Glenn Lauren
Columbia University School of Nursing, New York, NY.
J Pediatr Nurs. 2015 Mar-Apr;30(2):395-401. doi: 10.1016/j.pedn.2014.10.009. Epub 2014 Oct 16.
Accidental childhood poisonings are a major public health concern despite many efforts to alleviate this problem. While the rate of pediatric fatalities due to poisonings have decreased over the last two decades, poison control centers around the US have collectively fielded over one million calls with regard to toxic exposures in the preschool age group. According to the American Association of Poison Control Centers nearly half of all human exposures reported last year involved children under six. By focusing poison prevention efforts on the preschooler, we can attempt to decrease morbidity and mortality in the most vulnerable age group affected. Although the subject is still prevalent, current discussion on this topic is limited. Newer literature discusses past initiatives such as child resistant packaging and sticker deterrent programs and addresses their efficacy. This article revisits older mechanisms of prevention as well as the science behind the human motivation to change one's own practice and behavior.
尽管为缓解这一问题付出了诸多努力,但儿童意外中毒仍是一个重大的公共卫生问题。虽然过去二十年来因中毒导致的儿科死亡发生率有所下降,但美国各地的中毒控制中心总共接到了超过一百万个关于学龄前儿童接触有毒物质的电话。根据美国中毒控制中心协会的数据,去年报告的所有人类接触案例中,近一半涉及六岁以下儿童。通过将预防中毒的努力集中在学龄前儿童身上,我们可以尝试降低受影响最脆弱年龄组的发病率和死亡率。尽管这个问题仍然普遍存在,但目前关于这一主题的讨论有限。新的文献讨论了过去的举措,如儿童安全包装和贴纸威慑计划,并探讨了它们的有效性。本文回顾了早期的预防机制以及人类改变自身行为背后的科学原理。