本文選題：兒童 + 傷害傾性��； 參考：《安徽醫(yī)科大學(xué)》2012年碩士論文

【摘要】：目的了解農(nóng)村兒童傷害及傷害傾性的流行病學(xué)特征，并進(jìn)一步探討兒童心理行為特征與傷害傾性間關(guān)系，為兒童傷害的預(yù)防提供科學(xué)依據(jù)。 方法本研究采用橫斷面調(diào)查和病例對(duì)照研究相結(jié)合的研究方法。1.橫斷面調(diào)查：整群抽取安徽省長(zhǎng)豐縣3所中學(xué)、5所小學(xué)，對(duì)其3-9年級(jí)所有在籍學(xué)生采用自編傷害相關(guān)問(wèn)卷進(jìn)行調(diào)查，了解農(nóng)村兒童傷害流行現(xiàn)狀。2.病例對(duì)照研究：在橫斷面調(diào)查結(jié)果的基礎(chǔ)上，以全部傷害傾性?xún)和鳛椴±M，并按照頻數(shù)配比，選擇單發(fā)傷害和未發(fā)生傷害兩組兒童分別作為對(duì)照組1和對(duì)照組2，進(jìn)行病例對(duì)照研究。對(duì)研究對(duì)象的認(rèn)知功能及應(yīng)對(duì)方式進(jìn)行測(cè)量，并運(yùn)用多因素二分類(lèi)Logistic回歸分析模型探討其與傷害傾性的關(guān)系。 結(jié)果本次橫斷面研究中，共調(diào)查兒童2917名，總的傷害事件發(fā)生率為17.4%(95%CI:15.9-19.0%)，男生傷害事件發(fā)生率為20.1%(95%CI:17.9-22.5%)高于女生14.4%(95%CI:12.5-16.5%)，留守與非留守兒童的傷害事件發(fā)生率分別為19.4%(95%CI:17.4-21.6%)和14.6%(95%CI:12.5-16.9%)。跌落傷(24.5%)是農(nóng)村兒童的首位傷害類(lèi)型，傷害事件最主要發(fā)生地點(diǎn)是在家中(42.0%)，農(nóng)村發(fā)生傷害兒童傷害事件發(fā)生后的主要處理方式為到醫(yī)院門(mén)診/急診診后回家(45.0%)。農(nóng)村兒童再發(fā)傷害報(bào)告率為2.13%，隨著年級(jí)的升高，再發(fā)傷害報(bào)告率呈下降趨勢(shì)(趨勢(shì)檢驗(yàn)χ2=16.621，P=0.000)，傷害傾性?xún)和耆司鶄Υ螖?shù)為2.31次。以單發(fā)傷害兒童為對(duì)照組時(shí)，多因素二分類(lèi)logistic回歸分析顯示，在控制人口學(xué)變量的潛在混雜作用影響后，平均反應(yīng)時(shí)Q2等級(jí)與Q4等級(jí)相比是傷害傾性的保護(hù)性因素(OR=0.338，，95%CI=0.120-0.951)。以未發(fā)生傷害兒童為對(duì)照，多因素二分類(lèi)logistic回歸分析顯示，在控制人口學(xué)變量的潛在混雜作用影響后，積極應(yīng)對(duì)Q3等級(jí)與Q4等級(jí)相比是傷害傾性的危險(xiǎn)因素(OR=2.755，95%CI=1.046-7.255)。消極應(yīng)對(duì)Q2等級(jí)與Q4等級(jí)相比是傷害傾性的保護(hù)性因素(OR=0.390，95%CI=0.156-0.974)。 結(jié)論農(nóng)村兒童傷害事件發(fā)生率較高，并存在傷害傾性?xún)和�。平均反�?yīng)時(shí)、積極應(yīng)對(duì)方式、消極應(yīng)對(duì)方式可能是兒童傷害傾性的影響因素，應(yīng)針對(duì)影響因素采取有效的干預(yù)措施，減少兒童傷害的發(fā)生，促進(jìn)兒童健康成長(zhǎng)。
[Abstract]:Objective to investigate the epidemiological characteristics of injury and injurious inclination of children in rural areas, and to explore the relationship between psychological behavior and injurious tendency of children, so as to provide scientific basis for the prevention of injury in children. Methods A cross-sectional investigation and a case-control study were used in this study. Cross-sectional investigation: cluster sampling from 3 middle schools and 5 primary schools in Changfeng County Anhui Province. All the students in grades 3-9 were investigated with self-made injury related questionnaire to understand the prevalence of injury among rural children. 2. Case-control study: based on the results of cross-sectional investigation, all children with injurious inclination were selected as case groups and matched according to frequency. The case-control study was carried out in two groups: single injury group and non-injury group as control group 1 and control group 2 respectively. The cognitive function and coping style of the subjects were measured, and the relationship between the cognitive function and the injurious inclination was investigated by using the multivariate two-classification logistic regression model. Results in this cross-sectional study, a total of 2917 children were investigated. The total incidence of injury events was 17.495% (CI: 15.9-19.0), and the incidence rate of male students' injury incident was 20.11.95% CI: 17.9-22.5) higher than that of female students (14.40.95 CI: 12.5-16.5. the incidence of injury incidents of left-behind and non-left-behind children were 19.495CIW 17.4-21.6) and 14.695CIv / 12.5-16.9C respectively. Fall injury 24.5B) is the first type of injury for rural children. The main place of injury is at home 42.00.The main way to deal with injuries in rural areas is to go home after outpatient / emergency consultation in hospital. The report rate of recurrent injury in rural children was 2.13%. With the increase of grade, the reporting rate of recurrent injury showed a downward trend (蠂 2 / 16.621 / P 0.000), and the number of injuries per person per year was 2.31 / year. When single injury children were used as control group, multiple factor two classification logistic regression analysis showed that after controlling for the potential confounding effect of demographic variables, the average response time Q2 grade was a protective factor of nociceptive inclination compared with Q4 grade. Compared with children without injury, multivariate logistic regression analysis showed that after controlling for the potential mixed effects of demographic variables, Q3 was a risk factor of nociceptive bias compared with Q4 and Q3 was a risk factor of 2.75595CI1.046-7.255. Compared with Q4 grade, negative coping Q2 level is a protective factor of nociceptive tendency. Conclusion the incidence of injury in rural children is high, and there are injury-prone children. The positive coping style and the negative coping style may be the influential factors of the injurious tendency of children in average reaction time. Effective intervention measures should be taken to reduce the occurrence of child injury and promote the healthy growth of children.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類(lèi)號(hào)】：R179

