一、前言..........................................................................1
二、儿童跌倒的流行状况..............................................2
三、儿童跌倒的危险因素............. ................................3
(一)儿童自身相关因素................... . ..............................4
1. 生长发育程度...........................................................4
2. 认知发育程度...........................................................4
3. 冒险行为......................... ................... ................ ....5
4. 同伴影响.............................................................. ....5
5. 性别....... .................... ..............................................5
6. 缺乏成年人的看管....................................................6
7. 其他因素............................................................... ...6
(二)致伤因素......................................... ................... .......6
1. 消费者产品...............................................................6
2. 娱乐场所..................... ........................................ ....7
3. 其他因素... ......................................................... .....7
(三)环境因素... ...................... ..........................................7
1. 物理环境....................... ......... ..................................7
2. 社会经济环境............................ …….......................8
(四)治疗和康复因素.................................................... ....8
1. 院前因素............................................................... ....8
2. 医院救护因素........................................................... 9
3. 康复治疗因素............................................................9
四、伤害相关信息的收集和利用...... ............... .......... ..9
(一)可以利用的信息..........................................................9
(二)卫生部门能够开展的工作................... ....................10
1. 信息收集 ......................................................... . .....10
2. 信息的利用......................................................... .....10
五、儿童跌倒干预策略和措施..................... ..................11
(一)干预流程............................................................ ... .....11
1. 现状评估.............................................................. .....11
2. 确定危险因素............................................................12
3. 制定和评估干预措施.................................................12
4. 组织实施.....................................................................13
(二)干预策略和措施...........................................................13
1. 工程策略和措施........................................... .............14
2. 环境策略和措施.........................................................16
3. 法律和法规策略及措施................................... ..........22
4. 教育策略和措施.........................................................22
5. 治疗、康复策略和措施....................................... ......24
6. 综合策略和措施..................................................... ....25
7. 评估..... ........................................................................26
六、政策措施与组织实施............................................. ....31
(一)多部门合作的基础.................................................... ...31
1. 提高自身能力,拓展工作局面 ,为开展多部门合作奠定基础.........32
2. 明确合作目标，选择合作伙伴................ .... . ... ........32
3. 积极主动，把握时机，推动合作进程................... ....32
(二)多部门合作的形式..................................................... ....33
1. 信息收集和利用........................................................ ....33
2. 实施跌倒干预项目...................................................... ..34
3. 科学研究和政策建议................................. ...................34
(三)跌倒预防工作相关部门.............................................. ...34
七、术语表.......................................... .…………..... ..... .....39
八、附录.......................................... ........................ . ..... .....42
附录1 医院伤害监测调查表..............................................42
附录2 学龄前儿童伤害监测调查表..................................43
附录3 学校伤害监测调查表..............................................44
九、参考文献..........................................................................45
十、致谢..................................................................................47
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