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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Intentional injury management and prevention in pediatric practice: results from 1998 and 2003 American Academy of Pediatrics Periodic Surveys.
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Intentional injury management and prevention in pediatric practice: results from 1998 and 2003 American Academy of Pediatrics Periodic Surveys.

机译：儿科实践中的故意伤害管理和预防：1998年和2003年美国儿科学会定期调查的结果。

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OBJECTIVE: Intentional injuries are significant causes of pediatric morbidity and mortality in the United States. A 1998 American Academy of Pediatrics (AAP) survey identified child abuse, domestic violence, and community violence as concerns for pediatricians, although the majority of pediatricians also reported feeling unprepared to manage these issues. A second AAP survey in 2003 analyzed trends in pediatrician experience and attitudes related to these issues. METHODS: Surveys were sent to national random samples of AAP members in 1998 (n = 1629) and 2003 (n = 1603); response rates were 62% and 53%, respectively. Surveys measured pediatrician experience in the past 12 months in managing injuries caused by child abuse, domestic violence, and community violence. Attitudes regarding available resources and adequacy of training about intentional injury management were also collected. Trends between surveys were analyzed using chi2 analysis. RESULTS: The proportion of pediatricians who reported treatmentof intentional injuries increased between surveys. The percentage of pediatricians who indicated that screening for domestic violence and community violence risk should be included in routine health visits increased from 66% to 72% and 71% to 77%, respectively. Confidence in ability to identify and manage injuries that were caused by domestic violence and community violence increased but remained low, whereas the proportion of pediatricians who expressed confidence in ability to identify child abuse decreased (65% vs 60%). CONCLUSIONS: Despite overall improvement in acceptance of intentional injury prevention in routine care as well as confidence in intentional injury management, pediatrician confidence to identify and manage intentional injuries remains low.
机译：目的：故意伤害是美国儿童发病率和死亡率的重要原因。 1998年美国儿科学会（AAP）的一项调查确定，虐待儿童，家庭暴力和社区暴力是儿科医生的关注点，尽管大多数儿科医生也表示不准备处理这些问题。 AAP在2003年进行的第二次调查分析了儿科医生经验和与这些问题有关的态度的趋势。方法：在1998年（n = 1629）和2003年（n = 1603）对AAP成员的全国随机样本进行了调查。回应率分别为62％和53％。调查评估了儿科医生在过去12个月中处理虐待儿童，家庭暴力和社区暴力造成的伤害的经验。还收集了有关可用资源的态度以及有关故意伤害管理的培训的充分性。调查之间的趋势使用chi2分析进行了分析。结果：在两次调查之间，报告有意伤害治疗的儿科医生比例增加。表示应在常规卫生检查中包括筛查家庭暴力和社区暴力风险的儿科医生比例分别从66％增至72％和71％增至77％。对家庭暴力和社区暴力造成的伤害的识别和处理能力的信心增加了，但仍然很低，而对识别虐待儿童的能力表示信任的儿科医生的比例下降了（65％比60％）。结论：尽管在常规护理中接受人为伤害预防的总体改善以及对人为伤害管理的信心有所提高，儿科医生对人为伤害的识别和管理的信心仍然很低。

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