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Olycksfallsrisker i barnets hemmiljö: fokus på skållskador
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
2005 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Abstract [sv]

Denna licentiatavhandling syftar till att beskriva barns (0-6 år) utsatthet för olycksfallsrisker i hemmiljön genom att fokusera på omfattningen av bränn- och skållskador, föräldrars uppfattningar om påverkande faktorer till olyckshändelser samt föräldrars uppgifter om egen följsamhet till olycksförebyggande råd och anvisningar. I barnhälsovården (BHV) ges råd och anvisningar kring olika åtgärder lämpliga i förhållande till barns utveckling. Dessa råd ges kontinuerligt och under barnens 6 första år. Innehållet i råden är reglerat i det basprogram som föräldrar till alla barn i Sverige erbjuds fram till skolstart. Få studier beskriver i vilken utsträckning föräldrar följer dessa råd och vilka faktorer som påverkar dels föräldrarnas följsamhet till råden dels faktorer som påverkar risken för barnolycksfall. I denna licentiatavhandling är exemplet skållskador (ΙΙ, ΙΙΙ) beskrivet som ett av flera möjliga olycksfall i hemmiljö som barn drabbas av.

Abstract [en]

The overall aim of this licentiate thesis was to increase the knowledge about children’s (0–6 years old) exposure to accidents in the home environment through parents’ opinions about accidents and parents’ self-reported compliance with precautions. Data were collected from parents of 10-month-old children who answered a questionnaire. The questionnaire prompted responses related to parents’ background and socio-economic factors as well as questions about precautions they had taken to decrease hazards in their home. The questions focused on actions parents had taken upon receipt of preventive advice given to them during the eight-month Child Health Care nurse assessment. Thirty-two percent of the parents complied with less than half of the suggested precautions. Univariate odds ratios (OR) and 95% confidence intervals (95% C I) were calculated to investigate the associations between compliance and parents’ different background/socio-economic characteristics. The variables foreign born, low occupational level, 12 years’ education or less, rented housing and information provided at Child Health Care clinics proved to be statistically significant for the non-compliant group. Multiple logistic regression analysis was performed in order to adjust the estimated odds ratios for the influence of potential confounders such as parents’ nationality, educational and occupational level, place of information and habitation. After the adjustment the variable nationality and educational level stayed significant (Ι). Data in article ΙΙ were collected from medical records, in a retrospectively designed study. Burn-injured children (0–6 years old) consulting the University Hospital or the health centres (21) during 1998 and 2002 were included. Chi-squared test was used to analyse differences in nominal data and cross-tabulation was used to analyse the proportions between the characteristics of the injuries and sex, age and nationality. There were 148 burn injuries, 80% of which were scalds caused by hot liquid (71%) or hot food (29%). The majority were to boys between one and two years old. Children of foreign-born parents were more frequently affected and the extent of injuries often larger. The data collection method in article ΙΙΙ was tape-recorded interviews, analysed by content analysis, with parents of 20 children (0–6 years old) recently suffering from scalds. Parents told their perceptions about causes of the scalds. The analysis resulted in eight categories and two themes. One theme was ‘Deviation from the normal’, which could be when something unusual happened, such as a sudden visit by a friend or when a family member was tired, stressed or ill. The tiredness could be due to fever, a cold, other illnesses or mental stress. It could also be when something was broken in the kitchen and routines were changed. ‘Misjudgement of the child’s capacity’ was the other theme, which it concerned the children’s preventive capacity, rapidity and reach. It was hard for the parents to keep up with the fast development of the small children (9 months–2 years). The parents said that they often did not realise the child’s capacities until the accident occurred. Key words: accident, burns, child, compliance, intervention, prevention and scalds

Place, publisher, year, edition, pages
Malmö högskola, Hälsa och samhälle , 2005.
Series
FoU-rapport, ISSN 1650-2337 ; 1
Series
Malmö studies in Nursing Sciences ; 1
Keywords [sv]
accident, burns, child, compliance, intervention, prevention, scalds
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:mau:diva-7378Local ID: 3126OAI: oai:DiVA.org:mau-7378DiVA, id: diva2:1404294
Note

Note: The papers are not included in the fulltext online.

