儿童青少年意外伤害健康素养的概念分析

doi:10.11852/zgetbjzz2023-0216

中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (1): 73-78.DOI: 10.11852/zgetbjzz2023-0216

儿童青少年意外伤害健康素养的概念分析

唐平¹, 孙静敏², 陆群峰³, 唐文娟³, 季涧琳⁴

1.上海市儿童医院上海交通大学医学院附属儿童医院急诊科,上海 200062;
2.上海市儿童医院上海交通大学医学院附属儿童医院门诊部;
3.上海市儿童医院上海交通大学医学院附属儿童医院护理部;
4.上海交通大学医学院护理学院

收稿日期:2023-03-08 修回日期:2023-06-14 发布日期:2024-01-04 出版日期:2024-01-10
通讯作者: 陆群峰,E-mail:luluroom2004@163.com
作者简介:唐平(1993-),女,安徽人,护师,硕士学历,主要研究方向为儿科护理学。
基金资助:
上海交通大学医学院护理科研面上项目(Jyh2218);上海市儿童医院院级课题护理专项项目(2021HLZX01)

Conceptual analysis of health literacy in children and adolescents with unintentional injury

TANG Ping¹, SUN Jingmin², LU Qunfeng³, TANG Wenjuan³, JI Jianlin⁴

1. Department of Emergency, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University,Shanghai 200062, China;
2. Department of Outpatient,Shanghai Children's Hospital,School of Medicine,Shanghai Jiao Tong University;
3. Department of Nursing,Shanghai Children's Hospital,School of Medicine, Shanghai Jiao Tong University;
4. School of Nursing,School of Medicine, Shanghai Jiao Tong University

Received:2023-03-08 Revised:2023-06-14 Online:2024-01-10 Published:2024-01-04
Contact: LU Qunfeng, E-mail: luluroom2004@163.com

摘要/Abstract

摘要： 目的通过文献回顾与分析理清儿童青少年意外伤害健康素养的概念。方法系统检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、CINAHL、PscyINFO数据库,应用Rodgers演化概念分析法对文献进行分析。结果共纳入56篇文献。儿童青少年意外伤害健康素养包括认知、情感和行为3个概念属性。其影响因素包括儿童青少年人口学因素、家庭和学校相关因素以及社会文化因素等;结果可有利于减少儿童青少年伤害事件的发生,节约家庭经济支出和社会医疗资源;现有的测评量表均包含于普通健康素养量表,尚缺乏专门的测评工具。结论儿童青少年意外伤害健康素养概念内涵丰富,并不断深入发展,未来还需从儿童青少年主体视角出发,加大对不同年龄、地区儿童青少年意外伤害健康素养特征的研究,不断完善概念内涵,并编制专门的测量工具,促进相关研究的发展。

关键词: 意外伤害, 健康素养, 概念分析, 儿童, 青少年

Abstract: Objective To clarify the concept of health literacy among children and adolescents with accidental injuries through literature review and analysis. Methods A systematic search was conducted across multiple databases, including China National Knowledge Infrastructure, Wanfang database, VIP database, China Biomedical literature database, PubMed, CINAHL, and PscyINFO database. The literature was analyzed using Rodgers' evolutionary concept analysis method. Results A total of 56 articles were included. The health literacy of children and adolescents with accidental injuries comprised three conceptual attributes:cognition, emotion and behavior. The influencing factors included children's demographic factors, family and school related factors and social related factors. The result can be beneficial to reduce the occurrence of injury events, save family economic expenditure and alleviate the burden on social medical resources. However, there is currently a lack of specific measurement tools for assessing health literacy in this population, as the existing evaluation items are drawn from general health literacy scales. Conclusions The concept of health literacy among children and adolescents with accidental injuries is multifaceted and evolving. Future research should focus on exploring the characteristics of health literacy among children and adolescents of different ages and regions from their own perspectives. Additionally, efforts should be made to refine the concept and develop specialized measurement tools to facilitate further studies in this area.

