{"title":"预防意外伤害干预措施的证据:范围审查。","authors":"Sheela Shetty, Baby S Nayak, Anice George, Avinash Shetty, Vasudeva Guddattu","doi":"10.2196/67877","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Unintentional injuries are the leading cause of death and disability among young children. Preventive strategies for unintentional injuries are mainly based on surveillance data and identifying risk factors.</p><p><strong>Objective: </strong>This study aimed to review and synthesize published literature that determined the effectiveness of interventions for preventing unintentional injuries among children.</p><p><strong>Methods: </strong>The methodological framework was supported by The Joanna Briggs Institute Reviewer's Manual - Methodology for JBI Scoping Reviews as well as the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. The inclusion criteria to include the studies in the review were unintentional injuries in children, interventions to prevent injuries, a brief description of the intervention and the outcome of the intervention, and articles published in a peer-reviewed journal and written in the English language.</p><p><strong>Results: </strong>In total, 21 articles were included in the review following the systematic search of key databases such as Web of Science, PubMed/MEDLINE, Scopus, ScienceDirect, and gray literature for studies published between July 2013 and May 2023. Of the 21 articles, 16 were randomized controlled trials, 4 were nonrandomized controlled trials, and 1 was a mixed method study. 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引用次数: 0
摘要
背景:意外伤害是幼儿死亡和残疾的主要原因。意外伤害的预防策略主要基于监测数据和确定风险因素。目的:本研究旨在回顾和综合已发表的文献,以确定预防儿童意外伤害的干预措施的有效性。方法:方法学框架由乔安娜布里格斯研究所审稿人手册- JBI范围评价方法学以及PRISMA-ScR(范围评价的系统评价和元分析扩展首选报告项目)指南支持。纳入研究的标准是儿童意外伤害、预防伤害的干预措施、干预措施和干预结果的简要描述,以及发表在同行评议期刊上并以英语撰写的文章。结果:系统检索Web of Science、PubMed/MEDLINE、Scopus、ScienceDirect等关键数据库以及2013年7月至2023年5月间发表的灰色文献,共纳入21篇文献。21篇文章中,16篇为随机对照试验,4篇为非随机对照试验,1篇为混合方法研究。审查结果表明,干预措施,无论是作为单一措施(基于视频的教学、基于证词的故事教学、健康教育、故事书阅读),还是结合起来(知识测验和模拟测试、基于模块的教学以及个人咨询,以及借助视频和海报的教学),都显示出伤害数量和严重程度的显著下降。这些研究包括不同的目标人群,包括0至19岁的儿童和青少年。结论:审查结果表明,需要计划,实施和加强预防措施和技术,以减少儿童意外伤害。它们也可以作为政策制定者的有用指标。
Evidence of Interventions for the Prevention of Unintentional Injuries: Scoping Review.
Background: Unintentional injuries are the leading cause of death and disability among young children. Preventive strategies for unintentional injuries are mainly based on surveillance data and identifying risk factors.
Objective: This study aimed to review and synthesize published literature that determined the effectiveness of interventions for preventing unintentional injuries among children.
Methods: The methodological framework was supported by The Joanna Briggs Institute Reviewer's Manual - Methodology for JBI Scoping Reviews as well as the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. The inclusion criteria to include the studies in the review were unintentional injuries in children, interventions to prevent injuries, a brief description of the intervention and the outcome of the intervention, and articles published in a peer-reviewed journal and written in the English language.
Results: In total, 21 articles were included in the review following the systematic search of key databases such as Web of Science, PubMed/MEDLINE, Scopus, ScienceDirect, and gray literature for studies published between July 2013 and May 2023. Of the 21 articles, 16 were randomized controlled trials, 4 were nonrandomized controlled trials, and 1 was a mixed method study. The findings of the review showed that interventions, either as a single measure (video-based teaching, testimonial story-based teaching, health education, storybook reading) or in combination (knowledge quiz and simulation test, module-based teaching along with personal counseling, and teaching with the help of video and poster), have shown a considerable decline in the number and severity of injuries. The studies included various target populations, including children and adolescents between 0 and 19 years old.
Conclusions: The review results indicate the need to plan, implement, and reinforce preventive measures and techniques to reduce unintentional injuries among children. They can also serve as a useful indicator for policymakers.