Araştırma Makalesi
Determining the risk factors of home accidents in 0-6 year-old age group and the awareness levels of their mothers about home accidents in Sivas
Öz
Objective: Accidents,
the majority of which can be prevented, are a significant cause of morbidity
and mortality in children. In the 0-6 years age group in particular, the vast
majority of accidents occur in the home or surroundings. Therefore, the
knowledge and awareness of mothers is of great importance in the prevention of
accidents.
The aim of this study was to
investigate the frequency, type and risk factors of home accidents in children
aged 0-6 years, and to determine the precautions taken against home accidents
by the mothers.
Method: This descriptive, questionnaire study was conducted on the mothers of
children aged 0-6 years who presented at the Pediatrics Polyclinic of
Cumhuriyet University Hospital, Sivas. Mothers completed the questionnaire
which was composed of four chapters and included the “Scale for Identification
by Mothers of the Safety Measures Taken by Mothers to Prevent Home Accidents in
Children in the 0-6 Age Group”.
Results:
The
study included 375 mothers. The rate of accidents requiring hospitalization in
chidren was 38.9%. The most frequent accidents were falls and poisonings. The
scale points of the mothers were mean 177.25±14.62. A significant relationship
was determined between the scale points of the mother and maternal education
level, number of children, a child aged <2 years in the home, maternal
health status, place of residence, safety precautions taken by the mother, the
presence of a dependent cared for at home, the mother’s perception of the child’s
character, the use of a baby walker and use of a car-child-seat (p<0.05).
The risk of home accident requiring hospitalization was determined to be
increased 2.09-fold in a family with ≥2 children compared to those with one
child, by 1.76-fold if the mother was caring for the child rather than another
person, and by 1.58-fold if the mother had not completed high school or
university.
Conclusions: Providing
information to mothers about in a timely and manner of taking appropriate
precautions against home accidents should be a part of routine child
examinations.
Anahtar Kelimeler
home accidents children in the 0-6 age group awareness of mothers safety measures Sivas
Kaynakça
- 1. Matos KF, Martins CBG. Mortality by external causes in children, teenagers and young adults: a bibliographic review. Espaç saúde (Online) 2013; 14(1/2): 82-93.
- 2. Silva ECS, Fernandes MNF, Sa MCN, et al. The Effect of Educational Intervention Regarding the Knowledge of Mothers on Prevention of Accidents in Childhood. The Open Nursing Journal, 2016, 10, 113-121.
- 3. World Health Organisation; UNICEF. World Report on Child Injury Prevention, 2008. Available onlinehttp://www.who.int/violence_injury_prevention/child/injury/world_report/en/ (accessed on 30 April 2019).
- 4. Folger AT, Bowers KA, Dexheimer JW, et al. Evaluation of Early Childhood Home Visiting to Prevent Medically Attended Unintentional Injury. Annals of Emergency Medicine, 2017; 70:3, 302-310.
- 5. Snodgrass AM, Ang A. Unintentional injuries in infants in Singapore. Singap. Med. J. 2006, 47, 376–382.
- 6.Altundağ S, Öztürk MC. Ev kazaları nedeniyle hastaneye gelen 3-6 yaş grubu çocuklardaki kaza türleri ve bunu etkileyen etmenler. Çocuk Forumu 2004; 5: 60-64.
- 7.National Center for Injury Prevention and Control. CDC Injury Fact Book. Centers for Disease Control and Prevention 2006; Atlanta, GA, USA.
- 8.Hyder AA., Sugerman DE., Puvanachandra P, et al. Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study. Bull World Health Organ,2009; 87, 345–352.
- 9. Sengoelge M, Hasselberg M, Laflamme L. Child home injury mortality in Europe: a 16-country analysis. Eur J Public Health. 2011;21(2):166-70.
- 10.İnce T, Yalçın S, Yurdakök K. Parents’ Attitudes and Adherence to Unintentional Injury Prevention Measures in Ankara, Turkey Balkan Med. J 2017;34:335-42.
