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两年后对产前班提供的婴儿伤害预防教育的评估:一项前瞻性队列研究。

Evaluation of Infant Injury Prevention Education Provided during Antenatal Classes after Two Years: A Pilot Prospective Cohort Study.

机构信息

Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan.

Department of Medical Statistics, School of Nursing, Mejiro University, 320 Ukiya, Iwatsuki-ku, Saitama-shi 339-8501, Japan.

出版信息

Int J Environ Res Public Health. 2022 Jun 11;19(12):7195. doi: 10.3390/ijerph19127195.

Abstract

This study examined the long-term effects of an infant injury prevention program implemented during an antenatal class of 131 mothers. Questionnaires were completed 2 years postpartum to assess the incidence of injury (medically attended or home-care), mothers' perception of injury prevention, implementation of safety practices, and active attitudes toward injury prevention. Responses were obtained from 68 (51.9%) mothers (intervention group, 40; control group, 28), including 24 who reported medically attended injuries and 55 who reported home-care injuries. The incidence of medically attended injuries did not differ between groups. The incidence of home-care injuries was also not significantly different, but was lower in the intervention group (72.5% vs. 92.9%, = 0.050). Significantly fewer children in the intervention group experienced "injury due to being caught between objects" (12.5% vs. 39.3%, = 0.014). Mothers in the intervention group were significantly more aware of injury prevention than those in the control group ( = 0.033). The risk of home-care injuries was inversely related to mothers' injury-prevention perception (odds ratio [OR]: 0.55, = 0.035). This study suggests that group education during pregnancy regarding injury prevention increases mothers' perception of injury prevention. These findings support implementing injury prevention education during antenatal classes.

摘要

本研究调查了一项针对 131 名母亲的产前课程中实施的婴儿伤害预防计划的长期效果。在产后 2 年通过问卷调查评估伤害发生率(经医疗或家庭护理)、母亲对预防伤害的认知、安全措施的实施情况以及对预防伤害的积极态度。共获得 68 名(51.9%)母亲的回应(干预组 40 名,对照组 28 名),其中 24 名报告了经医疗处理的伤害,55 名报告了家庭护理的伤害。两组经医疗处理的伤害发生率无差异。家庭护理的伤害发生率也无显著差异,但干预组较低(72.5% vs. 92.9%, = 0.050)。干预组有更少的孩子经历“因被物体夹住而受伤”(12.5% vs. 39.3%, = 0.014)。干预组母亲对预防伤害的认知明显高于对照组( = 0.033)。家庭护理伤害的风险与母亲的伤害预防认知呈负相关(比值比[OR]:0.55, = 0.035)。本研究表明,孕期通过小组教育进行伤害预防可提高母亲对预防伤害的认知。这些发现支持在产前课程中实施伤害预防教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca5/9222745/82a67c60193d/ijerph-19-07195-g001.jpg

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