邓金妹?李秀清?邓燕秀?徐惠玲

[摘要] 目的 观察社区干预在3～6岁儿童生活意外伤害干预中的护理效果。 方法 取2016年4月～2017年2月本社区两所幼儿园3～6岁儿童200例，采用随机数字法分为对照组（n=100）和干预组（n=100）。对照组采用常规方法护理干预，干预组在对照组基础上联合社区干预措施，比较两组护理干预效果。 结果 干预组儿童生活意外伤害发生率为2.00%，对照组为8.00%，两组儿童生活伤害发生率比较差异有统计学意义（P<0.05）；干预组儿童家长护理干预后知识、态度、行为及认知情况总分，高于对照组（P<0.05）。 结论 加强社区幼兒园3～6岁儿童中在常规护理干预基础上联合社区干预措施效果理想，能降低生活意外伤害，提高家长认知度，值得推广应用。

[关键词] 社区干预；常规护理；3～6岁儿童；意外伤害；护理效果；认知度

[中图分类号] R179 [文献标识码] A [文章编号] 2095-0616（2017）09-160-03

Effect analysis of intervention on life accidents of 3-6 years old children in community

DENG Jinmei LI Xiuqing DENG Yanxiu XU Huiling

Conghua Suburb Street Community Health Service Center，Guangzhou 510900，China

[Abstract] Objective To observe the effect of community intervention on children with 3-6 years old in life accident intervention. Methods A total of 200 children aged 3-6 years in our community from April 2016 to February 2017 were selected and randomly divided into control group （n=100） and intervention group （n=100）.Children in control group were treated with routine nursing intervention，and children in intervention group were combined with community intervention on the basis of the control group.The effects of the two groups were compared. Results The childrens life accident occurrence rate of intervention group was 2%，the control group was 8%，the children living injury incidence rate of the two groups had significant difference （P<0.05）.The nursing intervention of knowledge，attitude，behavior and cognitive scores of children in intervention group were higher than those in control group （P<0.05）. Conclusion The effect of community intervention on the basis of routine nursing intervention for children aged 3-6 years in the community kindergarten is ideal.It can reduce the life accident injury，and raise the awareness of parents.It is worthy of popularization and application.

[Key words] Community intervention；Routine nursing care；3-6 years old children；Accidental injury；Nursing effect；Cognition

意外伤害属于是一个相对重要的全球性公共卫生问题，已经成为世界范围内儿童的头号“杀手”，意外伤害不仅会给儿童及家庭带来身心的痛苦，还会造成社会较大的负担[1]。生活意外伤害属于意外伤害中的一种，常见的包括：交通事故、烧烫伤、中毒、溺水、窒息、电击伤及气管异物等，严重影响儿童健康，严重时甚至威胁儿童生命。3～6岁儿童属于是一个特殊的群体，对于周围事物相对好奇及敏感，容易增加生活意外伤害率，影响患儿健康[2]。常规护理干预虽然能满足护理需要，但是每一位患儿家庭、家长的认知等不同，导致护理缺乏针对性，难以满足每一位儿童护理要求。数据报道显示[3]：通过有效的干预措施90.0%的意外伤害能

有效的预防。文献报道显示[4]：将社区干预运用于3～6岁儿童生活意外伤害干预中效果理想，能降低儿童生活意外伤害率，提高儿童家长认知，但是该结论尚未得到证实。……