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首页> 外文期刊>BMC Infectious Diseases >A study on knowledge, attitudes and practices regarding dengue fever, its prevention and management among dengue patients presenting to a tertiary care hospital in Sri Lanka
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A study on knowledge, attitudes and practices regarding dengue fever, its prevention and management among dengue patients presenting to a tertiary care hospital in Sri Lanka

机译：关于登革热，登革热患者预防与管理的知识，态度和实践研究，斯里兰卡三级护理医院

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The World Health Organization (WHO) has ranked dengue as one of the top ten threats to Global health in 2019. Sri Lanka faced a massive dengue epidemic in 2017, the largest outbreak in the country during the last three decades, consisting of 186,101 reported cases, and over 320 deaths. The epidemic was controlled by intense measures taken by the health sector. However, the reported dengue cases and dengue deaths in 2019 were significantly higher than that of 2018. Deaths were mostly due to delay in hospitalization of severe dengue patients. The mortality of dengue hemorrhagic fever is 2–5% if detected early and treated promptly, but is high as 20% if left untreated. A descriptive cross-sectional study was done among patients with dengue fever presenting to the Sri Jayawardenepura General Hospital during October 2019. Data was collected using a questionnaire comprising 20 questions based on knowledge, attitudes and practices on dengue, which were categorized into questions on awareness of mortality and severity of dengue burden, prevention of dengue vector mosquito breeding and acquiring the infection, patient’s role in dengue management, and warning signs requiring prompt hospitalization. The mean KAP score on all questions was 55%, while a majority of 65.2% patients scored moderate KAP scores (50–75%) on all questions, and only 7.6% had high KAP scores (?75%). The highest categorical mean score of 62% was on awareness of dengue prevention, followed by 54% on awareness of dengue burden, and only 51% on dengue management. Only 5.3% patients scored high scores on awareness of dengue management, followed by 28.5%, and 40.9% patients scoring high scores on awareness of dengue burden, and awareness of prevention of dengue respectively. The mean KAP scores on all questions increased with increasing age category. The population relatively has a better awareness of dengue prevention, as compared to awareness of dengue mortality and dengue management. The identified weak point is patient awareness of the patients’ role in dengue management, and identifying warning signs requiring prompt hospitalization. This results in delay in treatment, which is a major cause for increased mortality. There was a correlation between those who had good knowledge on dengue burden and those who were aware of patients’ role in dengue management. An action plan should be implemented to improve public awareness through education programs on the role of the public and patients in dengue management to drive a better outcome.
机译：世界卫生组织（世卫组织）在2019年将登革热作为全球健康的十大威胁之一。斯里兰卡在2017年面临着巨大的登革热流行病，该国在过去三十年中是该国最大的爆发，由186,101例报告的案件组成，超过320人死亡。该流行病由卫生部门采取的强烈措施控制。然而，2019年报告的登革热病例和登革热死亡明显高于2018年。死亡主要是由于严重登革热患者住院的延迟。如果早期检测到并迅速治疗，登革热出血热的死亡率为2-5％，但如果未经处理，则高达20％。在2019年10月，登革热患者的患者进行了描述性横截面研究。利用由登革热的知识，态度和实践的调查问卷收集数据，该问卷在登革热的知识，态度和实践中进行了分类登革热负担的死亡率和严重程度，防止登革船蚊虫育种，患者在登革船管理中的作用，警示迹象，要求及时住院。所有问题的平均KAP得分为55％，而大多数65.2％的患者在所有问题上得分适度的KAP评分（50-75％），只有7.6％的KAP评分（＆？75％）。最高分类的平均得分为62％，是对登革热预防的认识，其次对登革热负担的认识54％，而登革热管理只有51％。只有5.3％的患者在登革热管理的认识方面均得分高得分，其次是28.5％，40.9％的患者分别对登革热负担的认识以及预防登革热的认识。所有问题的平均KAP评分随着年龄类别的增加而增加。与登革热病和登革热管理的认识相比，人口相对更好地了解登革热预防。所确定的弱点是患者在登革热管理中患者作用的意识，并识别需要及时住院的警告标志。这导致治疗延迟，这是增加死亡率的主要原因。在那些对登革热负担的良好知识和意识到患者在登革船管理中的作用之间存在相关性之间存在相关性。应实施行动计划，以提高公众通过教育方案提高公众和登革热管理患者的作用，以推动更好的结果。

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