Differences between intentional and non-intentional burns in India: Implications for prevention

Differences between intentional and non-intentional burns in India: Implications for prevention
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DOI:
10.1016/j.burns.2013.12.002
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发表时间:
2014-08-01
期刊:
影响因子:
2.7
通讯作者:
Natarajan, Mangai
Natarajan, Mangai
中科院分区:
医学3区
文献类型:
--
作者:
Natarajan, Mangai

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印度和其他发展中国家的非故意和故意烧伤给预防和治疗带来了特殊的挑战。这项探索性研究旨在提高对烧伤的认识,以便为治疗和预防提供信息。它在2011/2012年从印度一家政府医院的医院登记处(N=768)收集了关于烧伤的数据,并从对住进烧伤病房的女性患者(N=60)的采访中收集了数据。分析表明:(1)促进故意和非故意烧伤的条件相似,但故意烧伤涉及其他促成因素;(2)烧伤患者中家庭年轻女性所占比例很高;(3)烧伤后创面面积比例较高,因此死亡率高于男性。结论是:(1)哈登矩阵和犯罪学情景预防犯罪框架有助于了解故意烧伤的病因并确定预防措施;(2)社会服务和刑事司法机构在处理治疗期间和治疗后故意烧伤的受害者方面发挥重要作用;(3)在计划治疗时应充分考虑与性别有关的生理、心理和家庭因素;(4)保持烧伤病例的仔细记录对于估计故意伤害的发生率和发生率至关重要。(C)2013年爱思唯尔有限公司和ISBI。版权所有。
Non-intentional and deliberate burns in India and other developing countries present particular challenges of prevention and treatment. This exploratory study sought improved understanding of burns in order to inform treatment and prevention. It gathered data in 2011/2012 on burns from the hospital registry (N = 768) of a government hospital in India and from interviews with women patients (N = 60) admitted to the burns ward. Analysis indicated that: (1) the conditions that facilitate intentional and non-intentional burns are similar, but intentional burns involve additional contributory factors; (2) a high proportion of patients subjected to burns are young women in domestic situations; and (3) a higher proportion of their TBSA was burned, with consequent higher mortality than for men. It was concluded that: (1) Haddon's matrix and the situational crime prevention framework of criminology assist in understanding the etiology of intentional burns and in identifying preventive measures; (2) social service and criminal justice agencies have important roles in dealing with victims of intentional burns during and after treatment; (3) full account should be taken of gender-related physical, psychological and family factors in planning treatment; and (4) maintaining careful records of burns cases is vital for estimating the prevalence and incidence of intentional injuries. (C) 2013 Elsevier Ltd and ISBI. All rights reserved.