بررسی ویژگی‌های اپیدمیولوژیک بیماران خودسوزی بستری شده در بیمارستان امام موسی کاظم (ع) اصفهان بین سال‌های 93-1389

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشیار، گروه مدیریت خدمات بهداشتی و درمانی، دانشکده‌ی مدیریت و اطلاع‌رسانی پزشکی و مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشجوی دکتری، گروه مدیریت و اقتصاد سلامت، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی تهران، تهران و کارشناس ارشد امور بیمارستان، بیمارستان امام موسی کاظم (ع)، اصفهان، ایران

چکیده

مقدمه: خودسوزی در بین زیان‌بارترین انواع جراحات ناشی از سوختگی، صدمات جسمی، روان‌شناختی و اقتصادی جدی بر فرد و خانواده‌ی او تحمیل می‌کند. این پژوهش، با هدف بررسی ویژگی‌های اپیدمیولوژیک بیماران خودسوزی بستری در بیمارستان امام موسی کاظم (ع) اصفهان انجام شد.روش‌ها: در این مطالعه‌ی مقطعی گذشته‌نگر، تمامی پرونده‌های بیماران خودسوزی بستری در این بیمارستان در بین سال‌های 93-1389 جمع‌آوری گردید. سپس، اطلاعاتی نظیر سن، جنس، وضعیت تأهل، وضعیت اشتغال و ... با استفاده از چک لیست تنظیم شده استخراج گردید. داده‌های به دست آمده، پس از ورود به نرم‌افزار SPSS در دو بعد توصیفی و استنباطی مورد تجزیه و تحلیل قرار گرفت.یافته‌ها: از 450 نفر اقدام کننده به خودسوزی در طی این 5 سال، 373 نفر (9/82 درصد) زن و 77 نفر (1/17 درصد) مرد بودند. 366 نفر (7/74 درصد) متأهل و 114 نفر (3/25 درصد) مجرد بودند. اغلب (4/68 درصد) افراد دچار خودسوزی، در گروه سنی 39-20 سال قرار داشتند. 0/74 درصد افراد خودسوزی کننده، خانه‌دار بودند. همچنین، درصد انجام خودسوزی در فصل بهار بیش از سایر فصول بود. حدود نیمی (1/49 درصد) از افراد در اثر خودسوزی فوت شدند. بیشترین دوره‌ی بستری (2/32 درصد) مربوط به بیماران 15-10 روز و بیشترین سطح سوختگی (5/47 درصد)، مربوط به سطح 70-31 درصد بود.نتیجه‌گیری: بر اساس نتایج این مطالعه و سایر مطالعات مشابه، زنان متأهل خانه‌دار در رده‌ی سنی 29-20 سال، بیش از سایر طیف‌ها در معرض استفاده از روش خودسوزی برای از بین بردن خود بودند.

کلیدواژه‌ها

عنوان مقاله [English]

Epidemiological Study on Patients Hospitalized in Imam Musa Kazim Hospital, Isfahan, Iran, due to Self-Immolation during the Years 2010-2014

نویسندگان [English]

  • Mahmoud Keyvanara 1
  • Elnaz Kalantari 2
1 Associate Professor, Department of Health Services Management, School of Management and Medical Information Sciences AND Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 PhD Student, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran AND Master of Hospital Administration, Imam Musa Kazim Hospital, Isfahan, Iran
چکیده [English]

