关键词: 意外伤害, 因素, 儿童

Abstract: ObjectiveTo analyze the situation of the incidence of childhood unintentional injuries during the local novel coronavirus pneumonia (coronavirus disease 2019,COVID-19) pandemic in Jining and the influencing factors,and to provide a reference for prevention strategies during the COVID-19 pandemic. MethodsThe caregivers of children attending the pediatric outpatient clinic of the Affiliated Hospital of Jining Medical College from September 1,2022 to October 31,2022 were selected, who were given questionnaires to investigate the unintentional injuries of children under their care in the past 2 months. They were divided into observation group (accidental injury occurred) and control group (no accidental injury occurred). ResultsTotally 592 questionnaires were sent out, 584 returned. About 30.82%（180/584） of the caregivers reported that their children had different degrees of accidental injuries,with falls and bumps being the most common type of injury,accounting for 69.44%（125/180） in the accidental injury group,followed by bed falls［37.78%（68/180）］ and burns［21.11%（38/180）］.The differences in the relationship between caregivers and children (P=0.002), children's age (P<0.001), registered permanent residence (P< 0.001), education level of caregivers (P=0.007), number of children cared for (P=0.009), age of caregivers (P< 0.001), caregiver occupation (P<0.001), caregiver income status (P<0.001) were statistically significant in the observation group compared with the control group. In the univariate analysis, caregivers aged 31 to 50 years, caregivers being mothers, caregivers living in cities, caregivers being professional and technical personnel were positively correlated with children's unintentional injuries. Multiple regression analysis showed that after adjusting for confounders, caregivers' age between 30 to 40 years (OR=3.460, 95%CI 1.53-7.82, P=0.01) and children's age between 4 to 6 years(OR=6.342, 95%CI 1.67-24.08, P<0.01) were independent risk factors for the occurrence of childhood unintentional injuries. About 46.23%（270/584） of caregivers reported that they did not know about CPR, 40.23%（235/584） reported that they did not know about the Heimlich maneuver, 34.42%（201/584） did not receive health education related to accidental injury prevention, and 38.36%（224/584） did not actively learn first aid skills. ConclusionSince the local COVID-19 outbreak in Jining City at the end of August 2022, unintentional injuries in children are relatively common, and caregivers are generally in lack of first aid knowledge and ability; caregivers between the age of 31 and 40 should receive more training on their knowledge and skills in unintentional injuries, and focus needs to be placed on the preschool age group.

Key words:

Unintentional injury, Factors, Children