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