손상으로 인한 병원치료 경험이 가정 내 안전용품 사용에 미치는 영향 = The effect of medically-attended injury experience on the use of home safety equipment

다국어 초록 (Multilingual Abstract)

Purpose: To assess the effect of medically-attended injury (MAI) on the use of home safety equipment, we analyzed the differences in parents’ perception and attitude about injury prevention, and use of home safety equipment depending on the children’s MAI experiences.
Methods: From March 2018 through February 2019, we surveyed parents of children aged 5 years or younger via a mobile phone. The parents were divided into the MAI and non-MAI groups. The mobile survey focused on the perception and attitude about injury prevention, and use of home safety equipment (if not used, barriers).
Results: Of the 204 parents, 75 (36.8%) reported their children’s MAI, comprising the MAI group. This group used the safety equipment more frequently than the non-MAI group (odds ratio, 7.03; 95% confidence interval, 3.39-14.59; P < 0.001).
No significant differences between the 2 groups were found in the perception and attitude about injury prevention, barriers to the use of the equipment, and the type of the equipment in use.
Conclusion: Parents’ experience in their children’s MAIs was associated with the use of home safety equipment, but it did not affect their perception and attitude about injury prevention. A visit to the emergency department with MAI is an opportunity for education on injury prevention and changes of the attitude.

참고문헌 (Reference)

1 정재윤, "응급실 기반 소아 가정 내 손상의 시범적 예방 교육 적용의 효과" 대한응급의학회 22 (22): 548-558, 2011

2 김신정, "아동의 안전사고에 대한 부모의 인식 및 행동" 한국아동간호학회 23 (23): 91-100, 2017

3 Santagati G, "Unintentional injuries in children up to six years of age and related parental knowledge, attitudes, and behaviors in Italy" 177 : 267-272, 2016

4 Yunesian S, "Unintentional home injury prevention in preschool children; a study of contributing factors" 4 : 72-77, 2016

5 Ablewhite J, "The other side of the story-maternal perceptions of safety advice and information : a qualitative approach" 41 : 1106-1113, 2015

6 Ehrlich PF, "The importance of a preclinical trial : a selected injury intervention program for pediatric trauma centers" 65 : 189-195, 2008

7 Polit DF, "The content validity index: are you sure you know what’s being reported? Critique and recommendations" 29 : 489-497, 2006

8 Faul F, "Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses" 41 : 1149-1160, 2009

9 Shin H, "Safety perception and behaviors of mothers with school age children" 13 : 130-137, 2007

10 Children’s Hospital of Philadelphia, "Safety Center" Children’s Hospital of Philadelphia

11 Glik D, "Predictors of risk perceptions of childhood injury among parents of preschoolers" 18 : 285-301, 1991

12 Ince T, "Parents’ attitudes and adherence to unintentional injury prevention measures in Ankara, Turkey" 34 : 335-342, 2017

13 Morrongiello BA, "Once bitten, twice shy? Medically-attended injuries can sensitise parents to children’s risk of injuries on playgrounds" 15 : 50-54, 2009

14 Groves RM, "Nonresponse rates and nonresponse bias in household surveys" 70 : 646-675, 2006

15 Gittelman MA, "Injury prevention: is the pediatric emergency department the appropriate place?" 21 : 460-467, 2005

16 Boston Children’s Hospital, "Injury prevention program" Boston Children’s Hospital

17 Melzer-Lange MD, "Injury prevention : opportunities in the emergency department" 60 : 1241-1253, 2013

18 Gielen AC, "In-home injury prevention practices for infants and toddlers : the role of parental beliefs, barriers, and housing quality" 22 : 85-95, 1995

19 Statistics Korea, "Household income and expenditure" Statistics Korea

20 Ishikawa T, "Changes in parents’ perceived injury risk after a medically-attended injury to their child" 13 : 146-152, 2018

21 Jones VC, "Association between unintentional child injury in the home and parental implementation of modifications for safety" 172 : 1189-1190, 2018

22 Ablewhite J, "Approaches used by parents to keep their children safe at home : a qualitative study to explore the perspectives of parents with children aged under five years" 15 : 983-, 2015

23 Bennett Murphy LM, "Adolescent mothers’ beliefs about parenting and injury prevention : results of a focus group" 15 : 194-199, 2001

24 Posner JC, "A randomized, clinical trial of a home safety intervention based in an emergency department setting" 113 : 1603-1608, 2004