Paper I and II in thesis as accepted manuscripts.

Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-03-05Bibliographically approved
List of papers
1. Compliance with child accident precautions by child health nurses
Open this publication in new window or tab >>Compliance with child accident precautions by child health nurses
2006 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 2, no 10, p. 149-159Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate the extent to which parents follow advice from child health nurses about child accident prevention. The study was performed in one of the 10 districts in the city of Malmö, Sweden. Parents to 90, 10-month old children in southern Sweden participated. These parents completed a questionnaire that prompted responses related to parents' background and socio-economic factors as well as questions about any precautions they have taken to decrease hazards to children in their home. Odds ratios, confidence intervals and multiple logistic regression analysis was performed. The results indicated that lower educated parents (i.e. those with 12 years' education or less) and foreign-born parents complied with a significantly lower level. These results support the need to increase efforts in child accident prevention work. It is important for child health nurses to concentrate their efforts on foreign parents and on less educated parents. Information should be relayed regularly to these parents in a motivational way, in order to decrease risks of child accidents at home.

Place, publisher, year, edition, pages
Sage Publications, 2006
Keywords
accident, child, compliance, intervention and prevention
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-4474 (URN)10.1177/1367493506062554 (DOI)16707543 (PubMedID)2-s2.0-33746685157 (Scopus ID)7332 (Local ID)7332 (Archive number)7332 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-01-19Bibliographically approved
2. Burn injures in small children, a population-based study in Sweden
Open this publication in new window or tab >>Burn injures in small children, a population-based study in Sweden
2006 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 15, no 15, p. 129-134Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe characteristics in burn injuries in children (zero to six years old), consulting primary care and hospital-based care in Malmö, Sweden. Burn-injured children consulting the University Hospital or the 21 Health Centres, during year 1998 and year 2002, were included. Background. Epidemiological studies of burns in children have mostly been hospital-based and the cases that never reached the hospital have been excluded. Design. The study had a retroperspective design with data collected from medical records. Methods. Chi-squared test was used to analyse differences in nominal data and cross tables were used to analyse the proportions between the characteristics of the injuries and sex, age and nationality. Results. The burn-injured children were 148 and 80% of those were scalds, caused by hot liquid (71%) or hot food (29%). The greatest number was boys between one and two years old. Children to foreign born parents were more frequently affected and the extent of the injuries often larger. Almost all the accidents (96%) occurred in home environment, while a family member was next to the child. The Health Centres received more often children affected on hand/arm and by causes like hot food than the University Hospital. Conclusions. Our data demonstrate the importance of developing a programme for the prevention of paediatric scalds with education of family members to be aware of the danger. With present study the knowledge about the occurrence of injuries in scald accidents in children has become deeper. This knowledge may contribute to more individual adept child accident prevention programme, to use in the child health care.

Place, publisher, year, edition, pages
Blackwell Publishing Ldt, 2006
Keywords
burns, children, nurses, nursing, prevention, scalds
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-5540 (URN)10.1111/j.1365-2702.2006.01259.x (DOI)000234669400002 ()16422729 (PubMedID)2-s2.0-33645091260 (Scopus ID)7330 (Local ID)7330 (Archive number)7330 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
3. Parents’ perceptions of influencing factors related to scald accidents among children
Open this publication in new window or tab >>Parents’ perceptions of influencing factors related to scald accidents among children
2005 (English)Manuscript (preprint) (Other academic)
National Category
Pediatrics
Identifiers
urn:nbn:se:mau:diva-36918 (URN)
Available from: 2020-11-23 Created: 2020-11-23 Last updated: 2024-02-27Bibliographically approved

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