Assessment Of Knowledge, Attitude, And Practice Towards The First Aid Management Of Foreign Body Aspiration And Obstruction Among Parents Of Children Visited Sphmmc, Addis Ababa, Ethiopia.

Abstract

Abstract Background: Foreign body aspiration and obstruction are the main cause of accidental death in childhood, and foreign bodies (FBs) in the aerodigestive tract are important causes of morbidity and mortality and pose diagnostic and therapeutic challenges. Lack of community awareness toward, the FBA presentation and it’s management further aggravate the problem. Despite this ,there are very few studies in this area which necessitates further study. Therefore the present study may help as output to increase parents awareness towards immediate first aid intervention, in preventing delayed healthcare access and intervention at a community level in general. Objective: Assessing the knowledge, attitude, and practice towards the first aid management of foreign body aspiration and obstruction among parents of children coming to St. Paul’s Hospital Millennium Medical College. Methods: A descriptive-based cross-sectional study was carried out in the study area using pretested, structured, and self-administered questionnaires. The collected data was analyzed using SPSS version 25. Multiple logistic regression analysis was used to identify factors associated with the Knowledge, attitude, and practice of parents towards first aid management of foreign body aspiration and obstruction. Results: A total of 423 parents were involved in the study. Only 218 (51.5%) of them were knowledgeable. Most of the respondents (76.3%) had a positive attitude towards foreign body aspiration and obstruction first aid. 123 (29.1%) and 233 (51.1%) agreed and strongly agreed that foreign body aspiration needs immediate intervention, and 75 (17.7%) faced a child who aspirated foreign body. Of these, only 53 (12.5%) had provided first aid to the victim. Most of the respondents 40 (75.5%)had scored below 80% of practice towards foreign body aspiration and obstruction. Multiple logistic regression analysis showed that parents who are literates were 3.6 times more knowledgeable than those illiterates.(AOR:3.612, 95% CI: 1.758, 7.420, P ≤0.05). Conclusions: The level of knowledge and skills for providing first aid for foreign body aspirated, and obstructed children among parents is low. So education and increasing awareness among them to reduce morbidity and mortality in children suffering from aspiration and obstruction from foreign bodies has to be one of the strategies..