest cause of epistaxis and the least cause mentioned was chronic liver disease (24.8%). On the other hand, 77.6% of the participants had good knowledge while 22.4% had poor knowledge regarding first aid management of epistaxis. In this study, 328(88.4%) participants knew pressing the nose could stop epistaxis, while 164(44.2%) knew the best position to stop epistaxis and that is to tilt the head forward and those who had history of epistaxis, 150 (73.2%) out of 205 pinched the nose as the first aid. Similarly, 133(35.8%) participants thought cessation of smoking has effect on decreasing the occurrence of epistaxis. A significant association was noted between knowledge of first aid management of epistaxis and some socio-demographic characteristics such as age and educational level. There was also a significant association between knowledge of the causes of epistaxis and educational level.