Department of Pediatrics, New York Medical College, Valhalla, NY 10595, USA.
Pediatrics. 2011 Nov;128(5):e1164-72. doi: 10.1542/peds.2010-3260. Epub 2011 Oct 24.
A consortium of the 19 community hospitals and 1 tertiary care children's hospital that provide maternity care in the New York State Hudson Valley region implemented a program to teach parents about the dangers of shaking infants and how to cope safely with an infant's crying. This study evaluated the effectiveness of the program in reducing the frequency of shaking injuries.
The educational program, which was delivered by maternity nurses, included a leaflet explaining abusive head trauma ("shaken baby syndrome") and how to prevent it, an 8-minute video on the subject, and a statement signed by parents acknowledging receipt of the information and agreeing to share it with others who will care for the infant. Poisson regression analysis was used to compare the frequency of shaking injuries during the 3 years after program implementation with the frequency during a 5-year historical control period.
Sixteen infants who were born in the region during the 8-year study period were treated at the children's hospital for shaking injuries sustained during their first year of life. Of those infants, 14 were born during the 5-year control period and 2 during the 3-year postimplementation period. The decrease from 2.8 injuries per year (14 cases in 5 years) to 0.7 injuries per year (2 cases in 3 years) represents a 75.0% reduction (P = .03).
Parent education delivered in the hospital by maternity nurses reduces newborns' risks of sustaining an abusive head injury resulting from shaking during the first year of life.
在纽约州哈德逊谷地区提供产妇护理的 19 家社区医院和 1 家三级儿童保健医院组成了一个联盟，实施了一项向父母传授摇晃婴儿的危险以及如何安全应对婴儿哭泣的方案。本研究评估了该方案在降低摇晃伤频率方面的有效性。
由产科护士提供的教育方案包括一份解释虐待性头部外伤（“摇晃婴儿综合征”）及其预防方法的传单、一个关于该主题的 8 分钟视频，以及一份由父母签署的声明，确认收到了这些信息并同意与其他将照顾婴儿的人分享。采用泊松回归分析比较了方案实施后 3 年与 5 年历史对照期内摇晃伤的发生频率。
在 8 年的研究期间，该地区有 16 名婴儿在出生后的第一年因摇晃受伤而在儿童医院接受治疗。在这些婴儿中，有 14 名出生于 5 年对照期，2 名出生于 3 年实施后期间。每年从 2.8 例（5 年 14 例）减少到每年 0.7 例（3 年 2 例），减少了 75.0%（P =.03）。
由产科护士在医院向父母提供的教育可降低新生儿在生命的第一年因摇晃而遭受虐待性头部外伤的风险。