Key words: unintentional injury, health literacy, conceptual analysis, children, adolescents

中图分类号:

R179

唐平, 孙静敏, 陆群峰, 唐文娟, 季涧琳. 儿童青少年意外伤害健康素养的概念分析[J]. 中国儿童保健杂志, 2024, 32(1): 73-78.

TANG Ping, SUN Jingmin, LU Qunfeng, TANG Wenjuan, JI Jianlin. Conceptual analysis of health literacy in children and adolescents with unintentional injury[J]. Chinese Journal of Child Health Care, 2024, 32(1): 73-78.

参考文献

[1] WHO. Word Health Report [M]. Geneva: WHO, 2022. https://www.who.int/data/gho/publications/world-health-statistics
[2] 贾碧波,汪培,朱桂因,等. 儿童青少年健康素养研究现状与进展[J]. 中国学校卫生, 2023, 44(4):622-626.
Jia BB, Wang P, Zhu GY, et al. Research status and progress of health literacy for children and adolescents[J]. Chin J School Health, 2023,44(4):622-626.(in Chinese)
[3] 马佳,杨琍琦,王建青,等.儿童肥胖健康素养量表家长版的编制及评价[J].中国儿童保健杂志, 2018,26(6):615-618.
Ma J, Yang LQ, Wang JQ, et al. Development and assessment of Childhood Obesity Health Literacy Scale (parental edition)[J]. Chin J Child Health Care, 2018,26(6):615-618. (in Chinese)
[4] 胡建功, 赵莹颖, 张艳艳, 等. 学龄前儿童家长意外伤害应急处理能力及影响因素分析[J]. 中国健康教育, 2022, 38(7): 627-630.
Hu JG, Zhao YY, Zhang YY, et al. Analysis on parents' emergency response ability of accidental injury and its risk factors in preschool children[J]. Chin J Health Education, 2022, 38(7): 627-630. (in Chinese)
[5] Degeorge KC, Neltner CE, Neltner BT. Prevention of unintentional childhood injury[J]. American Family Physician, 2020, 102(7): 411-417.
[6] 余杏侠,魏捷,杨卫泽. 儿童意外伤害482例原因及特点分析[J]. 中国儿童保健杂志, 2019, 27(6):687-689, 696.
Yu XX, Wei J, Yang WZ. Analysis on causes and characteristics of unintentional injuries among children[J]. Chin J Child Health Care, 2019, 27(6):687-689, 696. (in Chinese)
[7] 李晴歌, 胡嘉乐, 郑窑文, 等. 概念分析方法及在护理研究中的应用[J]. 护理学杂志, 2018, 33(4): 100-102.
Li QG, Hu JL, Zheng YW, et al. Concept analysis and its application in nursing[J]. J Nursing Sci, 2018, 33(4): 100-102. (in Chinese)
[8] Tofthagen R, Fagerstrøm LM. Rodgers' evolutionary concept analysis:A valid method for developing knowledge in nursing science[J]. Scand J Caring Sci, 2010, 24(1): 21-31.
[9] Borse N, Sleet D. CDC childhood injury report: Patterns of unintentional injury among 0- to 19-year olds in the United States, 2000—2006[J]. Fam Community Health, 2009, 32(2):189-200.
[10] Bröder J, Okan O, Bollweg TM, et al. Child and youth health literacy: A conceptual analysis and proposed target-group-centred definition[J]. Int J Environ Res Public Health, 2019, 16(18): 3417.
[11] Nutbeam D. Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century[J]. Health Promotion Int, 2000, 15(3): 259-267.
[12] Simonds SK. Health education as social policy[J]. Health Edu Monographs, 1974, 2(1): 1-10.
[13] Li Y, Lv X, Liang J, et al. The development and progress of health literacy in China[J].Front Public Health, 2022, 10(7): 1034907.
[14] 白媛媛, 王焕倩, 昝子晴, 等. 儿童青少年健康素养评估工具的研究进展[J]. 中国健康教育, 2021, 37(9): 838-841.
Bai YY, Wang HQ, Jiu ZQ, et al. Review of health literacy and its evaluation methods for children and adolescents[J]. Chin J Health Education, 2021, 37(9): 838-841. (in Chinese)
[15] 江洁, 杨金侠. 健康素养内涵模型探讨[J]. 中国卫生事业管理, 2011, 28(9): 646-648.
Jiang J, Yang JX. Discussion of connotation model of health literacy[J]. Chin Health Service Management, 2011, 28(9): 646-648. (in Chinese)
[16] 张佳媛, 秦仕达, 周郁秋. 青少年心理健康素养研究进展[J]. 中国健康心理学杂志, 2022, 30(9): 1412-1418.
