【作者】 付旻；

【导师】 林汉生；

【作者基本信息】 暨南大学 ， 流行病与卫生统计学， 2003， 硕士

【摘要】 目的 了解珠海市拱北社区幼儿园儿童意外伤害现况和影响因素，为开展伤害的预防工作提供依据。 方法 分层随机整群抽取11所幼儿园，对1308名2～6岁儿童的父母进行回顾性调查，了解研究对象在2002年3月至2003年3月期间的意外伤害情况。同时调查辖区内29所幼儿园的安全因素和保教人员的伤害知识水平。 结果 珠海市拱北社区幼儿园儿童的意外伤害发生率为54.6％。常见的伤害种类是跌伤(28.7％)、碰伤(18.3％)、咬伤和抓伤(12.4％)。男童的跌伤和硬物击伤发生率高于女童。伤害发生的危险因素为儿童左利手、母亲不良管教方式、孩子骑童车母亲未监管、儿童坐立不定、家庭月总收入、家里有玻璃家具；保护因素为家庭备有急救小药箱、母亲对伤害认识正确、母亲定期检查玩具。A、B、C三类幼儿园安全评分结果的差别有统计学意义，C类幼儿园中存在较多安全隐患。三类幼儿园保教人员的伤害知识水平无差别(P＞0.05)，但对伤害的正确态度、安全行为、开展安全教育工作方面有差别(P＜0.01)，A类优于B类和C类。 结论 珠海市拱北社区2～6岁幼儿园儿童意外伤害发生率为54.6％。应针对本社区儿童意外伤害发生的影响因素，采取综合安全防范措施。更多还原

【Abstract】 Objective To investigate the situation and affecting factors of unintentional injuries among the kindergarten children in Gongbei community of Zhuhai city , and to provide evidence for community -based injury prevention programs.Methods A stratified sampling study was conducted among 1308 children aged 2-6 years in 11 kindergartens in Gongbei community of Zhuhai city to investigate the current situation of unintentional injuries from March 2002 to March 2003 by questionnaire survey ,and at the same time to investigate the safety factors of 29 kindergartens in Gongbei community and the teachers’ injury knowledge level.Results The incidence of unintentional injuries among the children in Gongbei community was 54.6%. The most 3 common types of injuries were fall (28.7%), collision (18.3%), bite and scratch (12.4%). The rates in fall and hit of the boys were higher than those of the girls. The risk factors were identified as follows: child’s left-hander; mother’s ill educational mode; child’s riding bicycle without mother’s custody; child’s fidge; gross monthly earnings of family ; glass furnitures in family. The protective factors were also identified as follows: with first-aid box at home; mother’s correct attitude and safe behaviors towards injuries; mother’s regular toy-checking. The safety scores of the three kinds of kindergartens were different. There was no significant difference in the teachers’ knowledge level of the three kinds kindergartens ( P>0.05) , but there was significant difference in terms of right attitudes towards injuries, safety behaviors and safety education programs (P0.01), class A kindergarten was better than class B and class C.Conclusion Incidence of injuries in kindergarten children was 54.6%. Comprehensive safety measures should be taken to deal with the affecting factors of children’s unintentional injuries in the community.更多还原