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新手父母对婴儿的安全防护准备不足。

First-time parents are not well enough prepared for the safety of their infant.

机构信息

Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.

出版信息

PLoS One. 2013;8(3):e58062. doi: 10.1371/journal.pone.0058062. Epub 2013 Mar 6.

Abstract

BACKGROUND

Unintentional falls and poisonings are major causes of death and disability among infants. Although guidelines are available to prevent these injuries, safety behaviours are not performed by parents, causing unnecessary risks. Little is known about safety behaviours of first-time parents and whether they behave according to these guidelines. AIMS/OBJECTIVES/PURPOSE: The objective of this study was to compare safety behaviours of first-time parents with those of non-first-time parents and to determine correlates of unsafe behaviour of parents of infants. We used self-report questionnaires to assess safety behaviours in a cross-sectional study sample.

METHODS

A total of 1439 parents visiting a preventive youth healthcare centre in the Netherlands were invited to complete a questionnaire with regard to the prevention of falls and poisonings. Parents were categorized into first-time parents and non-first-time parents. Correlates of parents' child safety behaviours were determined using multiple logistic regression analyses.

RESULTS/OUTCOME: Most respondents were mothers (93.2%); 48.2% of families were first-time parents. The mean age of the infants was 7.2 months (SD 1.1; range 4-12), 51.8% were boys, and 34.5% of infants could crawl. First-time parents were more likely not to have a stair gate installed (OR 16.46; 95% CI 12.36-21.93); were more likely to store cleaning products unsafely (OR 4.55; 95% CI 3.59-5.76); and were more likely to store medicines unsafely (OR 2.90; 95% CI 2.31-3.63) than non-first-time parents. First-time parents were more likely to not have a window guard installed (OR 1.52; 95% CI 1.08-2.15) (all P<0.05).

DISCUSSION/CONCLUSION: First-time parents are not well prepared for the safety of their infant, causing unnecessary risks. The various parents' safety behaviours were influenced by different variables, for example, age of the infant, crawling of the infant, mother's educational level, mother's ethnicity, self-efficacy, vulnerability, severity.

摘要

背景

意外伤害和中毒是婴儿死亡和残疾的主要原因。尽管有预防这些伤害的指南,但父母没有采取安全措施,造成了不必要的风险。对于新手父母的安全行为,以及他们是否按照这些指南行事,人们知之甚少。目的/目标/目的:本研究的目的是比较新手父母和非新手父母的安全行为,并确定婴儿父母不安全行为的相关因素。我们使用自我报告问卷在横断面研究样本中评估安全行为。

方法

共邀请 1439 名前往荷兰预防青年保健中心的父母填写一份关于预防跌倒和中毒的问卷。父母分为新手父母和非新手父母。使用多元逻辑回归分析确定父母儿童安全行为的相关因素。

结果/结果:大多数受访者为母亲(93.2%);48.2%的家庭为新手父母。婴儿的平均年龄为 7.2 个月(SD 1.1;范围 4-12),51.8%为男孩,34.5%的婴儿会爬行。新手父母更有可能没有安装楼梯门(OR 16.46;95%CI 12.36-21.93);更有可能不安全地存放清洁用品(OR 4.55;95%CI 3.59-5.76);更有可能不安全地存放药品(OR 2.90;95%CI 2.31-3.63)比非新手父母。新手父母更有可能没有安装窗户护栏(OR 1.52;95%CI 1.08-2.15)(均 P<0.05)。

讨论/结论:新手父母对婴儿的安全准备不足,造成不必要的风险。各种父母的安全行为受到不同变量的影响,例如婴儿的年龄、婴儿的爬行能力、母亲的教育水平、母亲的种族、自我效能感、脆弱性、严重程度。

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