Zhang JY, Qing SD, Zhou YQ. Research progress of adolescent mental health literacy[J]. Chin J Health Psychology, 2022, 30(9): 1412-1418. (in Chinese)
[17] 刘晓雯, 秦文哲, 徐凌忠, 等. 泰安市居民电子健康素养与抑郁症状的关系[J]. 中国心理卫生杂志, 2022, 36(5): 427-432.
Liu XW, Qin WZ, Xu LZ, et al. Relationship between eHealth literacy and depressive symptoms in residents in Tai'an City[J]. Chin Mental Health J, 2022, 36(5): 427-432. (in Chinese)
[18] Selva PL, Ramos PA, Mercadé MP, et al. Evolution of scientific production on health literacy and health education: A bibliometric analysis[J]. Int J Environ Res Public Health, 2022, 19(7): 4356.
[19] 核心素养研究课题组. 中国学生发展核心素养[J]. 中国教育学刊, 2016(10):1-3.
Core Literacy Research Group. Chinese students develop core qualities[J]. J Chin Society Education, 2016(10):1-3. (in Chinese)
[20] Cornish K, Fox G, Fyfe T, et al. Understanding physical literacy in the context of health: a rapid scoping review[J]. BMC Public Health, 2020, 20(1): 1569.
[21] Miyahara M. Physical literacy as a framework of assessment and intervention for children and youth with developmental coordination disorder: A narrative critical review of conventional practice and proposal for future directions[J]. Int J Enviro Res Public Health, 2020, 17(12): 4313.
[22] 贾绪计,徐文娟,王庆瑾,等. 学生核心素养框架下中学生健康素养的测量、发展特点与群体类型[J]. 北京师范大学学报(社会科学版), 2022(5):10-18.
Jia XJ, Xu WJ, Wang QJ, et al. Themeasurement, development characteristics and group types of secondary school students' health literacy in the framework of core competency[J]. J Beijing Normal University(Social Science), 2022(5):10-18. (in Chinese)
[23] Wu AD, Begoray DL, Macdonald M, et al. Developing and evaluating a relevant and feasible instrument for measuring health literacy of Canadian high school students[J]. Health Promot Int, 2010, 25(4): 444-452.
[24] Luam G, Bridget K, Arier L, et al. Risk factors of unintentional injury among children in New Zealand:A systematic review[J]. Aust N Z J Public Health,2021,45(4):403-410.
[25] Jenkins CL, Sykes S, Wills J. Public libraries as supportive environments for children's development of critical health literacy[J]. Int J Environ Res Public Health, 2022, 19(19): 11896.
[26] Subramaniam M, Jean B, Taylor NG, et al. Bit by bit: Using design-based research to improve the health literacy of adolescents[J]. JMIR Res Protoc, 2015, 4(2): 62.
[27] Evans I. Safer children, healthier lives: Reducing the burden of serious accidents to children[J]. Paediatr Child Health, 2022, 32(8): 302-306.
[28] Paakkari L, Paakkari O. Health literacy as a learning outcome in schools[J]. Health Educ, 2012, 112(2): 133-152.
[29] Miyahara M. Physical literacy as a framework of assessment and intervention for children and youth with developmental coordination disorder: A narrative critical review of conventional practice and proposal for future directions[J]. Int J Environ Res Public Health, 2020, 17(12): 4313.
[30] Chen Z, Li J, Liu J, et al. Adverse childhood experiences, recent negative life events, and non-suicidal self-injury among Chinese college students: The protective role of self-efficacy[J]. Child Adolesc Psychiatry Ment Health, 2022, 16: 97.
[31] 张银玲, 袁名泽, 姚云贵. 广西防城港边境旅游试验区儿童青少年健康素养状况及影响因素研究[J]. 现代预防医学, 2020, 47(2): 256-259, 266.