Background: Self-immolation is among the most damaging types of injuries from burns, causes serious physical injuries and has psychological and economic effects on the person and his or her family. This study assessed the epidemiological characteristics of patients hospitalized in Imam Musa Kazim hospital, Isfahan, Iran, due to self-immolation during a 5-years period.Methods: In this retrospective cross-sectional study, all records of the patients hospitalized due to self-immolation during the years 2010-2014 were assessed. Then, information such as age, sex, marital status, employment, etc. was extracted by using a researcher-made checklist. The data were analyzed using SPSS software in both descriptive and analytic aspects.Findings: Out of 450 participants, who had self-immolation during the studied 5 years, 373 patients (82.9%) were women and 77 patients (17.1%) were men. 366 patients (74.7%) were married and 114 (25.3%) were single. Most of the studied patients (68.4%) were in the age category of 20-39 years old. 74.0 percent of the patients were housewives. Self-immolation was more prevalent in spring than in other seasons. About half of the patients (49.1%) died of self-immolation. The hospitalization duration of 10 to 15 days and the burning level of 31 to 70 percent (32.2% and 47.5%, respectively) were more prevalent.Conclusion: According to the results of this study and most of the similar studies, housewife married women in the age category of 20-29 years, are subject to eliminate their lives via self-immolation more than any other people.

کلیدواژه‌ها [English]

