宜兴市2012-2015年中小学生伤害干预效果评价

Interventive effects on injury among elementary and middle school students from 2012 to 2015 in Yixing

目的了解宜兴市2012—2015年中小学生伤害发生及变化情况,为探讨学生伤害干预模式提供参考。方法对宜兴市16所试点学校所有在校学生作为干预和回顾性调查对象,通过2012—2015年间3年的综合与个性化干预,进行干预效果评价。结果 2015年9—11月回顾性调查学生伤害发生率为2.23%,与2012年同期(2.89%)相比有所降低(χ~2=15.44,P<0.01)。2012年伤害发生原因前5位分别为跌倒/坠落(59.05%)、锐器伤(12.43%)、动物致伤(9.32%)、交通事故(6.95%)、钝器伤(6.40%);2015年分别为跌倒/坠落(54.34%)、动物致伤(12.67%)、交通事故(8.93%)、锐器伤(7.65%)、钝器伤(3.57%)。外地户籍学生伤害发生率稍高于本地,差异无统计学意义(χ~2=0.132,P=0.716);男生明显高于女生(χ~2=4.110,P=0.043)。结论 3年伤害干预工作有实际效果。应加强多部门协作,继续探索有效之路。

Objective To understand the occurrence and change of injury among elementary and middle school students in Yixing, and to provide references for exploring the efficiency of comprehensive injury intervention-model. Methods All students in 16 pilot schools in Yixing were adopted to make the interventional and retrospective investigation according to the analysis and study of comprehensive and personalized intervention of three years from 2012 to 2015. Results The injury incidence of students was 2.23% in retrospective investigation from September to November in 2015, which was lower comparing to that of 2012（2.89%）. Tumbling/falling, injury due to animal, traffic accident and sharp instrument injury were the top four types of injury. The injury in- cidence among the non-local students was slightly higher than that among the local students, but the differences were of no statistical significance （X2= 0.132, P= 0.716）. The injury incidence in the males was significantly higher than that of females（X2= 4.110, P= 0.043）. Conclusion Work of injury intervention has made practical effect; furthermore, multi-sectors collaboration should be strengthened to continually explore the more effective measures.