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Analysis of risk factors and avoidance paths of accidental injury in children |
YE Hongman ZHU Ting ZHU Hui |
Department of Pediatric Surgery, Xinhua Hospital Affiliate to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China |
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Abstract Objective To analyze the risk factors of accidental injury in children, and to explore effective avoidance paths to avoid them. Methods A total of 158 children who visited the Department of Pediatrics, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine from March 2018 to March 2020 were selected. The case data were collected and the risk factors of accidental injury in children were analyzed. Results Among the 158 children, 100 cases were accidental injuries, and the most common types of accidental injuries were fall injury, traffic injury, and poisoning. Home, kindergarten, and residential community were common places of accidental injury. After treatment, 8 cases died and 92 cases recovered. There were statistically significant differences in the incidence of accidental injury among children of different ages, genders, family harmony, orderlies’ education level, and social and economic development level (P < 0.05). Age, family harmony, and orderlies’ education level were the protective factors of children’s accidental injury (OR < 1, P < 0.05). Conclusion The occurrence of accidental injury to children is unpredictable. Age, family harmony, and parental education are protective factors. In order to avoid the occurrence of accidental injury to children, it should be paid more attention to strengthening science popularization and education, improving public health management and enhancing orderlies’ awareness of prevention.
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[1] 沈施芳,董晶,姚芳园,等.2019年杭州市0~6岁儿童意外伤害病例特征分析[J].中国妇幼保健,2021,36(17):4046- 4049.
[2] 刘艳,崔璀,唐方芳,等.基于高可靠性组织理论的儿科住院患者意外伤害事件管理方法的实施及成效[J].中国护理管理,2021,21(7):1069-1073.
[3] ■z M,?覶eri V. Prevalence of Attention Deficit Hyperactivity Disorder Symptoms in Children Who Were Treated at Emergency Service due to Unintentional Injury [J]. Emerg Med Int,2018,39(9):724-730.
[4] 杨双蓓,黄莹,王渝娟,等.云南某县留守中小学生意外伤害重复发生流行特征及影响因素分析[J].卫生软科学,2021,35(6):92-96.
[5] 许文,陶廷萍.国际疾病分类(ICD-10)及其编码实践[J].中国卫生统计,2003,20(5):35-36.
[6] 刘红林,徐鸣浩,侯瑶.昆明地区儿童意外伤害3 086例调查分析[J].昆明医科大学学报,2019,40(9):41-45.
[7] 郭玉哲,史婧奕,窦家莹,等.儿童重症监护病房收治意外伤害临床特征及死亡危险因素分析[J].中国小儿急救医学,2021,28(2):116-120.
[8] van Meijel EPM,Gigengack MR,Verlinden E,et al. Long- Term Posttraumatic Stress Following Accidental Injury in Children and Adolescents:Results of a 2-4-Year Follow-Up Study [J]. J Clin Psychol Med Settings,2019,26(4):597- 607.
[9] Chew YR,Cheng MH,Goh MC,et al. Five-Year Review of Patients Presenting with Non-Accidental Injury to a Children’s Emergency Unit in Singapore [J]. Ann Acad Med Singap,2018(10):254-261.
[10] 王惠萍,姜若,吕军,等. 基于风险矩阵的社区0~3岁儿童意外伤害风险评估[J].中国妇幼健康研究,2020, 31(2):197-202.
[11] Schwebel DC. Why “Accidents” Are Not Accidental:Using Psychological Science to Understand and Prevent Unintentional Child Injuries [J]. Am Psychol,2019,74(9):96- 101.
[12] 石娟,黄栋,陈玲玲,等.贵州省某医院儿童意外伤害基于Haddon模型的流行病学特征分析[J].中国医药,2021, 16(2):288-292.
[13] 田腾,顾荣芳.幼儿意外伤害发生规律探析——基于1315个案例的实证研究[J].中国教育学刊,2019(12):67-71.
[14] 薛格艳,王莉.2009~2013年某市因意外伤害住院儿童变化趋势[J].中国医药科学,2020,10(24):172-175.
[15] 李翠莲,刘红林,刘玲,等.儿童意外伤害的危险因素分析[J].中国中西医结合儿科学,2022,14(1):53-57.
[16] 龚甜,王菁,邵琰,等.苏州市0~14岁儿童意外伤害流行病学调查[J].中国社会医学杂志,2020,37(2):206- 209.
[17] 董泽松,祁慧,刘传星,等.西部4省(区)民族地区留守儿童健康素养与意外伤害的关系[J].中国健康教育,2019, 35(5):414-417.
[18] 顾荻.事故倾向性儿童意外伤害影响因素及干预策略的研究进展[J].海南医学,2020,31(24):3248-3251.
[19] 李葵南,牛玉硕,孙孟珂,等.儿童道路交通安全现况及干预措施研究进展[J].中国学校卫生,2021,42(6):950- 955,960.
[20] 梁宇峰,余莉,杨镒宇,等.儿童重症意外伤害病例临床特点和预后分析[J].中国医药导报,2019,16(17):121- 124.
[21] 时颖,焦淑芳,谢瑾,等.北京市0~14岁儿童意外伤害危险因素的Logistic回归分析[J].首都医科大学学报,2005,26(6):684-686.
[22] 张福庆,罗铁军,蒋国河,等.农村留守儿童意外伤害风险防范机制研究——以K省为例[J].社会工作,2021(6):55-68.
[23] 戴洁,胡佩瑾,王珺怡,等.中国中小学校食堂基础设施建设和卫生管理现况[J].中国学校卫生,2019,40(9):1383-1385.
[24] 刘旭,武巧月,龚洪申,等.郑州市院外急救患者病情特征的分析[J].中国急救复苏与灾害医学杂志,2021,16(3):249-252.
[25] 吴磊,龚伟明,徐彩华.家长对婴幼儿保健相关知识的认知现状及需求调查[J].中国妇幼保健,2019,34(13):3073-3076. |
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