- 11.Turan T, Dündar SA, Yorgancı M, Yıldırım Z. 0-6 yaş grubu çocuklarda ev kazalarının önlenmesi. Ulusal Travma ve Acil Cerrahi Derneği Dergisi 2010;16(6):552-557.
- 12. Carlsson A, Bramhagen A, Jansson A, Dykes A. Precautions taken by mothers to prevent burn and scald injuries to young children at home: an intervention study. Scan J Public Health. 2011;39:471-8.
- 13.Ong ACW, Low SG, Vasanwala FF. Childhood Injuries in Singapore: Can Local Physicians and the Healthcare System Do More to Confront This Public Health Concern?. Int. J. Environ. Res. Public Health 2016, 13, 718.
- 14.Morrongiello BA, Hou S, Bell M, et al. Supervising for Home Safety Program: A Randomized Controlled Trial (RCT) Testing Community-Based Group Delivery. Journal of Pediatric Psychology, 42(7), 2017, 768–778.
- 15.Mueller DJ. The semantic differantial. In: Mueller DJ ed. Measuring Social Attitudes. New York: Teachers College Press;1986;52-56.
- 16.Çınar ND, Görak G. 0-6 yaş çocuklarda annenin ev kazalarına yönelik güvenlik önlemlerini tanılama ölçeğinin geliştirilmesi, geçerlik ve güvenirlik çalışması. Çocuk Forumu 2003;6: 22-27.
- 17. Özmen D, Ergin D, Şen N, Çetinkaya AÇ. 0-6 yaş grubu çocuğu olan annelerin ev kazalarına yönelik güvenlik önlemlerinin tanılanması. Aile ve Toplum Dergisi, 2007;9:3: 13-20.
- 18.Köse Ö, Bakırcı N. Çocuklarda ev kazaları. Sürekli Tıp Eğitimi Dergisi, 2007;16: 31-35.
- 19.Yalaki Z, Taşar MA, Kara N, Dallar Y. Sosyo-ekonomik düzeyi düşük olan ailelerin ev kazaları hakkında bilgi düzeylerinin ölçülmesi. Akademik Acil Tıp Dergisi, 2010;9:129-133.
- 20.Karatepe TU, Akış N. 0-6 yaş çocuklarda ev kazası geçirme sıklığı ve ilişkili faktörler. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2013;39(3): 165-168
- 21.Erkal S. Identification of the number of home accidens per year involving children in the 0-6 age group and the measures taken by mothers to prevent home accidents. Turkish Journal of Pediatrics, 2010; 52(2):150-157.
- 22.Kahriman İ, Karadeniz H. Effects of a Safety-Awareness–Promoting ProgramTargeting Mothers of Children Aged 0–6 Years to Prevent Pediatric Injuries in the Home Environment: Implications for Nurses. Journal of Trauma Nursing, 2018;25(5):327-335.
- 23.Keall MD, Baker M, Howden-Chapmana P,Cunninghamb M. Association between the number of home injury hazards and home injury accident. Analysis and Prevention 2008;40: 887–893.
- 24.Tripathi M, Tyebally A, Feng JX, Chong SL. A review of stroller-related and pram-related injuries to children in Singapore. Inj. Prev. 2016.
- 25. Mahalakshmy T, Dongre AR, Kalaiselvan G. Epidemiology of childhood injuries in rural Puducherry, South India. Indian Journal of Pediatrics, 2011;78 (7): 821–825.
- 26. Younesian S, Mahfoozpour S, Shad EG, Kariman H, Hatamabadi HR. Unintentional Home Injury Prevention in Preschool Children; a Study of Contributing Factors. Emergency 2016; 4 (2): 72-77
- 27. Balibey M, Polat S, Ertem İ, Beyazova U, Şahin F. Çocukluk çağında ev kazalarına yolaçan etmenler. Sürekli Tıp Eğitimi Dergisi,2011;20(3): 89.
