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[以色列儿童伤害情况——现状及社区儿科医生的作用]

[Childhood injuries in Israel--current status and the role of the community pediatrician].

作者信息

Klein Michal, Oppenheim Moshe, Ivancovsky Michal, Silbinger Orty, Danon Yehuda

机构信息

Beterem-The National Center for Children's Safety and Health, Israel.

出版信息

Harefuah. 2012 Jun;151(6):349-52, 378, 377.

PMID:22991865
Abstract

In Israel, as in other developed countries, injury is a major problem in children's health. Injuries are a main cause of morbidity and mortality of children in all age groups, both genders, Jews and Arabs and is also a Leading cause of disability and loss of potential life years. In Israel, every year injuries account for 144 child deaths, approximately 24,000 hospitalizations and about 182,000 ED visits, and it is estimated that about half of all Israeli children sustain an injury requiring primary medical care in the community. The vast majority of those injuries are unintentional. The leading cause of child death from injury is traffic accidents, while home and Leisure accidents are common causes for children's hospitalization due to injury. The death rate is higher among children from low socioeconomic clusters compared to high socioeconomic clusters. Between 2000 and 2008, there was a decrease in child death rates from injury and unintentional injury. Intervention programs involving the safety education of parents by community pediatricians showed effectiveness in increasing safe behaviors and prevention of child injuries. In Israel several programs for injury prevention are implemented in the health system, including parents' education in well-baby clinics for child safety by nurses. Since the community pediatrician is a significant factor in parents' decisions regarding their child's health, it is recommended that he will also educate them concerning child injury prevention.

摘要

在以色列,如同其他发达国家一样,伤害是儿童健康领域的一个主要问题。伤害是所有年龄组、男女、犹太人和阿拉伯儿童发病和死亡的主要原因,也是导致残疾和潜在生命年损失的主要原因。在以色列,伤害每年导致144名儿童死亡,约24000人次住院治疗和约182000人次急诊就诊,据估计,所有以色列儿童中约有一半遭受需要在社区接受初级医疗护理的伤害。这些伤害绝大多数是意外伤害。儿童因伤害死亡的主要原因是交通事故,而家庭和休闲事故是儿童因伤害住院的常见原因。与高社会经济群体相比,低社会经济群体儿童的死亡率更高。在2000年至2008年期间,儿童因伤害和意外伤害导致的死亡率有所下降。由社区儿科医生对家长进行安全教育的干预项目在增加安全行为和预防儿童伤害方面显示出有效性。在以色列,卫生系统实施了若干预防伤害的项目,包括在母婴保健诊所由护士对家长进行儿童安全方面的教育。由于社区儿科医生是家长在其子女健康问题上决策的一个重要因素,建议他们也对家长进行有关儿童伤害预防的教育。

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