Zhang YL, Yuan MZ, Yao YG. Study on the status of children's and adolescents' health literacy and its influencing factors in Fangchenggang border tourism experimental area of Guangxi[J]. Modern Preventive Medicine, 2020, 47(2): 256-259, 266. (in Chinese)
[32] 张诗晨, 杨蓉, 万宇辉, 等. 中国六座城市中学生健康素养与意外伤害发生的关系[J]. 中国学校卫生, 2018, 39(2): 185-188, 192.
Zhang SS, Yang R, Wan YH, et al. Association of health literacy and unintentional injurious among Chinese middle school students in six cities[J]. Chin J School Health, 2018, 39(2): 185-188, 192. (in Chinese)
[33] 汪娜, 任洪福, 陈旭鹏, 等. 南京市中小学生健康素养水平及影响因素分析[J].中国公共卫生, 2021,37(6): 926-929.
Wang N, Ren HF, Cheng XP, et al. Health literacy and its influencing factors among primary and high school students in Nanjing city, China[J]. Chin J Public Health, 2021,37(6): 926-929. (in Chinese)
[34] 李亚君, 范正, 孙桐, 等. 山东省小学生健康素养现状及影响因素分析[J]中国学校卫生, 2019,40(3): 378-380,383.
Li YJ, Fan Z, Sun T, et al. Health literacy and associated factors among primary school students in Shandong province[J]. Chin J School Health, 2019,40(3): 378-380,383. (in Chinese)
[35] Mahboob A, Richmond SA, Harkins JP, et al. Childhood unintentional injury: The impact of family income, education level, occupation status, and other measures of socioeconomic status: A systematic review[J]. Paediatr Child Health, 2021, 26(1): 39-45.
[36] Schillinger D. The intersections between social determinants of health, health literacy, and health disparities[J]. Stud Health Technol Inform, 2020, 269(25): 22-41.
[37] Giroir BP. Healthy People 2030: A call to action to lead America to healthier lives[J]. J Public Health Manag Pract, 2021, 27(6): 222-224.
[38] 新华网. 《“健康中国2030”规划纲要》发布(附全文)[EB/OL].(2016-10-25)[2023-11-20].http://news.xinhuanet.com/health/2016-10/25c_1119786029.htm.
Xinhua Network. Release of the "Healthy China 2030" Plan Outline (with full text attached)[EB/OL].(2016-10-25)[2023-11-20].http://news.xinhuanet.com/health/2016-10/25c_1119786029.htm.
[39] 董泽松, 祁慧, 刘传星, 等. 西部4省(区)民族地区留守儿童健康素养与意外伤害的关系[J].中国健康教育, 2019,35(5): 414-417.
Dong ZS, Qi H, Liu CX, et al. Association of health literacy and unintentional injurious among left-behind children in ethnic minority areas in 4 western provinces[J]. Chin J Health Education, 2019,35(5): 414-417. (in Chinese)
[40] Guo S, Yu X, Davis E, et al. Health Literacy: An interactive outcome among secondary students in Beijing[J]. Health Lit Res Pract, 2021, 5(1): 1-14.
[41] 郝秀奇, 代涛. 中国基于学校儿童青少年意外伤害综合干预效果的meta分析[J]. 中国学校卫生, 2018, 39(8): 1206-1209,1212.
Hao XQ, Dai T. Meta-regression analysis of the effect of school-based unintentional injury prevention programs for children and adolescents in China[J]. Chin J School Health, 2018, 39(8): 1206-1209,1212. (in Chinese)
[42] Davis TC, Wolf MS, Arnold CL, et al. Development and validation of the rapid estimate of adolescent literacy in medicine:A tool to screen adolescents for below-grade reading in health care settings[J]. Pediatrics, 2006, 118(6): 1707-1714.
[43] 余小鸣, 张芯, 郭帅军, 等. 构建中小学生健康素养评价体系及工具的探索性研究[J]. 中国健康教育, 2017, 33(7): 581-586.
Yu XM, Zhang R, Guo SJ, et al. Development of framework and instrument for assessing health literacy of school students[J]. Chin J Health Education, 2017, 33(7): 581-586. (in Chinese)
[44] 魏保建. 青少年健康素养工具的开发及其影响因素分析[D]. 延边:延边大学, 2015.
Wei BJ. Development of adolescent health literacy tools and analysis of influencing factors[D]. Yanbian:Yanbian University, 2015.(in Chinese)

