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KMID : 0385920110220050548
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Journal of the Korean Society of Emergency Medicine
2011 Volume.22 No. 5 p.548 ~ p.558
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Emergency Department-based Injury Prevention Program for Children`s Injuries at Home-Pilot Study
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Jung Jae-Yun
Kim Do-Kyun
Lee Eui-Jung
Kim Yu-Jin
Shin Sang-Do
Kwak Young-Ho
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Abstract
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Purpose: To evaluate the effectiveness of an emergency department (ED)-based educational program for pediatric injury prevention at home
Methods: We provided educational sessions for pediatric injury prevention at home for 113 caregivers of children who presented to an urban pediatric ED for evaluation of acute unintentional injuries. After completing a structured questionnaire by face-to-face interviews, caregivers were given comprehensive home safety education and recommendations for purchasing safety equipments. The post-educational questionnaires about satisfaction of education,
behavioral changes and purchase of safety equipments were collected after 3 weeks by telephone follow-up calls.
All replies were answered by 9-point scoring system.
Results: We divided caregivers into three groups by the age of their children, infants (< 1 yr, n=15), young children
(< 5 yr, n=56) and old children (> 5 yr, n=42). On pre-education questionnaire, all groups showed the common tendency
of higher scores of safety behavior than possession of safety equipments. A total of 86(76.1%) caregivers answered the post-education survey with a high satisfaction score of 7.6. The rate of behavioral changes of care givers for injury prevention was higher (mean 6.2%, range: 0~29.1%), than the rate of purchase the safety equipments (mean 5.7%, range 0~14.8%). Independent t-test of the data showed a tendency that the caregivers with better safety behavior scores by the initial survey purchased more safety equipments (p=0.368).
Conclusion: The satisfaction of the educational session for injury prevention given in the ED was high, but behavioral changes and purchase of safety instruments were not significantly improved.
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KEYWORD
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Child, Wounds and Injuries, Accident Prevention
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