广州地区3－6岁流动儿童意外伤害综合干预效果评价

摘要

Objective:To evaluate the intervention effect of migrant children’ s injury, and to provide evidence for the injury prevention and control.Methods:A random cluster sample of migrant children aged 3-6 years old was chosen.Evaluation was conducted with method of com-parison between before and after intervention.Results:The incidence rate of unintentional injuries for children decreased from 34.97%before in-tervention to 29.44% after intervention (P<0.05).The total average score was (25.74 ±2.23)before intervention to (27.15 ±2.13)after in-tervention (P<0.05), and the average scores of KAP increased respectively(P<0.05).After intervention, 11 items decreased significantly a-mong 19 items of high-risk behavior about injury(P<0.05).Conclusion:Family-school-community comprehensive intervention model could improve the level of the injury knowledge and attitude of the parents, reduce the risk behavior and the injury incidence rate of children.%目的：评价广州地区学龄前流动儿童伤害干预效果，为流动儿童的伤害控制策略提供依据。方法：采用随机整群抽样法对广州市3－6岁流动儿童进行伤害调查，并通过干预前后对照，评价干预效果。结果：学龄前流动儿童伤害发生率由干预前的34．97％下降至29．44％，差异有统计学意义（P＜0．05）。儿童家长意外伤害总分从（25．74±2．23）分提高到（27．15±2．13）分，其中知识得分、态度得分、行为得分均有显著提高（均P＜0．05）。干预后，19项伤害危险行为中有11项显著降低（ P＜0．05）。结论：家庭－学校－社区三位一体综合干预模式可有效提高流动儿童家长对意外伤害的认知率，改善相关信念，并减少危险行为，降低伤害发生率。