天津市城区孕妇对婴幼儿家庭意外伤害防护认知及社区护理对策

目的：调研天津市孕妇对婴幼儿家庭意外伤害防护认知现状,为提升婴幼儿家庭应对意外伤害能力提供参考。方法：采用便利抽样的方法,从天津市南开区、河西区抽取2所社区医院妇产科门诊对190名孕妇采用婴幼儿家庭意外伤害防护认知问卷进行调查。结果：190名孕妇中,仅有18.9%的孕妇知道对家中布置应进行居家安全5S检查,年龄、孕周、工作状况、文化程度、胎次等对孕妇的认知有影响（P＜0.05）,既往接受儿童安全教育培训比例仅为15.3%。结论：天津市孕妇对婴幼儿家庭意外伤害防护认知不全面,孕妇的知识来源有限,且培训比例低。今后有待依托社区医院,针对孕妇实行个性化、发展性的系统培训教育,尝试整合线下及线上资源,充分发挥家庭、社区与医院联合动力。

Study on protection cognition and community nursing strategies of pregnant women against family accidental injuries of infant in urban areas of Tianjin

Objective:To investigate pregnant women’s cognition of children accidental injuries at home in Tianjin, and to provide reference for improving children safety.Methods:190 pregnant women were sampled conveniently fromobstetrics and gynecology clinic of 2 community hospitals in Nankai district and Hexi district of Tianjin. A questionnaire survey was conducted about pregnant women’s cognition of children accidental injuries at home.Results:Only 18.9% of pregnant women knew they should make inspection on the security of layout at home by "5s" rules. Age, pregnant weeks, work status, education level and fetal inferior all had significant influence on pregnant women’s cognition（P<0.05）. Only 15.3% of pregnant women received child safety education.Conclusion:Pregnant women in Tianjin had some misunderstanding on the prevention of children accidental injuries at home.The sources of knowledge of pregnant women were limited, and the training effect was poor.In the future, we should rely on community hospitals to implement systematic and personalized training and education for pregnant women. So, how to try to integrate offline and online resources and unite the power of families, communities and hospitals should be explored further.