Reasons for Late Presentation of Cleft Deformity in Nepal
Reasons for Late Presentation of Cleft Deformity in Nepal
复制标题
尼泊尔迟发裂隙畸形的原因
DOI：
10.1597/03-016
复制
发表时间：
2004
期刊：
影响因子：
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通讯作者：
Sanu Bhai Khadka
中科院分区：
文献类型：
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作者：
R. Schwarz;Sanu Bhai Khadka
目的探讨尼泊尔唇腭裂患者出现较晚的原因。设计横断面调查，对患者父母进行访谈。研究地点：1999年4月至1999年9月，在尼泊尔博卡拉的西部地区医院(WRH)，一个二级护理中心。研究对象均为来WRH门诊或手术的唇腭裂患者。那些没有父母的人被排除在外。共纳入53例患者。结果42例(79%)在3个月后出现。最常见的原因是缺乏维修可获得性的知识(31%)、缺乏护理的可及性(29%)和缺乏资金(24%)。结论在尼泊尔，大多数唇裂患者出现的时间较晚，主要是因为缺乏对唇裂服务的认识，提供的服务距离遥远，或缺乏资金。这些障碍在很大程度上可以通过巡回服务克服。
Objective To determine the causes of late presentation of patients with cleft lip and palate in Nepal. Design Cross-sectional survey using interviews of patients’ parents. Setting The study was carried out between April 1999 and September 1999 in Western Regional Hospital (WRH), Pokhara, Nepal, a secondary care center. Patients All patients with cleft lip and palate coming to WRH outpatient department or coming for surgery were included in the study. Those without parents were excluded. A total of 53 patients were included. Results Forty-two (79%) presented after 3 months. The most common reasons were lack of knowledge of availability of repair (31%), lack of accessibility of care (29%), and lack of finances (24%). Conclusions In Nepal, the majority of patients with cleft present late, mainly because of a lack of awareness of cleft services, the remoteness of available services, or a lack of finances. These obstacles can be largely surmounted through itinerant services.