某医院意外伤害住院儿童损伤程度影响因素分析

Study on influencing factors for unintentional injury degree of hospitalized children

目的了解因意外伤害住院儿童的伤害程度影响因素,为制定有效的干预措施提供科学依据。方法选取2012年8月1日-2013年7月31日首次住长治某医院的意外伤害儿童共70人作为研究对象。进行面对面问卷调查。采用χ2检验、Spearman秩相关和多因素Logistic回归对数据进行分析。结果父亲不同文化程度之间,儿童发生重度伤害的比例差异有统计学意义(χ2=4.230,P=0.040),其中父亲文化程度为初中及以下儿童发生重度伤害的比例最高(43.7%);母亲不同年龄组之间,儿童发生重度伤害的比例差异有统计学意义(χ2=8.406,P=0.015);其中母亲年龄为40岁以上儿童发生重度伤害的比例最高(60.0%);非独生子女中发生重度伤害的比例(46.3%)高于独生子女(20.7%),差异有统计学意义(χ2=4.868,P=0.027)。儿童意外伤害程度与伤害转归、医疗费用、患儿年龄、父亲年龄、母亲年龄呈显著正相关(P<0.05)。母亲年龄段高的儿童发生意外伤害程度重的危险性是母亲年龄段低的1.872倍。结论父亲文化程度低、母亲年龄高、非独生子女家庭使重度意外伤害发生的风险增加。伤害程度越重转归越差,医疗费用越高;患儿年龄段越大、父母亲年龄越大,伤害程度越重。母亲年龄段高是意外伤害程度重的危险因素。

Objects To study the influencing factors of the unintentional injury degree of hospitalized children, and provide the scientific evidence to the effective intervention measures. Methods A total of 70 children were selected as research subjects. Who were first hospitalized with unintentional injury in a changzhi hospital from August 1,2012 to July 31, 2013 and responded face to face questionnaire. Chi-square test, Spearman rank correlation and multivariate logistic regression used to analyze the data. Results Proportion of children with severe injuries had statistically significant difference between father＇s cultures （χ2= 4. 230, P= 0. 040）, the highest proportion of severe injuries in children whose father＇s education was junior or below （43.7% ）. The proportion of children with severe injuries had statistically significant difference between mother＇s age （χ2 =8. 406 ,P=0. 015）. Proportion of severe injuries was the highest in children whose mother aged above 40 years old, （60.0%）. Non-only child＇s severe injuries （46.3%） was more than the only child （20.7%）, the difference was statistically significant （χ2 = 4. 868,P= 0. 027）. There were significant positive correlations between unintentional injury degree, and injury outcomes, medical expenses, children age, father＇s age, mother＇s age （P〈 0.05）. Mother with high age had 1. 872 times risk of severe injuries than mother with lower age. Conclusions There are more risks of severe unintentional injury in father＇s lower culture, mother＇s higher age, non-only child＇s family. The heavier damage degree leads to the worse outcome and higher medical expenses;The older parents＇ and children＇s age have the heavier damage degree; Mother in high age group is risk factor of heavy unintentional injury.