【摘要】：目的探索流動兒童溺水預防的干預模式及其效果,為有效干預兒童溺水途徑提供依據(jù)。方法選擇寧波市2個區(qū)的外來民工子弟學校一~九年級學生,干預組實施基于健康促進生態(tài)學模型的健康教育為主,配合社會動員和環(huán)境改善溺水綜合干預策略,對照組采用常規(guī)的健康教育;對流動兒童開展2年期的溺水綜合干預,并對干預效果進行評價。結(jié)果干預組和對照組學生干預后溺水知識總知曉率和正確信念的持有率均較干預前有明顯提升(P值均0.01),但是干預組提升的幅度均高于對照組。終期干預組學生溺水高危行為發(fā)生率(7.3%)低于干預前(11.4%)(χ~2=39.29,P0.01),而對照組學生干預后溺水高危行為發(fā)生率(7.7%)與干預前(8.4%)差異無統(tǒng)計學意義。干預組學生干預后非致死性溺水發(fā)生率(4.8%)較干預前(13.1%)有明顯地下降(χ~2=29.27,P0.01);而對照組干預后溺水率(7.7%)與干預前(8.1%)差異無統(tǒng)計學意義(χ~2=0.35,P=0.56)。結(jié)論基于生態(tài)學模型的溺水綜合干預模式對預防流動兒童溺水取得了一定效果,可為流動兒童溺水干預提供參考。
[Abstract]:Objective to explore the intervention mode and effect of drowning prevention for floating children and to provide evidence for effective intervention. Methods the first ~ ninth grade students of the children of migrant workers in two districts of Ningbo were selected. The intervention group was given priority to health education based on the model of health promotion ecology, combined with comprehensive intervention strategy of social mobilization and environmental improvement. In the control group, routine health education was used, 2 year drowning comprehensive intervention was carried out for floating children, and the effect of intervention was evaluated. Results the total awareness rate of drowning knowledge and the holding rate of correct belief of the students in the intervention group and the control group were significantly higher than those before the intervention (P < 0.01), but the range of improvement in the intervention group was higher than that in the control group. The incidence of high risk behavior of drowning in the final intervention group (7.3%) was lower than that before the intervention (11.4%) (蠂 ~ 2 / 39.29 / P0.01), but there was no significant difference between the control group (7.7%) and the pre-intervention group (8.4%). The incidence of non-fatal drowning in the intervention group (4.8%) was significantly lower than that before the intervention (13.1%) (蠂 ~ 22.27 P 0.01), but there was no significant difference between the control group (7.7%) and the pre-intervention (8.1%) (蠂 ~ 20.35 P 0.56). Conclusion the comprehensive intervention model of drowning based on ecological model is effective in preventing floating children from drowning and can provide reference for drowning intervention of floating children.
【作者單位】： 浙江省寧波市疾病預防控制中心慢性非傳染性疾病防制所;寧波市江北區(qū)疾病預防控制中心;寧波市鄞州區(qū)疾病預防控制中心;
【基金】：中國疾病預防控制中心慢病中心2013-2016年度傷害干預項目 寧波市科技惠民項目(2016C51009)
【分類號】：C913.5
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本文編號：2281880