一项教育干预措施对婴儿啼哭及虐待性头部创伤相关知识的影响。
The impact of an educational intervention on knowledge about infant crying and abusive head trauma.
作者信息
Ornstein Amy E, Fitzpatrick Eleanor, Hatchette Jill, Woolcott Christy G, Dodds Linda
机构信息
Department of Pediatrics, Dalhousie University and IWK Health Centre, Dalhousie University, Halifax, Nova Scotia.
Department of Emergency Medicine, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia.
出版信息
Paediatr Child Health. 2016 Mar;21(2):74-8. doi: 10.1093/pch/21.2.74.
BACKGROUND
Infants follow a predictable trajectory of increased early crying. Frustration with crying is reported to be a trigger for abusive head trauma (AHT).
OBJECTIVE
To evaluate the impact of postpartum delivery of the educational program, the Period of PURPLE Crying (PURPLE), in a group of first-time mothers. The primary objective was to determine whether there was a change in knowledge about infant crying and shaking after exposure to PURPLE. Factors associated with change in knowledge were also examined.
METHOD
A total of 93 participants were recruited over a four-month period at a tertiary care hospital in Nova Scotia. Pre- and postintervention data were collected.
RESULTS
Knowledge about infant crying increased significantly after program delivery (P=0.001). Low baseline crying knowledge was a significant predictor of increased knowledge about infant crying (P≤0.01). There was an insignificant decrease in shaking knowledge (P=0.5), which may have been the consequence of high baseline knowledge.
CONCLUSION
An educational program for new parents appears to be warranted, especially with respect to improving knowledge about infant crying. This may have a positive benefit in AHT prevention. Additional studies are required to evaluate the impact of the program on other caregivers and on rates of AHT.
背景
婴儿早期哭泣增多遵循可预测的轨迹。据报道，对哭泣的沮丧是虐待性头部创伤（AHT）的一个触发因素。
目的
评估产后实施“紫哭期”（PURPLE）教育项目对一组初为人母者的影响。主要目的是确定接触PURPLE项目后，关于婴儿哭泣和摇晃的知识是否有变化。还研究了与知识变化相关的因素。
方法
在新斯科舍省的一家三级护理医院，在四个月的时间里共招募了93名参与者。收集了干预前后的数据。
结果
项目实施后，关于婴儿哭泣的知识显著增加（P=0.001）。低基线哭泣知识是婴儿哭泣知识增加的一个显著预测因素（P≤0.01）。摇晃知识有不显著的下降（P=0.5），这可能是高基线知识的结果。
结论
为新父母开展教育项目似乎是有必要的，特别是在提高关于婴儿哭泣的知识方面。这可能对预防AHT有积极益处。需要进一步研究来评估该项目对其他照顾者以及AHT发生率的影响。
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