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宁波市流动儿童溺水干预知信行效果评价

发布时间:2018-10-19 17:46
【摘要】:目的探索流动儿童溺水预防的干预模式及其效果,为有效干预儿童溺水途径提供依据。方法选择宁波市2个区的外来民工子弟学校一~九年级学生,干预组实施基于健康促进生态学模型的健康教育为主,配合社会动员和环境改善溺水综合干预策略,对照组采用常规的健康教育;对流动儿童开展2年期的溺水综合干预,并对干预效果进行评价。结果干预组和对照组学生干预后溺水知识总知晓率和正确信念的持有率均较干预前有明显提升(P值均0.01),但是干预组提升的幅度均高于对照组。终期干预组学生溺水高危行为发生率(7.3%)低于干预前(11.4%)(χ~2=39.29,P0.01),而对照组学生干预后溺水高危行为发生率(7.7%)与干预前(8.4%)差异无统计学意义。干预组学生干预后非致死性溺水发生率(4.8%)较干预前(13.1%)有明显地下降(χ~2=29.27,P0.01);而对照组干预后溺水率(7.7%)与干预前(8.1%)差异无统计学意义(χ~2=0.35,P=0.56)。结论基于生态学模型的溺水综合干预模式对预防流动儿童溺水取得了一定效果,可为流动儿童溺水干预提供参考。
[Abstract]:Objective to explore the intervention mode and effect of drowning prevention for floating children and to provide evidence for effective intervention. Methods the first ~ ninth grade students of the children of migrant workers in two districts of Ningbo were selected. The intervention group was given priority to health education based on the model of health promotion ecology, combined with comprehensive intervention strategy of social mobilization and environmental improvement. In the control group, routine health education was used, 2 year drowning comprehensive intervention was carried out for floating children, and the effect of intervention was evaluated. Results the total awareness rate of drowning knowledge and the holding rate of correct belief of the students in the intervention group and the control group were significantly higher than those before the intervention (P < 0.01), but the range of improvement in the intervention group was higher than that in the control group. The incidence of high risk behavior of drowning in the final intervention group (7.3%) was lower than that before the intervention (11.4%) (蠂 ~ 2 / 39.29 / P0.01), but there was no significant difference between the control group (7.7%) and the pre-intervention group (8.4%). The incidence of non-fatal drowning in the intervention group (4.8%) was significantly lower than that before the intervention (13.1%) (蠂 ~ 22.27 P 0.01), but there was no significant difference between the control group (7.7%) and the pre-intervention (8.1%) (蠂 ~ 20.35 P 0.56). Conclusion the comprehensive intervention model of drowning based on ecological model is effective in preventing floating children from drowning and can provide reference for drowning intervention of floating children.
【作者单位】: 浙江省宁波市疾病预防控制中心慢性非传染性疾病防制所;宁波市江北区疾病预防控制中心;宁波市鄞州区疾病预防控制中心;
【基金】:中国疾病预防控制中心慢病中心2013-2016年度伤害干预项目 宁波市科技惠民项目(2016C51009)
【分类号】:C913.5


本文编号:2281880

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