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约旦北部成年人的意外伤害与暴力:一项基于医院的回顾性研究。

Unintentional Injuries and Violence among Adults in Northern Jordan: A Hospital-Based Retrospective Study.

作者信息

Alzghoul Manal M, Shakhatreh Mohammed K, Al-Sheyab Nihaya

机构信息

School of Nursing, Faculty of Health & Behavioural Sciences, Lakehead University, 955 Oliver Road, Thunder Bay, ON P7B5E1, Canada.

Faculty of Science and Arts, Department of Mathematics & Statistics, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan.

出版信息

Int J Environ Res Public Health. 2017 Mar 24;14(4):343. doi: 10.3390/ijerph14040343.

Abstract

Injuries (unintentional and intentional) are the main cause of death and disability worldwide, including Jordan. The main purpose of this hospital-based retrospective study was to identify characteristics, causes, and risk factors of unintentional injuries and violence among all adult patients who approached the Accidents and Emergency department because of injury in Northern Jordan. Data were collected retrospectively from four major hospitals from January 2008 to January 2013. A total of 2425 Jordanian individuals who accessed and were treated by the four hospitals were included in this study. The findings show that the majority of patients who approached the Accidents and Emergency departments in the four hospitals were males (n = 2044, 87.16%) versus females (n = 301, 12.8%). Violence was the most common reason of injury (70.66%), followed by road traffic crashes (23.21%). The most common anatomical locations of reported injuries were the head (38.74%), followed by abdomen/pelvis and lower back, among males and females (9.93%). Violence had a high significant effect on the site of injuries. Patients who had been injured to the head because of a stab wound or fighting were substantially over-involved in head injuries, with injury rates 3.88 and 7.51 times higher than those who had been injured to the head due to gunshot, respectively. Even patients who had been injured to the head because of assault show much higher involvement in injury risk than non-assault patients (Odds Ratio = 8.46). These findings highlight the need for a large national study to confirm the findings. It also draws attention to the importance of public awareness and to special injury prevention programs that not only focus on saving lives and lessening the number of injuries, illnesses, and fatalities, but also to limit the social and economic burden of injury among adults in Northern Jordan.

摘要

在包括约旦在内的全球范围内,伤害(非故意伤害和故意伤害)是导致死亡和残疾的主要原因。这项基于医院的回顾性研究的主要目的是确定约旦北部因受伤而前往急诊科的所有成年患者中非故意伤害和暴力的特征、原因及风险因素。数据于2008年1月至2013年1月从四家主要医院进行回顾性收集。本研究纳入了这四家医院接诊并接受治疗的2425名约旦患者。研究结果显示,前往这四家医院急诊科的患者中,男性居多(n = 2044,87.16%),女性较少(n = 301,12.8%)。暴力是最常见的受伤原因(70.66%),其次是道路交通事故(23.21%)。报告的受伤最常见的解剖部位是头部(38.74%),其次是腹部/骨盆和下背部,男性和女性均为(9.93%)。暴力对受伤部位有高度显著影响。因刺伤或斗殴导致头部受伤的患者在头部受伤中所占比例过高,受伤率分别比因枪伤导致头部受伤的患者高3.88倍和7.51倍。即使是因袭击导致头部受伤的患者,其受伤风险也比非袭击患者高得多(优势比 = 8.46)。这些研究结果凸显了开展大规模全国性研究以证实这些发现的必要性。它还提请人们注意公众意识的重要性以及特别的伤害预防项目,这些项目不仅要关注挽救生命、减少伤害、疾病和死亡的数量,还要限制约旦北部成年人伤害造成的社会和经济负担。

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