- 28. Şekerci E, İnal S. Investigation of Home Accidents Knowledge and Practices of Mothers of 0-6 Age Group Inpatient Children. HSP 2016;3 (3):160-172.
- 29. Parmeswaran GG, Kalaivani M, Gupta SK, Goswami AK, Nongkynrih B. Assessment of home hazards for childhood injuries in an urban population in New Delhi. Child: Care, Health and Development, 2016; 42(4): 473–477.
- 30. Laursen B, Nielsen JW. Influence of sociodemographic factors on the risk of unintentional childhood home injuries. Eur J Public Health 2008;18:366-70.
- 31.Bourguet CC, McArtor RE. Unintentional injuries: risk factors in preschool children. Am J Dis Child 1989;143:556-9.
- 32. Khanom A, Hill RA, Brophy S, et al. Mothers' perspectives on the delivery of childhood injury messages: a qualitative study from the growing up in Wales, environments for healthy living study (EHL). BMC Public Health 2013;13:806.
- 33. Eldosoky R. Home-related injuries among children: knowledge, attitudes and practice about first aid among rural mothers. East Mediterr Health J. 2012;18(10):1021-7.
- 34. Tomruk O, Soysal S, Gunay T, Cimrin AH. First aid: Level of knowledge of relatives and bystanders in emergency situations. Adv Ther. 2007;24(4):691-9.
- 35.Turan T, Ceylan SS. 0-6 yaş grubu çocukları olan annelerin ev kazalarını önlemek için aldıkları güvenlik önlemlerinin aile özelliklerine ve son bir aydaki ev kazaları sıklığına göre değerlendirilmesi. Sağlık ve Toplum, 2007;17 (4 ): 52-58.
- 36.Öztürk C, Sarı H, Bektaş M, Elçigil A. Home accidents and mothers measurements in preschool children. Anatol J Clin Investig, 2010; 4(1): 15-21.
- 37. Gielen AC, Wilson MEH, Faden RR, Wissow L, Harvilchuck JD. In-home injury prevention practices for infants and toddlers: the role of parental beliefs, barriers, and housing quality. Health Educ Behav. 1995;22(1):85-95.
- 38. Vladutiu CJ, Nansel TR, Weaver NL, Jacobsen HA, Kreuter MW. Differential strength of association of child injury prevention attitudes and beliefs on practices: a case for audience segmentation. Inj Prev 2006;12:35-40.
- 39. Morrongiello BA, Walpole B, McArthur BA. Brief report: Young children's risk of unintentional injury: a comparison of mothers' and fathers' supervision beliefs and reported practices. J Pediatr Psychol 2009;34:1063-8.
- 40.Atak N, Karaoğlu L, Korkmaz Y, Usubütün S. A household survey: unintentional injury frequency and related factors among children under five years in Malatya. Turk J Pediatr 2010;52:285-93.
- 41. Greaves P, Glik DC, Kronenfeld JJ, Jackson K. Determinants of controllable in-home child safety hazards. Health Educ Res 1994;9:307-15.
- 42. Aktaş B. 0-6 yaş grubu çocuğu olan annelerin ev kazalarına yönelik güvenlik önlemlerini tanılama durumu. Sürekli Tıp Eğitimi Dergisi 2010;19(4): 146-149.
- 43. Orhon FŞ, Ulukol B, Başkan S, Usubütün S. Çocukluk Çağı Kazalarından Korunmada Ev Güvenliği Davranıșları ve Anne Farkındalığı Üzerine İki Farklı Ebeveyn Eğitim Programının Değerlendirilmesi. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2011, 64 (3).
- 44. Mete M, Devecioğlu E, Boran P, et al. Baby Walker Use and Its Consequences in a Group of Turkish Children. Çocuk Dergisi 2017; 17(4):158-162
- 45. Dogan DG, Bilici M, Yilmaz AE, Catal F, Keles N. Baby walkers: a perspective from Turkey. Acta Paediatr 2009;98:1656-60.
