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通过户外冒险游戏实现儿童健康发展:在预防伤害方面寻求平衡。

Healthy childhood development through outdoor risky play: Navigating the balance with injury prevention.

作者信息

Beaulieu Emilie, Beno Suzanne

机构信息

Canadian Paediatric Society, Injury Prevention Committee.

出版信息

Paediatr Child Health. 2024 Jul 22;29(4):255-269. doi: 10.1093/pch/pxae016. eCollection 2024 Jul.

Abstract

Free play is essential for children's development and for their physical, mental, and social health. Opportunities to engage in outdoor free play-and risky play in particular-have declined significantly in recent years, in part because safety measures have sought to prevent all play-related injuries rather than focusing on serious and fatal injuries. Risky play is defined by thrilling and exciting forms of free play that involve uncertainty of outcome and a possibility of physical injury. Proponents of risky play differentiate "risk" from "hazard" and seek to reframe perceived risk as an opportunity for situational evaluation and personal development. This statement weighs the burden of play-related injuries alongside the evidence in favour of risky play, including its benefits, risks, and nuances, which can vary depending on a child's developmental stage, ability, and social and medical context. Approaches are offered to promote open, constructive discussions with families and organizations. Paediatricians are encouraged to think of outdoor risky play as one way to help prevent and manage common health problems such as obesity, anxiety, and behavioural issues.

摘要

自由玩耍对儿童的发展以及他们的身体、心理和社会健康至关重要。近年来,参与户外自由玩耍尤其是冒险玩耍的机会大幅减少,部分原因是安全措施旨在防止所有与玩耍相关的伤害,而非专注于严重和致命伤害。冒险玩耍被定义为令人兴奋和激动的自由玩耍形式,涉及结果的不确定性和身体受伤的可能性。冒险玩耍的支持者将“风险”与“危险”区分开来,并试图将感知到的风险重新构建为情境评估和个人发展的机会。本声明权衡了与玩耍相关的伤害负担以及支持冒险玩耍的证据,包括其益处、风险和细微差别,这些可能因儿童的发育阶段、能力以及社会和医疗背景而异。文中提供了一些方法,以促进与家庭和组织进行开放、建设性的讨论。鼓励儿科医生将户外冒险玩耍视为帮助预防和管理肥胖、焦虑和行为问题等常见健康问题的一种方式。

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