The Johns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Clin Pediatr (Phila). 2023 Nov;62(11):1426-1434. doi: 10.1177/00099228231161018. Epub 2023 Mar 15.
Little is known about parents' perceptions and prevention strategies regarding childhood falls. In this qualitative study using semi-structured interviews, we sought to describe parental reports of child fall experiences, concerns, and prevention strategies in the home. Sixteen parents with at least one child younger than 18 months were asked about their awareness of fall risks, falls experienced by the child, fall concerns, prevention strategies, and where in the home the child spends time throughout the day. Seven themes emerged: (1) "falls are unexpected," (2) "role of the physical environment," (3) "children's temperament and developmental stage," (4) "physical barriers and baby products," (5) "addressing walking surfaces," (6) "modifying the height of a fall," and (7) "supervision." Parents are aware of in-home fall hazards and actively use strategies to lessen fall risk. Anticipatory guidance should promote evidence-based and evidence-informed prevention strategies and augment effective strategies some parents use to lower fall risk.
关于父母对儿童跌倒的认知和预防策略知之甚少。在这项使用半结构式访谈的定性研究中,我们旨在描述父母对儿童跌倒经历、关注点和家庭预防策略的报告。我们采访了 16 名至少有一名 18 个月以下儿童的家长,询问他们对跌倒风险、儿童跌倒经历、跌倒关注点、预防策略的了解,以及孩子一天中在家庭中的哪些地方度过时间。出现了七个主题:(1)“跌倒出乎意料”,(2)“物理环境的作用”,(3)“儿童的气质和发育阶段”,(4)“物理障碍和婴儿产品”,(5)“解决行走表面问题”,(6)“降低跌倒高度”,和(7)“监督”。父母意识到家庭中的跌倒危险,并积极采取策略来降低跌倒风险。预期指导应促进基于证据和证据知情的预防策略,并增强一些父母使用的有效策略,以降低跌倒风险。