- 46. Grivna M, Barss P, Al-Hanaee A, et al. Baby walker injury awareness among grade-12 girls in a high-prevalence Arab country in the Middle East. Asia Pac J Public Health. 2015 Mar;27(2):1507-16.
- 47. Schwebel D, Barton BK. Contributions of Multiple Risk Factors to Child Injury. Journal of Pediatric Psychology 2005;30 (7):553-561.
- 48. Koştu M. 0-6 yaş grubunda çocuğu olan annelerin ev kazalarından çocuklarını korumaya yönelik aldıkları güvenlik önlemlerinin belirlenmesi. III. Ulusal Ana Çocuk Sağlığı Kongresi Bildiri Özetleri Kitabı. 22-24 Eylül, İzmir. 2005: 282.
Yıl 2019,
Cilt: 41 Sayı: 2, 306 - 317, 30.06.2019
Öz
Kaynakça
- 1. Matos KF, Martins CBG. Mortality by external causes in children, teenagers and young adults: a bibliographic review. Espaç saúde (Online) 2013; 14(1/2): 82-93.
- 2. Silva ECS, Fernandes MNF, Sa MCN, et al. The Effect of Educational Intervention Regarding the Knowledge of Mothers on Prevention of Accidents in Childhood. The Open Nursing Journal, 2016, 10, 113-121.
- 3. World Health Organisation; UNICEF. World Report on Child Injury Prevention, 2008. Available onlinehttp://www.who.int/violence_injury_prevention/child/injury/world_report/en/ (accessed on 30 April 2019).
- 4. Folger AT, Bowers KA, Dexheimer JW, et al. Evaluation of Early Childhood Home Visiting to Prevent Medically Attended Unintentional Injury. Annals of Emergency Medicine, 2017; 70:3, 302-310.
- 5. Snodgrass AM, Ang A. Unintentional injuries in infants in Singapore. Singap. Med. J. 2006, 47, 376–382.
- 6.Altundağ S, Öztürk MC. Ev kazaları nedeniyle hastaneye gelen 3-6 yaş grubu çocuklardaki kaza türleri ve bunu etkileyen etmenler. Çocuk Forumu 2004; 5: 60-64.
- 7.National Center for Injury Prevention and Control. CDC Injury Fact Book. Centers for Disease Control and Prevention 2006; Atlanta, GA, USA.
- 8.Hyder AA., Sugerman DE., Puvanachandra P, et al. Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study. Bull World Health Organ,2009; 87, 345–352.
- 9. Sengoelge M, Hasselberg M, Laflamme L. Child home injury mortality in Europe: a 16-country analysis. Eur J Public Health. 2011;21(2):166-70.
- 10.İnce T, Yalçın S, Yurdakök K. Parents’ Attitudes and Adherence to Unintentional Injury Prevention Measures in Ankara, Turkey Balkan Med. J 2017;34:335-42.
- 11.Turan T, Dündar SA, Yorgancı M, Yıldırım Z. 0-6 yaş grubu çocuklarda ev kazalarının önlenmesi. Ulusal Travma ve Acil Cerrahi Derneği Dergisi 2010;16(6):552-557.
- 12. Carlsson A, Bramhagen A, Jansson A, Dykes A. Precautions taken by mothers to prevent burn and scald injuries to young children at home: an intervention study. Scan J Public Health. 2011;39:471-8.
- 13.Ong ACW, Low SG, Vasanwala FF. Childhood Injuries in Singapore: Can Local Physicians and the Healthcare System Do More to Confront This Public Health Concern?. Int. J. Environ. Res. Public Health 2016, 13, 718.
- 14.Morrongiello BA, Hou S, Bell M, et al. Supervising for Home Safety Program: A Randomized Controlled Trial (RCT) Testing Community-Based Group Delivery. Journal of Pediatric Psychology, 42(7), 2017, 768–778.
