预防儿童溺水的基本游泳或水上安全技能培训:更新的系统审查
Yana Criel1, Pieter Severijns1,2, Hans Scheers1,2
1Centre for Evidence-Based Practice, Belgian Red Cross-Flanders, Mechelen, Belgium.
Frontiers in public health
|December 29, 2025
概括
儿童溺水是一个全球性问题. 游泳和水上安全培训可以减少溺水死亡和提高技能,强调早期干预计划的必要性.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 伤害预防 预防伤害
背景情况:
- 儿童溺水是全球无意伤害死亡的主要原因.
- 世界卫生组织 (WHO) 建议为儿童提供基本的游泳和水安全训练.
- 之前的系统性审查表明证据的确定性较低,该领域的研究缺陷.
研究的目的:
- 更新关于儿童游泳技能和水上安全培训有效性的证据.
- 为预防溺水提供公共卫生策略和干预措施的信息.
主要方法:
- 进行了对受控实验和观察研究的系统审查.
- 搜索包括五个科学数据库和两个临床试验注册表.
- 研究集中在18岁以下的儿童身上,评估溺水死亡率/发病率和水安全技能,知识和行为.
- 用GRADE方法评估证据的确定性.
主要成果:
- 包括33项研究 (21项来自之前的审查,12项新研究).
- 干预措施包括基本的游泳技能,水上安全培训或组合方法.
- 在不同研究中,证据的确定性从高到非常低不等.
结论:
- 游泳训练可以降低溺水死亡率,并提高儿童的水上安全技能.
- 水安全培训有效地提高了与水有关的知识和行为,可能减少溺水死亡.
- 从小培养游泳和水上安全技能对于公共卫生战略和高风险社区至关重要.
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