Development of Index System for Assessing Parent's Ability on Child Injury Prevention by Delphi consultation
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摘要:
目的 探索构建儿童伤害预防家庭监护评估能力指标并确定指标权重，为针对家长进行儿童伤害干预提供依据。 方法 邀请中国24位伤害预防、儿童保健等领域专家参与德尔菲专家咨询，根据咨询结果筛选并确定最终指标体系，采用层次分析法确定一、二级指标权重。 结果 最终构建的评估指标体系由0，1~2，3~5，6~11和12~17岁5个分量表构成，每个分量表都包括4个一级指标和11个二级指标。层次分析法得到一级指标权重：“环境”为0.28，“产品”为0.16，“行为与技能”为0.31，“心理”为0.25。“环境”“产品”和“行为与技能”对应二级指标中权重最高的均是“水域”；“心理”对应的5个二级指标权重排前3位的是“家庭氛围”“教养方式”和“情绪管理”，权重都在0.2以上。 结论 经专家咨询构建的儿童伤害预防家庭监护能力评估指标体系内容完整，且家长的监护行为与技能是伤害预防监护的评估重点。 Abstract:Objective To construct and determine the weight of Index System for Assessing Parent's Ability on Child Injury Prevention, and to provide the basis for childhood injury intervention in family. Methods Twenty-four experts majored in related fields were invited to participate in Delphi consultation. The final index system was constructed according to the consulting results and the weight of primary and secondary indicators were calculated. Results The final index system consisted of 5 subscales corresponding to 5 age groups: 0, 1-2, 3-5, 6-11 and 12-17 years old. Each scale included 4 primary indicators and 11 secondary indicators. The weight of primary indicators obtained by analytic hierarchy process is 0.28 for "environment", 0.16 for "product", 0.31 for "behaviors and skills", and 0.25 for "psychology". The highest weight of secondary indicators for "environment", "product" and "behaviors and skills" was "water area", while the top secondary indicators for "psychology" included "parental style""emotional control" "family atmosphere", with all indicators weighted higher than 0.2. Conclusion The Index System for Assessing Parent's Ability on Child Injury Prevention by Delphi consultation is comprehensive in content, and with the focus on parental behaviors and skills on injury prevention. 1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 儿童伤害家庭监护能力评估指标体系一二级指标重要性评分均数标准差和变异系数
Table 1. Importance scores' mean, standard deviation and coefficient of variation for primary and secondary indicators
一级指标 二级指标 均值 标准差 变异系数 环境 4.92 0.28 0.06 出行 4.96 0.20 0.04 水域 4.87 0.32 0.06 居家 4.88 0.45 0.09 产品 4.42 0.65 0.15 出行 4.96 0.20 0.04 水域 4.88 0.34 0.07 居家 4.88 0.45 0.09 游戏和运动 4.88 0.34 0.07 行为与技能 5.00 0.00 0.00 出行 4.96 0.20 0.04 水域 4.88 0.28 0.06 居家 4.88 0.45 0.09 游戏和运动 4.88 0.34 0.07 动物 4.88 0.45 0.09 急救 4.92 0.28 0.06 心理 4.75 0.53 0.11 回应性照护 4.50 0.65 0.14 情绪管理 4.63 0.63 0.14 家庭氛围 4.63 0.64 0.14 教养方式 4.63 0.49 0.11 人际关系 4.46 0.71 0.16 
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表 2 儿童伤害家庭监护能力评估指标体系一、二级指标权重
Table 2. The weights of primary and secondary indicators of index system on assessing parent's ability on child injury prevention
一级指标 二级指标 权重 环境 0.28 出行 0.34 水域 0.34 居家 0.32 产品 0.16 出行 0.26 水域 0.26 居家 0.24 游戏和运动 0.24 行为与技能 0.31 出行 0.17 水域 0.17 居家 0.16 游戏和运动 0.16 动物 0.16 急救 0.17 心理 0.25 回应性照护 0.19 情绪管理 0.21 家庭氛围 0.22 教养方式 0.22 人际关系 0.17
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