- 15.Mueller DJ. The semantic differantial. In: Mueller DJ ed. Measuring Social Attitudes. New York: Teachers College Press;1986;52-56.
- 16.Çınar ND, Görak G. 0-6 yaş çocuklarda annenin ev kazalarına yönelik güvenlik önlemlerini tanılama ölçeğinin geliştirilmesi, geçerlik ve güvenirlik çalışması. Çocuk Forumu 2003;6: 22-27.
- 17. Özmen D, Ergin D, Şen N, Çetinkaya AÇ. 0-6 yaş grubu çocuğu olan annelerin ev kazalarına yönelik güvenlik önlemlerinin tanılanması. Aile ve Toplum Dergisi, 2007;9:3: 13-20.
- 18.Köse Ö, Bakırcı N. Çocuklarda ev kazaları. Sürekli Tıp Eğitimi Dergisi, 2007;16: 31-35.
- 19.Yalaki Z, Taşar MA, Kara N, Dallar Y. Sosyo-ekonomik düzeyi düşük olan ailelerin ev kazaları hakkında bilgi düzeylerinin ölçülmesi. Akademik Acil Tıp Dergisi, 2010;9:129-133.
- 20.Karatepe TU, Akış N. 0-6 yaş çocuklarda ev kazası geçirme sıklığı ve ilişkili faktörler. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2013;39(3): 165-168
- 21.Erkal S. Identification of the number of home accidens per year involving children in the 0-6 age group and the measures taken by mothers to prevent home accidents. Turkish Journal of Pediatrics, 2010; 52(2):150-157.
- 22.Kahriman İ, Karadeniz H. Effects of a Safety-Awareness–Promoting ProgramTargeting Mothers of Children Aged 0–6 Years to Prevent Pediatric Injuries in the Home Environment: Implications for Nurses. Journal of Trauma Nursing, 2018;25(5):327-335.
- 23.Keall MD, Baker M, Howden-Chapmana P,Cunninghamb M. Association between the number of home injury hazards and home injury accident. Analysis and Prevention 2008;40: 887–893.
- 24.Tripathi M, Tyebally A, Feng JX, Chong SL. A review of stroller-related and pram-related injuries to children in Singapore. Inj. Prev. 2016.
- 25. Mahalakshmy T, Dongre AR, Kalaiselvan G. Epidemiology of childhood injuries in rural Puducherry, South India. Indian Journal of Pediatrics, 2011;78 (7): 821–825.
- 26. Younesian S, Mahfoozpour S, Shad EG, Kariman H, Hatamabadi HR. Unintentional Home Injury Prevention in Preschool Children; a Study of Contributing Factors. Emergency 2016; 4 (2): 72-77
- 27. Balibey M, Polat S, Ertem İ, Beyazova U, Şahin F. Çocukluk çağında ev kazalarına yolaçan etmenler. Sürekli Tıp Eğitimi Dergisi,2011;20(3): 89.
- 28. Şekerci E, İnal S. Investigation of Home Accidents Knowledge and Practices of Mothers of 0-6 Age Group Inpatient Children. HSP 2016;3 (3):160-172.
- 29. Parmeswaran GG, Kalaivani M, Gupta SK, Goswami AK, Nongkynrih B. Assessment of home hazards for childhood injuries in an urban population in New Delhi. Child: Care, Health and Development, 2016; 42(4): 473–477.
- 30. Laursen B, Nielsen JW. Influence of sociodemographic factors on the risk of unintentional childhood home injuries. Eur J Public Health 2008;18:366-70.
- 31.Bourguet CC, McArtor RE. Unintentional injuries: risk factors in preschool children. Am J Dis Child 1989;143:556-9.
- 32. Khanom A, Hill RA, Brophy S, et al. Mothers' perspectives on the delivery of childhood injury messages: a qualitative study from the growing up in Wales, environments for healthy living study (EHL). BMC Public Health 2013;13:806.
