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J Korean Soc Emerg Med > Volume 22(5); 2011 > Article
Journal of The Korean Society of Emergency Medicine 2011;22(5): 548-558.
Emergency Department-based Injury Prevention Program for Children's Injuries at Home-Pilot Study
Jae Yun Jung, Do Kyun Kim, Eui Jung Lee, Yu Jin Kim, Sang Do Shin, Young Ho Kwak
Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea. yhkwak@snuh.org
To evaluate the effectiveness of an emergency department (ED)-based educational program for pediatric injury prevention at home.
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.
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).
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.
Key words: Child, Wounds and Injuries, Accident Prevention
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