黔北农村学龄儿童跌落伤特征与干预效果分析

发布时间：2018-11-17 15:02

【摘要】：目的探索黔北农村学龄儿童跌落伤特征与干预效果,为制定有效干预措施降低儿童伤害发生率提供依据。方法采用问卷调查法,于2012年首次干预前先进行基线调查,调查黔北农村学龄儿童2 854名,经16个月的多次综合干预后,抽取其中1 502名儿童进行问卷随访调查,了解干预后跌落伤相关的知识、态度、发生率及变化差异。结果基线调查2 854名,跌落伤害年发生率为6.24%;干预后调查1 502名,跌落伤害年发生率为3.93%,干预前后跌落伤发生率差异有统计学意义(χ2=10.20,P0.05),在道路情况、参与打架及受伤部位方面干预前后分布明显不同(χ2值分别为9.92,9.38,6.33,P值均0.05);小学生跌落伤的发生率(4.17%)高于初中生(3.53%),但差异无统计学意义(χ2=0.39,P0.05);干预前后在"步行注意路面平整、骑车时注意力集中、玩耍时不互相推搡、运动时去宽阔地方、伤害发生后应拨打120"等方面知晓率的提高有统计学意义(χ2值分别为166.95,50.39,42.00,28.30,491.14,P值均0.01)。结论黔北农村儿童跌落伤发生率较高,干预后跌落伤害发生率明显下降,但相关知识掌握还不够。需全社会共同努力,切实将儿童跌落伤害率降到最低。
[Abstract]:Objective to explore the characteristics and effect of falling injury of school-aged children in rural areas of northern Guizhou Province, and to provide evidence for effective intervention measures to reduce the incidence of injury among children. Methods A baseline survey was conducted before the first intervention in 2012. 2 854 school-aged children in rural areas of northern Guizhou were investigated. After 16 months of comprehensive intervention, 1 502 of them were selected for follow-up survey. To understand the knowledge, attitude, incidence and variation of fall injury after intervention. Results the incidence of fall injury in 2 854 subjects was 6.24%. After intervention, 1 502 cases were investigated, the annual incidence of fall injury was 3.93, and the incidence of falling injury was significantly different before and after intervention (蠂 2 10.20 P 0.05). The distribution before and after intervention was significantly different in fighting and injury sites (蠂 ~ 2 = 9.92 ~ 9.38 ~ 6.33 P = 0.05). The incidence of falling injury in primary school students (4.17%) was higher than that in junior high school students (3.53%), but the difference was not statistically significant (蠂 ~ 2 = 0.39). Before and after the intervention, "pay attention to the level of the road on foot, focus on cycling, do not push and shove each other while playing, and go to a wide area while exercising," The awareness rate of 120 "should be dialed after injury had statistical significance (蠂 ~ 2 = 166.95 ~ 50.39 ~ 42.00 ~ 28.30491.14 P = 0.01). Conclusion the incidence of fall injury in rural children in northern Guizhou is higher, and the incidence of fall injury is obviously decreased after intervention, but the relevant knowledge is not enough. The whole society should make joint efforts to reduce the drop injury rate of children to the lowest.
【作者单位】：遵义医学院公共卫生学院流行病与卫生统计学教研室;遵义医学院管理学院;
【基金】：国家自然科学基金项目(81160350) 贵州省优秀科技教育人才省长专项资金项目(黔省专合字[2011]55号)
【分类号】：R179

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