摘要
目的探讨孤独症儿童意外伤害发生情况及影响因素。方法选取2014年1月至2016年12月东莞市和湛江市孤独症儿童康复机构收治的孤独症儿童49例作为干预组,选取同期体检健康儿童100例作为正常组,对比两组儿童意外伤害发生类型、性格特点、父母文化程度,分析患儿年龄、父母文化程度对意外伤害发生的影响。结果干预组异物窒息、交通意外等被动伤害发生率高于正常组(20.4%vs. 5.0%, 14.3%vs. 2.0%, P <0.05);干预组坠床、动物咬伤、溺水、烧伤/烫伤等主动伤害发生率低于正常组(4.1%vs. 19.0%, 0.0%vs. 10.0%, 0.0%vs. 8.0%, 4.1%vs. 16.0%, P <0.05)。干预组以孤僻性格为主(51.0%),正常组以开朗性格为主(42.0%),两组儿童性格特点比较有统计学差异(P <0.05)。干预组父亲文化程度、母亲文化程度均低于正常组(P <0.05)。≤5岁组患儿的意外伤害发生率为34.7%,> 5岁组患儿的意外发生率为8.2%,差异有统计学意义(P <0.05)。父亲和母亲文化程度越低,孤独症患儿意外伤害发生率越高(P <0.05)。结论孤独症患儿意外伤害以被动伤害为主,性格特征、年龄及父母文化程度对孤独症患儿意外伤害的发生有一定影响。
Objective To investigate the occurrence and influencing factors of accidental injuries in children with autism.Methods 49 cases of autistic children in Dongguan and Zhanjiang Autistic Children Rehabilitation Institutions from January 2014to December 2016 were selected as intervention group,and 100healthy children at the same period were selected as the normal group.The accidental injury types,personality characteristics and parental education level were compared between the two groups,and the effects of age of children with autism and parental education on accidental injuries were analyzed.Results The incidences of passive injuries such as foreign body asphyxia and traffic accidents in the intervention group were higher than those in the normal group (20.4%vs.5.0%,14.3%vs.2.0%,P<0.05);The incidences of active injuries such as bed fails,animal bites,drowning,burns /scalds in the intervention group were lower than those in the normal group (4.1%vs.19.0%,0.0%vs.10.0%,0.0%vs.8.0%,4.1%vs.16.0%,P<0.05).The personality of intervention group was mainly autistic (51.0%),and the personality of normal group was mainly cheerful (42.0%);The personality characteristics of the two groups were statistically significant (P<0.05).The father's education level and mother's education level in the intervention group were lower than those in the normal group (P<0.05).The incidence of accidental injuries was 34.7%in the children aged ≤5years,and 8.2%in the children aged 5 years and older;The difference was statistically significant (P <0.05).The lower the education level of father and mother,the higher the incidence of accidental injury in children with autism (P<0.05).Conclusions Accidental injuries in children with autism are mainly passive injuries.Personality characteristics,age and parental education have impact on accidental injuries in children with autism.
作者
关江伟
骆庆明
钟柏茂
GUAN Jiangwei;LUO Qingming;ZHONG Baimao(Department of Pediatrics,Dongguan Wanjiang Hospital,Dongguan 523040,China;Department of Pediatrics,Dongguan Children's Hospital,Dongguan 523112,China)
出处
《临床医学工程》
2018年第12期1715-1716,共2页
Clinical Medicine & Engineering
基金
2017年东莞市社会科技发展(重点)项目"东莞地区儿童意外伤害系列研究"(项目编号:2017507150100446)
关键词
孤独症
意外伤害
影响因素
Autism
Accidental injuries
Influencing factors
作者简介
关江伟(1980一),男,广东廉江人,硕士学位,副主任医师,研究方向:小儿内科;通讯作者:钟柏茂(1968一),男,广东东莞人,硕士学位,主任医师,教授,硕士研究生导师,研究方向:儿童意外伤害,儿科;E—mail:kjk82872@163.com。
