Epidemiology and Knowledge of First Aid Treatment Related to Burn Injury in the Rural Region of Kulon Progo, Indonesia
DOI:
https://doi.org/10.3889/oamjms.2021.5649Keywords:
burns, Indonesia, rural area, epidemiology, first aid knowledgeAbstract
BACKGROUND: We investigated the epidemiology and the knowledge of first aid regarding to burns in the rural area of Kulon Progo, located in Indonesia. Although 44% of Indonesia’s population resides in rural areas, data of burn in Indonesia are very limited to national referral centers located in Indonesia’s largest cities. We also surveyed the patients and families of these burn patients to try to understand their knowledge on the first aid of burns.
AIM: We wanted to explore and discover what myths and misperceptions existed in rural communities.
MATERIALS AND METHODS: A retrospective study analyzing the medical records of patients with burns admitted to two of Kulon Progo’s largest referral hospitals between January 2018 and December 2019. A survey was distributed to the patients and their families regarding their knowledge on the first aid of burns. We wanted to analyze if certain groups of the population were more at risk for specific types of burn etiologies, the correlation between burn etiology and length of stay, the correlation between total body surface area (TBSA) of burns and length of stay in the hospital, and the correlation between education level of survey participants’ and their knowledge of first aid of burns.
RESULTS: A total of 115 patients were reviewed in this study. The highest proportion of total burn injuries occurred in the age group of 1–14 years old (38%). The major etiology of all burn cases were caused by scald (54%). Housewives and children were at a higher risk for scalds and laborers were at a higher risk for electrical and chemical burns (p = 0.001). There was no significant correlation between etiology and length of stay (p = 0.29). There was a statistically significant correlation between the TBSA and the length of hospital stay (p = 0.0001). The majority of survey respondents (66%) had poor knowledge on the first aid of burns. There was no significant correlation between education level and knowledge of first aid of burns (p = 0.07547).
CONCLUSIONS: Children, laborers, and housewives have a significant risk of suffering from a burn injury. A majority of people still have poor knowledge on the first aid of burns. There was no correlation between education levels and knowledge of first aid burns.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Stokes MA, Johnson WD. Burns in the third world: An unmet need. Ann Burns Fire Disasters. 2017;30(4):243-6. PMid:29983673
Mehta K, Gyedu A, Otupiri E, Donkor P, Mock C, Stewart B. Incidence of childhood burn injuries and modifiable household risk factors in rural Ghana: A cluster-randomized, populationbased, household survey. Burns. 2020;2020:30522-2. https://doi.org/10.1016/j.burns.2020.09.001 PMid:33077331
Ministry of Health and National Institute of Health Research and Development, 2018. National Report on Basic Health Research, Riskesdas; 2018.
E-Government: Open Data. Official Government of Kulon Progo; 2020. Available from: https://www.satudata.kulonprogokab.go.id/index.php/lihat/dda. [Last accessed on 2020 Nov 1]
Health Facilities. E-Government: Open Data. Official Government of Kulon Progo; 2020. Available from: https://www. satudata. kulonprogokab.go.id/index.php/lihat/dda_detil/16/dataprasarana-pelayanan-kesehatan. [Last accessed on 2020 Nov 1].
Gyedu A, Stewart B, Mock C, Otupiri, E, Nakua, E, Donkor P, et al. Prevalence of preventable household risk factors for childhood burn injury in semi-urban Ghana: A population-based survey. Burns. 2016;42(3):633-8. https://doi.org/10.1016/j.burns.2015.11.004 PMid:26691868
Thoday K, Benjamin P, Gan M, Puzzolo E. The Mega conversion program from kerosene to LPG in Indonesia: Lessons learned and recommendations for future clean cooking energy expansion. Energy Sustain Dev. 2018;46:71-81. https://doi.org/10.1016/j.esd.2018.05.011 PMid:30333687
Biswas A, Abdullah AS, Dalal K, Deave T, Rahman F, Mashreky SR. Exploring perceptions of common practices immediately following burn injuries in rural communities of Bangladesh. BMC Health Serv Res. 2018;18:467. https://doi.org/10.1186/s12913-018-3287-3
Animesh B, Abu-Sayeed A, Toity D, Dalal K, Saidur M. Exploration of gaps and challenges in managing burn injury at district and sub-district government health care facilities in Bangladesh. Burns Open. 2019;4:16-21. https://doi.org/10.1016/j.burnso.2019.11.002
Kattan AE, AlShomer F, Alhujayri AK, Addar A, Aljerian A. Current knowledge of burn injury first aid practices and applied traditional remedies: A nationwide survey. Burns Trauma. 2016;4:37. https://doi.org/10.1186/s41038-016-0063-7 PMid:27826592
Wardhana A, Basuki A, Prameswara AD, Rizkita DN, AndarieAA, Canintika AF. The epidemiology of burns in Indonesia’s national referral burn center from 2013 to 2015. Burns Open. 2017;1:2. https://doi.org/10.1016/j.burnso.2017.08.002
Hidayat TS, Noer MS, Saputro ID. Five years retrospective study of burns in Dr Soetomo general hospital Surabaya. Folia Med Indones. 2014;50:2.
Bramardipa AA, Sukrama ID, Budayanti NN. Bacterial pattern and its susceptibility toward antibiotic on burn infection in Burn Unit Sanglah general hospital. Bali Med J. 2019;8:1. https://doi.org/10.15562/bmj.v8i1.1456
Kawalec AM. Problems of Burns in Children: Opportunities for Health Improvement. London: InTech Open; 2018.