  • Self-immolation
  • Epidemiological characteristics
  • hospital

مراجع

  1. World Health Organizatio. Guidelines for the primary prevention of mental, neurological and psychosocial disorders. Geneva, Switzerland: WHO; 1994.
  2. Yasemi MR, Roghani A, Yaghobi M, Zamani N, Sayeh Miri K. Burning percentage evaluation of cases with suicide attempt by self-burning in the Ilam Province between 1372-1385. J Ilam Univ Med Sci 2013; 21(3): 53-63. [In Persian].
  3. Beautrais AL, Mishara BL. World Suicide Prevention Day: "think globally, plan nationally, act locally. Crisis 2008; 29(2): 56-63.
  4. Kanchan T, Menon A, Menezes RG. Methods of choice in completed suicides: gender differences and review of literature. J Forensic Sci 2009; 54(4): 938-42.
  5. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997; 349(9064): 1498-504.
  6. Rezaeian M. Epidemiology of suicide. In: Hatami H, Seyed Nozadi M, Majlesi F, Eftekhar Ardebili H, Razavi SM, Parzadeh SMJ, editors. The Textbook of public health. Tehran, Iran: Arjomand Publications; 2006. p. 1024. [In Persian].
  7. Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock's comprehensive textbook of psychiatry. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2000. p. 2035-39.
  8. Moradi S, Khademi A. The study of suicide deaths in comparison with global rates. Sci J Forensic Med 2002; 8(27): 16-21. [In Persian].
  9. Keyvanara M, Haghshenas A. The sociocultural contexts of attempting suicide among women in Iran. Health Care Women Int 2010; 31(9): 771-83.
  10. Keyvanara M, Haghshenas A. Sociocultural contexts of attempting suicide among Iranian youth: a qualitative study. East Mediterr Health J 2011; 17(6): 529-35.
  11. Keyvanara M, Mousavi SG, Karami Z. Social Class Status and Suicide Characteristics: A Survey among Patients Who Attempted Suicide in Isfahan. Mater Sociomed 2013; 25(1): 56-9.
  12. Alaghehbandan R, Lari AR, Joghataei MT, Islami A, Motavalian A. A prospective population-based study of suicidal behavior by burns in the province of Ilam, Iran. Burns 2011; 37(1): 164-9.
  13. Ahmadi A. Suicide by self-immolation: comprehensive overview, experiences and suggestions. J Burn Care Res 2007; 28(1): 30-41.
  14. Heidari ZadieIran Z, Sadeghi-Bazargani H, Mohammadi R, Bazargan-Hejazi S, Ahmadi A. Self-immolation in Iran, risk factors and prevention strategies. J Kermanshah Univ Med Sci 2015; 19(1): 44-57. [In Persian].
  15. Ahmadi A. The prevalence of suicide in suicide. attempters in the city of Islamabad West. J Kermanshah Univ Med Sc 2005; 9(1): 26-36. [In Persian].
  16. Zarghami M, Khalilian A. Deliberate self-burning in Mazandaran, Iran. Burns 2002; 28(2): 115-9.
  17. World Health Organization,Regional Office for South-East Asia. Suicide prevention: emerging from darkness. New Delhi, India: WHO Regional Office for South-East Asia; 2001.
  18. Laloe V. Patterns of deliberate self-burning in various parts of the world. A review. Burns 2004; 30(3): 207-15.
  19. Ahmadi AR. The Efficacy of community-based intervention in prevention of self-immolation. J Fundam Ment Health 2007; 9(35-36): 98-110. [In Persian].
  20. Rae L, Pham TN, Carrougher G, Honari S, Gibran NS, Arnoldo BD, et al. Differences in resuscitation in morbidly obese burn patients may contribute to high mortality. J Burn Care Res 2013; 34(5): 507-14.
  21. Sadeghi-Bazargani H, Mohammadi R. Epidemiology of burns in Iran during the last decade (2000-2010): review of literature and methodological considerations. Burns 2012; 38(3): 319-29.
  22. Rothschild MA, Raatschen HJ, Schneider V. Suicide by self-immolation in Berlin from 1990 to 2000. Forensic Sci Int 2001; 124(2-3): 163-6.
  23. Ho WS, Ying SY. Suicidal burns in Hong Kong Chinese. Burns 2001; 27(2): 125-7.
  24. Cameron DR, Pegg SP, Muller M. Self-inflicted burns. Burns 1997; 23(6): 519-21.
  25. Shkrum MJ, Johnston KA. Fire and suicide: a three-year study of self-immolation deaths. J Forensic Sci 1992; 37(1): 208-21.
  26. Yoosofilabani J, Mirzaei H. The study of factors affecting of self-burning among women. J Health Syst Res 2013; 9(7): 672-81. [In Persian].
  27. Ahmadi AR, Janbazi Sh, Laghaei Z, Ahmadi A, Davarinezhad O, Heydari MB. Epidemiological study of committed self-inflicted burns admitted to the hospitals of Kermanshah, University Of Medical Sciences, Iran (2004-2005). J Fundam Ment Health 2006; 8(29-30): 23-35. [In Persian].
  28. Sukhai A, Harris C, Moorad RG, Dada MA. Suicide by self-immolation in Durban, South Africa: a five-year retrospective review. Am J Forensic Med Pathol 2002; 23(3): 295-8.
  29. Thombs BD, Bresnick MG, Magyar-Russell G. Who attempts suicide by burning? An analysis of age patterns of mortality by self-inflicted burning in the United States. Gen Hosp Psychiatry 2007; 29(3): 244-50.
  30. Karim H, Schwebel DC, Bazargan-Hejazi S, Mohammadi R, Choubsaz M, Heidari ZZ, et al. What factors play a role in preventing self-immolation? Results from a case-control study in Iran. J Inj Violence Res 2015; 7(2): 59-63.
  31. Mehrpour O, Javadinia SA, Malic C, Dastgiri S, Ahmadi A. A survey of characteristics of self-immolation in the east of Iran. Acta Med Iran 2012; 50(5): 328-34.
  32. Ahmadi M, Ranjbaran H, Azadbakht M, Heidari GM, Heidari GA. A survey of characteristics of self-immolation in the northern Iran. Ann Med Health Sci Res 2014; 4(Suppl 3): S228-S232.
  33. Najafi F, Ahmadijouybari T, Moradinazar M, Ataie M, Karamimatin B, Karamimatin R, et al. The survival rate of self-immolators in Kermanshah Province 2010- 2011. J Kermanshah Univ Med Sci 2013; 17(9): 563-71. [In Persian].
  34. Nanbakhsh Z, Mohaddesi H, Nanbakhsh F, Mazlomhi P. Suicide conceptually is ending once life. J Urmia Nurs Midwifery Fac 2009; 7 (2): 107-12. [In Persian].
مجله دانشکده پزشکی اصفهان
دوره 34، شماره 410 - شماره پیاپی 410
بهمن و اسفند 1395
صفحه 1459-1465

فایل ها

سابقه مقاله

  • تاریخ دریافت: 10 مهر 1395
  • تاریخ بازنگری: 30 فروردین 1403
  • تاریخ پذیرش: 17 فروردین 1401

هم رسانی

ارجاع به این مقاله

آمار