Community intervention for the prevention of accidents in children

Humanidades Médicas 14 (2):423-441 (2014)
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Abstract

Introducción: los accidentes son de las primeras causas de muerte a nivel mundial, por lo que la prevención de los mismos es una emergencia. Objetivo: valorar la repercusión de una intervención comunitaria en la disminución de peligros potenciales de accidentes en familias con niños de 0 a 18 meses. Métodos: se realizó un estudio cuasi experimental multietápico, con enfoques cuantitativo y cualitativo, entre enero de 2009 a junio de 2012. Se trabajó con 39 familias entre las que se produjeron nacimientos en el periodo enero de 2008 a enero de 2010 de los Consultorios Médicos del Consejo Popular 26 de julio del Municipio Santo Domingo. Se efectuó una intervención por un grupo de trabajo comunitario conformado por integrantes del Círculo de interés "Prevención es Salud" y brigadistas de la Cruz Roja, liderados por la enfermera de la familia, se empleó para ello la Guía para Análisis de vulnerabilidades y capacidades de la Cruz Roja, modificada en su etapa I. Resultados: Post intervención se logró la reversión de vulnerabilidades en cuanto a capacidades, se manifestaron cambios favorables en los conocimientos y disminuyó significativamente el número de peligros potenciales en cada hogar. Conclusiones: Cuando se trabaja con familias con instrumentos sencillos y accesibles, y con el grupo de trabajo comunitario, se favorece la toma de conciencia sobre el problema en el entorno donde se generó. Introduction: accidents are one of the first causes of death worldwide, so their prevention is an urgency. Objective: assess the effect of a community intervention in the reduction of potential dangers of accidents in family with children aged from zero to 18 months. Methods: a multiage cuasi experimental study was carried out, with quantitative and qualitative approaches, from January 2009 to June 2012. The sample was taken from thirty-nine families who had children in the period ranging from January 2008 to January 2010 belonging to the family doctor´s house of the community called "26 de Julio" from Santo Domingo municipality. An intervention was carried out by a community group work composed by members of centers of interests called ¨Prevention is health¨ and members of the Red Cross led by the family nurse. It was necessary to ask a guide to analyze the vulnerabilities and capabilities of the Red Cross, modified in the first stage. Results: During the post intervention, it was possible to change the vulnerabilities in terms of capacities, favorable changes were present in the knowledge and the number of potential risks significantly decreased in each house. Conclusions: when families are approached with simple and accessible instruments, and with a community group work it is possible to make favorable changes in terms of awareness of the problem in the same place where it emerged

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