目的探讨儿童意外伤害的干预措施和效果。方法选择4所小学的学生,随机分为干预组和对照组。干预组在2年内采取一系列预防意外伤害的安全教育和防范措施,并统计意外伤害发生情况。结果第1年干预组发生意外伤害262例,发生率8.26%,对照组234例,发生率8.67%,两组比较差异无显著性意义。第2年干预组发生伤害211例,发生率6.54%,对照组229例,发生率8.63%,两组比较差异有显著性意义(P<0.01)。结论强化学校、家庭对儿童安全的教育及防范措施,能有效减少儿童意外伤害的发生。

OBJECTIVE: Accidents are an important cause of childhood injury. It is hypothesized that safety education programs can reduce accidents in primary school-aged children. This study aimed to determine whether child and parent safety education programs can decrease the incidence of accidental injury in children when compared with controls. METHODS: The study population (aged 7-13 years) were recruited from four local primary schools, and randomly assigned into an Intervention or a Control group. The Intervention group received child and parent safety education and was taught injury prevention strategies. The Control group received no injury prevention education or intervention. The incidence of accidental injury was compared between the two groups. RESULTS: In the first year after intervention the incidence of accidental injury was 262 cases in the Intervention group (8.26℅) and 234 cases (8.67℅) in the Control group (P>0.05). In the second year after intervention, however, the incidence of accidental injury was significantly less in the Intervention group (211 cases, 6.54℅) compared with the Control group (229 cases, 8.63℅) (P<0.01). CONCLUSIONS: Injury prevention strategies and child and parent safety education can reduce risks of accidental injury in children.