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Citation |
Li L, Jiang X, Chen Z, Wu Y, Li Y, Fan X. Zhong Nan Da Xue Xue Bao Yi Xue Ban 2018; 43(12): 1351-1357. |
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Affiliation |
Department of Social Medicine and Health Management, Xiangya Public Health School, Central South University, Changsha 410078; Department of Nursing, Xiangya Hospital, Central South University, Changsha 410008, China. |
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Copyright |
(Copyright © 2018, Zhong Nan Da Xue Xue Bao) |
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DOI |
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PMID |
30643052 |
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Abstract |
OBJECTIVE: To develop an intervention protocol for children's unintentional injury risk behaviors, and to evaluate the feasibility of the protocol. Methods: By theoretically analyzing the influential factors for children's unintentional injury risk behaviors, children's cognitive development characteristics and the social learning theory, an intervention protocol was established on the basis of changing the unintentional injury attribution and negative information transmission of risk behavior consequences. A primary school in Changsha city was selected by random cluster sampling. A community-based randomized controlled trial was conducted on the selected students once a week for 5 consecutive weeks. The scores of unintentional injury risk behavior before intervention, 3 months and 6 months after intervention, and the frequency before intervention and 6 months after intervention, were collected and compared. Results: A total of 194 children were included in the study: 98 in the intervention group; 96 in the control group; 96 (49.5%) boys and 98 (50.5%) girls between 7 and 8 years old. The scores of unintentional injury risk behavior for children in the intervention group at 3 and 6 months after intervention were 14.42±5.67 and 14.14±8.95, respectively, lower than those before the intervention (16.85±8.48) and in the control group (P=0.001). The number of minor unintentional injuries in the intervention group decreased from 119 to 56, and the number of children suffering 2 or more injuries dropped from 34 to 10 (P<0.001) at 6 months after the intervention, while both of them were lower than that in the control group (P=0.011). Similar changes were observed in some slight or more serious unintentional injuries (P=0.030). Conclusion: The protocol for changing the attribution to unintentional injury and negative information transmission for risk behavior consequences was proved to effectively reduce children's unintentional injury risk behaviors and relevant events. Language: zh 目的：构建儿童非故意伤害危险行为干预方案，评价该方案的可行性，减少儿童非故意伤害危险行为及非故意伤害事件。方法：通过理论分析儿童非故意伤害危险行为的影响因素、儿童认知发展特征及社会学习理论，建立以改变非故意伤害归因、危险行为后果负性信息传递为基础的干预方案，采用随机整群抽样抽取一所长沙市市区小学，对抽取的学生进行连续5周，每周1次的社区随机对照试验。通过干预前、干预后3个月及干预后6个月非故意伤害危险行为得分的比较，以及干预前及干预后6个月非故意伤害次数比较评价干预效果。结果：194名儿童完成了随访，其中男童96人(49.5%)，女童98人(50.5%)，年龄7~8岁；干预组98人，对照组96人。干预后3个月、6个月干预组儿童非故意伤害危险行为得分分别是14.42±5.67和14.14±8.95，低于干预前的16.85±8.48，且低于对照组(P=0.001)；干预后6个月内，干预组的轻微非故意伤害的发生人次从干预前的119减至56，≥2次轻微伤害人数从34人减至10人(P<0.001)，均低于对照组(P=0.011)；干预组的轻度及轻度以上非故意伤害发生人数少于对照组(P=0.030)。结论：以改变非故意伤害归因和危险行为后果负性信息传递为基础的干预方案可以有效减少儿童非故意伤害危险行为和非故意伤害事件。. Language: zh |