- 33. Eldosoky R. Home-related injuries among children: knowledge, attitudes and practice about first aid among rural mothers. East Mediterr Health J. 2012;18(10):1021-7.
- 34. Tomruk O, Soysal S, Gunay T, Cimrin AH. First aid: Level of knowledge of relatives and bystanders in emergency situations. Adv Ther. 2007;24(4):691-9.
- 35.Turan T, Ceylan SS. 0-6 yaş grubu çocukları olan annelerin ev kazalarını önlemek için aldıkları güvenlik önlemlerinin aile özelliklerine ve son bir aydaki ev kazaları sıklığına göre değerlendirilmesi. Sağlık ve Toplum, 2007;17 (4 ): 52-58.
- 36.Öztürk C, Sarı H, Bektaş M, Elçigil A. Home accidents and mothers measurements in preschool children. Anatol J Clin Investig, 2010; 4(1): 15-21.
- 37. Gielen AC, Wilson MEH, Faden RR, Wissow L, Harvilchuck JD. In-home injury prevention practices for infants and toddlers: the role of parental beliefs, barriers, and housing quality. Health Educ Behav. 1995;22(1):85-95.
- 38. Vladutiu CJ, Nansel TR, Weaver NL, Jacobsen HA, Kreuter MW. Differential strength of association of child injury prevention attitudes and beliefs on practices: a case for audience segmentation. Inj Prev 2006;12:35-40.
- 39. Morrongiello BA, Walpole B, McArthur BA. Brief report: Young children's risk of unintentional injury: a comparison of mothers' and fathers' supervision beliefs and reported practices. J Pediatr Psychol 2009;34:1063-8.
- 40.Atak N, Karaoğlu L, Korkmaz Y, Usubütün S. A household survey: unintentional injury frequency and related factors among children under five years in Malatya. Turk J Pediatr 2010;52:285-93.
- 41. Greaves P, Glik DC, Kronenfeld JJ, Jackson K. Determinants of controllable in-home child safety hazards. Health Educ Res 1994;9:307-15.
- 42. Aktaş B. 0-6 yaş grubu çocuğu olan annelerin ev kazalarına yönelik güvenlik önlemlerini tanılama durumu. Sürekli Tıp Eğitimi Dergisi 2010;19(4): 146-149.
- 43. Orhon FŞ, Ulukol B, Başkan S, Usubütün S. Çocukluk Çağı Kazalarından Korunmada Ev Güvenliği Davranıșları ve Anne Farkındalığı Üzerine İki Farklı Ebeveyn Eğitim Programının Değerlendirilmesi. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2011, 64 (3).
- 44. Mete M, Devecioğlu E, Boran P, et al. Baby Walker Use and Its Consequences in a Group of Turkish Children. Çocuk Dergisi 2017; 17(4):158-162
- 45. Dogan DG, Bilici M, Yilmaz AE, Catal F, Keles N. Baby walkers: a perspective from Turkey. Acta Paediatr 2009;98:1656-60.
- 46. Grivna M, Barss P, Al-Hanaee A, et al. Baby walker injury awareness among grade-12 girls in a high-prevalence Arab country in the Middle East. Asia Pac J Public Health. 2015 Mar;27(2):1507-16.
- 47. Schwebel D, Barton BK. Contributions of Multiple Risk Factors to Child Injury. Journal of Pediatric Psychology 2005;30 (7):553-561.
- 48. Koştu M. 0-6 yaş grubunda çocuğu olan annelerin ev kazalarından çocuklarını korumaya yönelik aldıkları güvenlik önlemlerinin belirlenmesi. III. Ulusal Ana Çocuk Sağlığı Kongresi Bildiri Özetleri Kitabı. 22-24 Eylül, İzmir. 2005: 282.
Toplam 48 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Medical Science Research Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Haziran 2019 |
| Kabul Tarihi | 12 Haziran 2019 |
| Yayımlandığı Sayı | Yıl 2019Cilt: 41 Sayı: 2 |