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潜水所致脊髓损伤的预防——罗马尼亚首次大众媒体预防性教育干预的初步结果

Prevention of diving-induced spinal cord injuries-preliminary results of the first Romanian mass media prophylactic educational intervention.

作者信息

Anghelescu Aurelian

机构信息

Teaching Emergency Hospital 'Bagdasar-Arseni', Bucharest, Romania.

University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania.

出版信息

Spinal Cord Ser Cases. 2017 May 18;3:17018. doi: 10.1038/scsandc.2017.18. eCollection 2017.

DOI:10.1038/scsandc.2017.18
PMID:28685100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5482722/
Abstract

STUDY DESIGN

The study was an observational study of the seasonal incidence of diving accidents, according to the summer weather pattern and the influence of an educative prophylactic intervention.

OBJECTIVES

The study analyzed the preliminary results of a national project, disseminated on social networking (Facebook) and broadcasted on main national and international Romanian TV channels.

SETTING

The study was conducted at the Neurorehabilitation, Teaching Emergency Hospital 'Bagdasar-Arseni.'

METHODS

The study had a dichotomous design (a retrospective review and a prospective component), and it analyzed the evolution trends of diving accidents, before and after the prophylactic intervention. The retrospective review analyzed 41 diving accidents, registered during 2011-2015. The prospective component focused on cases registered in 2016. Spearman's Rho non-parametric test was used to evaluate the association between two variables (the air temperature and the number of diving accidents).

RESULTS

The study involved 46 males and 1 female, with a mean age (at the time of injury) 26.4±7.02 (median 25, mode 23), admitted to rehabilitation in an early post-acute status after surgical intervention. Male youths and young adults <35 years old represented 83% of all cases. During 2011-2015, a monotonic association between the summer climate and the incidence of diving-induced tetraplegia (=0.97468; =0.00482) was noticed. Analyzing the evolutionary trends of similar cases registered in 2016, variables did not increase in value together (=0.73561; =0.09561). In 2016, the number of diving-induced quadriplegics was reduced on average by 26.8%.

CONCLUSIONS

One year is not enough for a successful, durable educative intervention. It is compulsory to continue, extend and intensively promote this program.

摘要

研究设计

本研究是一项关于潜水事故季节性发生率的观察性研究,依据夏季天气模式以及一项教育性预防干预措施的影响。

目的

本研究分析了一个在社交网络(脸书)上传播并在罗马尼亚主要国家和国际电视频道播出的全国性项目的初步结果。

地点

本研究在“巴格达萨尔 - 阿尔塞尼”神经康复教学急诊医院开展。

方法

本研究采用二分法设计(回顾性审查和前瞻性部分),分析了预防性干预前后潜水事故的演变趋势。回顾性审查分析了2011 - 2015年期间登记的41起潜水事故。前瞻性部分聚焦于2016年登记的病例。使用斯皮尔曼等级相关系数非参数检验来评估两个变量(气温和潜水事故数量)之间的关联。

结果

本研究纳入了46名男性和1名女性,平均年龄(受伤时)为26.4±7.02岁(中位数25岁,众数23岁),在手术干预后的急性后期早期接受康复治疗。35岁以下的男性青年和年轻成年人占所有病例的83%。在2011 - 2015年期间,注意到夏季气候与潜水所致四肢瘫痪的发生率之间存在单调关联(=0.97468;=0.00482)。分析2016年登记的类似病例的演变趋势,变量值并未一起增加(=0.73561;=0.09561)。2016年,潜水所致四肢瘫痪患者的数量平均减少了26.8%。

结论

一年时间对于成功、持久的教育干预来说是不够的。必须继续、扩大并大力推广该项目。

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