1. 我国输入性疟疾患者回国后就医时机及其影响因素的系统评价.
- Author
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顾己悦, 柴丽莹, 曹园园, 崇泽银, 刘凯旋, 王伟明, 徐玉慧, 朱国鼎, 曹俊, and 卢光玉
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MEDICAL consultation , *HEALTH facilities , *PLASMODIUM vivax , *MALARIA , *PLASMODIUM , *HEALTH literacy - Abstract
Objective To summarize the time interval from the onset of initial symptoms to the first medical consultation for imported malaria patients in China and the influencing factors, providing references for optimizing health management and prevention measures for these patients and reinforcing malaria elimination achievements in the country. Methods A systematic search was conducted across English and Chinese databases, including PubMed, EBSCO, China National Knowledge Infrastructure (CNKI), Wanfang, and Weipu, as well as references from related studies, to collect research reporting the time interval from the onset of initial symptoms to the first medical consultation and/or influencing factors for imported malaria patients in China, with the search period extending from the establishment of the database to July 18, 2023. Two researchers independently screened the literature and extracted information based on inclusion and exclusion criteria. The Newcastle-Ottawa Scale (NOS) suitable for cross-sectional studies was employed to assess the quality of the included studies. Results A total of 17 studies involving 10 475 imported malaria patients were included, with 8 studies reporting the time interval from the onset of initial symptoms to the first consultation for 2 919 patients. Among them, 766 patients (26.24%) consulted within one day of symptom onset, 1 393 patients (47.72%) consulted within 2-3 days, and 760 patients (26.04%) consulted more than three days after symptom onset. Eleven studies reported the influencing factors for the timing of medical consultation among imported malaria patients in China, including the patients’ awareness of the need for proactive medical consultation, the level of the initial healthcare facility, history of malaria infection, health literacy, the type of malaria parasite, and the incubation period. Conclusion There is a notable delay in medical consultation among imported malaria patients returning to China. Factors such as weak awareness of the need for proactive consultation, poor health literacy, infection with Plasmodium vivax, and a higher level of the initial healthcare facility contribute to delays in seeking medical attention in this population. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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