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 范亞平,孫業(yè)恒,鈕麗,余向東,周宗國(guó);馬鞍山市中小學(xué)生傷害調(diào)查[J];安徽預(yù)防醫(yī)學(xué)雜志;2005年02期

2 熊忠貴,劉筱嫻;湖北部分地區(qū)2000～2001年0～14歲兒童傷害特征研究[J];中國(guó)兒童保健雜志;2003年01期

3 陳順珍,曾方,唐輝屏;注意力測(cè)試儀在兒童注意缺陷多動(dòng)障礙診斷中的應(yīng)用[J];華夏醫(yī)學(xué);2005年02期

4 金會(huì)慶,張樹(shù)林,解梅,潘濤,陳嶸;兒童事故傾性與外周血神經(jīng)遞質(zhì)和激素水平關(guān)系的初探[J];疾病控制雜志;1999年01期

5 金會(huì)慶,張樹(shù)林,潘濤;事故傾性與外周血神經(jīng)遞質(zhì)水平關(guān)系的研究[J];疾病控制雜志;1999年04期

6 殷大奎;傷害——一個(gè)重要的公共衛(wèi)生問(wèn)題[J];疾病控制雜志;2000年01期

7 范亞平,孫業(yè)桓,張燕,余向東,周宗國(guó),鈕麗,查日勝,郭書(shū)芹;中學(xué)生再發(fā)意外傷害危險(xiǎn)因素[J];疾病控制雜志;2003年03期

8 王聲ng;傷害的流行病學(xué)界定標(biāo)準(zhǔn)(修改意見(jiàn))[J];疾病控制雜志;2005年01期

9 趙科O;方雪暉;蘇虹;何莉;陳娟;陳明春;葉冬青;;安徽省留守兒童意外傷害的流行特征及其影響因素[J];疾病控制雜志;2007年03期

10 周麗;袁碧濤;董國(guó)營(yíng);藍(lán)濤;;深圳市青少年單發(fā)傷害與再發(fā)傷害現(xiàn)況研究[J];中華疾病控制雜志;2009年05期

相關(guān)博士學(xué)位論文 前1條

1 沈敏;農(nóng)村兒童意外傷害流行特征及干預(yù)模式系統(tǒng)評(píng)價(jià)研究[D];華中科技大學(xué);2009年

本文編號(hào)：2014635