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More than 20,000 children injured in shopping cart-related injuries last year
(COLUMBUS, Ohio) -- More than 20,000 children were treated in United States hospital emergency departments in 2005 for shopping cart-related injuries. According to a study published in the August issue of Pediatrics and conducted by Gary Smith, MD, DrPH, director of the Center for Injury Research and Policy (CIRP) in the Columbus Children's Research Institute at Columbus Children's Hospital, it was found that an in-store safety intervention successfully increased the use of child safety-restraints in shopping carts.
This study looked at the effectiveness of an in-store intervention to increase the use of shopping cart restraints for children five years of age and younger. The in-store intervention consisted of greeters at the store entrance who encouraged the use of appropriate shopping cart restraints, plus a cash incentive coupon. Three stores served as intervention sites, and four stores were non-intervention sites. Trained study personnel conducted the observations unobtrusively in all seven stores, recording the status of shopping cart restraint use as caregivers approached the store checkout areas.
The increase in safety-restraint use in shopping carts was greater in the intervention stores than in the control group of stores. In the intervention stores, the percentage of correct restraint use increased from 15% before the intervention to 49% after.
"The good news is that we were able to significantly increase restraint use by young children in shopping carts with a modest in-store intervention," said Smith, the study author and a faculty member of The Ohio State University College of Medicine. "However, one-half of the children still remained unrestrained or incorrectly restrained despite our efforts."
"Use of child restraints in shopping carts is only part of the solution to the problem of shopping cart-related injuries to children," said Smith. "Shopping cart redesign to prevent falls and tipovers passively (or automatically), such as seating children close to the floor in a cart, offers the best protection against these injuries, because it obviates the need for frequent human action and vigilance. Unfortunately, the current safety standard for shopping carts in the U.S. does not adequately address the performance of cart restraint systems and does not address tipovers at all. This safety standard must be strengthened to effectively prevent these injuries."
Four percent of the 20,700 U.S. children, who received treatment for a shopping cart-related injury in a hospital emergency department in 2005, required hospital admission. Fractures were the most common (45%) diagnosis of those hospitalized. Head and neck injuries accounted for 79% of the injuries requiring emergency treatment. Deaths have been reported from falls from shopping carts and cart tipovers. 认领了
上次只翻译了一半，这两天有事外出，不方便，现在才交货，对不起了！ 研究发现安全干预措施能提高购物车儿童安全约束系统的使用
去年，有2万多儿童发生了与购物车相关的损伤
(哥伦布,俄亥俄州)--在2005年，有超过2万的儿童因为购物车相关的损伤而在美国各医院急诊部接受治疗。发表在8月份的一期《儿科学》上的研究发现，商店内的安全性干预措施成功地使购物车上的儿童安全约束系统的使用率升高。这个研究由哥伦布儿童医院的哥伦布儿童研究所的损伤研究及对策中心的主任Gary Smith MD（医学博士）, DrPH（公共卫生学博士）实施的。
这个研究主要是关注商店内的干预措施对提高5岁及5岁以下儿童购物车约束系统的使用的效果。
商店内干预措施包括在商店入口处的迎宾人员鼓励（顾客）使用适当的购物车约束系统，并附赠一张现金奖励券。三个商店作为干预点，四个商店作为非干预点。在所有的七个商店中，训练过的工作人员在商店付款区附近作为护理人员进行观察但不进行干预，记录下购物车约束系统的使用情况。
有干预的商店中的购物车安全约束系统的使用要比对照商店要多。有干预的商店中正确使用约束系统的比例由干预前的15％上升到49％。
“好消息是我们能够通过适当的商店内干预措施明显地提高购物车内的幼儿使用约束系统的比例。”此研究的作者，俄亥俄州立大学医学院的老师Smith说。“但是虽然经过我们的努力，仍有一半的儿童没有使用或没有正确的使用约束系统。”
“在购物车上使用儿童约束系统只是儿童购物车相关损伤问题的解决办法的一部分，”Smith说。“为防止被动（或自动）跌落及翻到而特别设计的购物车为防止这种损伤提供了最好的方法，如，让坐在购物车内的儿童接近地面，因为这样就不再需要人们时时担心和照顾。
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作者:admin@医学,生命科学 2011-02-12 05:14
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