儿童青少年意外伤害健康素养的概念分析

Conceptual analysis of health literacy in children and adolescents with unintentional injury

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	梁雁, 罗小平. 遗传代谢病的治疗进展[J]. 中国儿童保健杂志, 2024, 32(9): 929-933.
[2]	王雯雷, 张俊, 厚磊, 张荣, 夏木斯叶·木依都力, 董言, 者炜, 沙吾拉西·热加甫, 方萍, 阿迪拉·苏力旦. 新疆7～17岁儿童青少年超重肥胖和血压关系的关联研究[J]. 中国儿童保健杂志, 2024, 32(9): 953-957.
[3]	林崟, 刘军霞, 张林, 颜崇淮. 上海市0~6岁儿童血砷水平与体格生长的关系[J]. 中国儿童保健杂志, 2024, 32(9): 969-973.
[4]	王爱, 周冰倩, 于健, 曹虹. 儿童青少年骨健康的评估及其影响因素[J]. 中国儿童保健杂志, 2024, 32(9): 980-983.
[5]	夏嘉苓, 官计, 方悦, 黄迎春, 刘颖, 李凡, 吉木尔呷木. 儿童家庭饮食环境的研究进展[J]. 中国儿童保健杂志, 2024, 32(9): 984-988.
[6]	孙艳会, 李杨方. 儿童语言发育迟缓临床特征及诊治研究进展[J]. 中国儿童保健杂志, 2024, 32(9): 999-1003.
[7]	谢婷婷, 裴梓贻, 张悦. 音乐疗法在儿童康复中的应用研究进展[J]. 中国儿童保健杂志, 2024, 32(9): 1004-1007.
[8]	陈秀锦, 蒋晓兰, 陈红夷, 王琪, 陈俊霖. 0～6岁儿童维生素D水平的影响因素及其与维生素K1和K2的相关性分析[J]. 中国儿童保健杂志, 2024, 32(9): 1014-1018.
[9]	张霆. 儿童早期发育的表观遗传运动调控机制的认识进展[J]. 中国儿童保健杂志, 2024, 32(8): 821-825.
[10]	鹿文英, 柏品清, 徐划萍, 任亚萍, 胡卉, 解辉. 运动及行为干预改善儿童超重和肥胖效果评价[J]. 中国儿童保健杂志, 2024, 32(8): 832-837.
[11]	苏比努尔·沙依提, 高雯颖, 郭心宇, 任姿锦, 李蕴伶, 张莹. 喀什地区维吾尔族学龄期哮喘儿童的运动状况及影响因素[J]. 中国儿童保健杂志, 2024, 32(8): 838-843.
[12]	程轲, 王宝西, 王春晖, 宋丽佳, 习颖, 郭薇, 杨茜, 兰莉. 5~14岁儿童青少年体成分与骨密度的关联[J]. 中国儿童保健杂志, 2024, 32(8): 844-849.
[13]	张旭彤, 李娜, 吴娟娟, 陈欣月, 赵南洋, 陈黎明, 戴泰鸣. 贵州省12岁儿童口腔健康相关生活质量及影响因素[J]. 中国儿童保健杂志, 2024, 32(8): 862-867.
[14]	任庆新, 安娜, 黄建萍, 陈睿, 张卫兵, 吴越. 南通市中小学生脊柱侧弯现状及影响因素[J]. 中国儿童保健杂志, 2024, 32(8): 868-874.
[15]	陈瑜洁, 李晓南. 行为干预在儿童肥胖管理中的应用进展[J]. 中国儿童保健杂志, 2024, 32(8): 875-880.