Hon HH, Kousari YM, Papadimos TJ, Tsavoussis A, Jeanmonod R, Stawicki SP. What’’s new in critical illness and injury science? Nonaccidental burn injuries, child abuse awareness and prevention, and the critical need for dedicated pediatric emergency specialists: Answering the global call for social justice for our youngest citizens. Int J Crit Illn Inj Sci. 2015;5(4):223-6. https://doi.org/10.4103/2229-5151.170854 PMid:26807388
Smith GS, Wellman HM, Sorock GS, Warner M, Courtney TK, Pransky GS, et al. Injuries at work in the US adult population: Contributions to the total injury burden. Am J Public Health. 2005;95(7):1213-9. https://doi.org/10.2105/ajph.2004.049338 PMid:15983273
International Labour Organization. Subregional Office for SouthEast Asia and the Pacific. Occupational Safety and Health in Indonesia. International Labour Organization; 2004.
Song C, Chua A. Epidemiology of burn injuries in Singapore from 1997 to 2003. Burns. 2005;31(Suppl 1):S18-26. https://doi.org/10.1016/j.burns.2004.10.005 PMid:15649612
Bayat A, Ramaiah R, Bhananker SM. Analgesia and sedation for children undergoing burn wound care. Expert Rev Neurother. 2010;10(11):1747-59. https://doi.org/10.1586/ern.10.158 PMid:20977331
Krishnamoorthy V, Ramaiah R, Bhananker SM. Pediatric burn injuries. Int J Crit Illn Inj Sci. 2012;2(3):128-34. https://doi.org/10.4103/2229-5151.100889 PMid:23181206
Gupta AK, Uppal S, Garg R, Gupta A, Pal R. A clinicoepidemiologic study of 892 patients with burn injuries at a tertiary care hospital in Punjab, India. J Emerg Trauma Shock. 2011;4(1):7-11. https://doi.org/10.4103/0974-2700.76820 PMid:21633560
Peck M, Brewer AC, Pressman M, Blank E, MickalideA. Hot tap water legislation in the United States. J Burn Care Res. 2010;31(6):918- 25. https://doi.org/10.1097/bcr.0b013e3181f93723 PMid:20864897
Poulos R, Hayen A, Finch C, Zwi A. Area socioeconomic status and childhood injury morbidity in New South Wales, Australia. Inj Prevent. 2007;13(5):322-7. https://doi.org/10.1136/ip.2007.015693 PMid:17916889
Peden M, Oyegbite K, Ozanne-Smith J, editors. World Report on Child Injury Prevention. Geneva: World Health Organization; 2008.
Johnson LS, Shupp JW, Pavlovich AR, Pezzullo JC, Jeng JC, Jordan MH. Hospital length of stay-does 1% TBSA really equal 1 day? J Burn Care Res. 2011;32(1):13-9. https://doi.org/10.1097/bcr.0b013e318204b3ab PMid:21131842
Louise CN, David M, John SK. Is the target of 1 day length of stay per 1% total body surface area burned actually being achieved? A review of paediatric thermal injuries in South East Scotland. Int J Burns Trauma. 2014;4(1):25-30. PMid:24624311
Hudspith J, Rayatt S. First aid and treatment of minor burns. BMJ. 2004;328(7454):1487-9. https://doi.org/10.1136/bmj.328.7454.1487 PMid:15205294
Adapted from UNESCO Institute for Statistics, Sustainable Development Goals: Indonesia; 2020. Available from: http:/ www.uis.unesco.org/en/country/id. [Last accessed on 2020 Nov 3]
Singer AJ, Gulla J, Thode HC Jr., Cronin KA. Pediatric first aid knowledge among parents. Pediatric Emergency Care. 2004;20(12):808-11. https://doi.org/10.1097/01.pec.0000148028.53598.5c PMid:15572967
Shrestha S, Gurung P. Awareness on prevention and first aid management of burn injury among adolesents. J Coll Med Sci Nepal. 2018;14:21330. https://doi.org/10.3126/jcmsn.v14i4.21330
Harvey LA, Barr ML, Poulos RG, Finch CF, Sherker S, Harvey JG. A population-based survey of knowledge of first aid for burns in New South Wales. Med J Aust. 2011;195(8):465-8. https://doi.org/10.5694/mja11.10836 PMid:22004398
Zimmerman TJ, Krizek TJ. Thermally induced dermal injury: A review of pathophysiologic events and therapeutic intervention. J Burn Care Res 1984;5(3):193-201. https://doi.org/10.1097/00004630-198405000-00002
Cuttle L, Pearn J, McMillan JR, Kimble RM. A review of first aid treatments for burn injuries. Burns. 2009;35(6):768-75. https://doi.org/10.1016/j.burns.2008.10.011 PMid:19269746
Serhat O, Güzin O, Abdullah E, Selçuk A, Ramazan K, Yasemin H, et al. The effect of delayed admission in burn centers on wound contamination and infection rates. Ulus Travma Acil Cerrahi Derg. 2005;11(3):230-7. PMid:16100669
Zbuchea A. Up-to-date use of honey for burns treatment. Ann Burns Fire Disasters. 2014;27(1):22-30. PMid:25249844
Laksono AD, Wulandari RD, Soedirham O. Urban and rural disparities in hospital utilization among Indonesian adults. Iran J Public Health. 2019;48(2):247-55. https://doi.org/10.18502/ijph.v48i2.819 PMid:31205878
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2021 Rianto Noviady Ramli, Almas Prawoto, Nyoman Putu Riasa, Iswinarno Doso Saputro, Ahmad Fawzy Mas'ud (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0