مجله علوم پزشکی پارس

خصوصیات اپیدمیولوژیک سوانح و جراحت‌های راکبان خودرو های دو چرخ شهرستان جهرم از سال 1389 تا 1393

نویسندگان

1 اورژانس بیمارستان پیمانیه، دانشگاه علوم پزشکی جهرم، جهرم، ایران

2 مرکز تحقیقات مولفه های اجتماعی سلامت، دانشگاه علوم پزشکی جهرم، جهرم ایران

3 مرکز تحقیقات اخلاق پزشکی، دانشگاه علوم پزشکی جهرم، جهرم، ایران

4 کارشناس ارشدمامایی،دانشگاه علوم پزشکی جهرم،جهرم،ایران

5 کارشناس ارشد مامایی،دانشگاه علوم پزشکی جهرم، جهرم، ایران

چکیده

مقدمه: افزایش سوانح رانندگی ارتقای سلامت جامعه را تهدید می‌کند. ضررهای جانی، مالی و روانی حوادث، یک اولویت بهداشت عمومی است که سرمایه‌گذاری در آن ضروری است. در این پژوهش خصوصیات اپیدمیولوژیک سوانح و جراحت‌های راکبان خودروهای دو چرخ شهرستان جهرم بررسی شد.

روش کار: این پژوهش توصیفی، تعداد 14111 سانحه مربوط به راکبان خودروهای دوچرخ به صورت سرشماری از آمارهای ثبتی اورژانس جهرم از سال 1393-1389 استخراج شد. ابزار گردآوری داده ها، چک‌لیست گزارش مراقبت اورژانس 115 بود. داده‌ها به‌وسیله آمار توصیفی و آزمون رگرسیون لجستیک با نرم‌افزار spss نسخه 14 تجزیه‌ و تحلیل شدند.

یافته ها: نتایج نشان داد که 62.7 درصد از سوانح در درون‌ شهر،  57.9 درصد از سوانح در روز و 61.4 درصد مصدومان زیر 30 سال هستند. 1.3 درصد از سوانح فوتی و بقیه جرحی بودند. شایع‌ترین تروما، ضربه به اندام‌ها (41.2 درصد) و  سر (28.9 درصد) بود. ماشین با موتورسیکلت (50.3 درصد) و واژگونی موتور (32.9 درصد) بیشترین وسیله نقلیه درگیر بودند. شانس خطر فوت راکبان در سوانح برون شهری 2.84 برابر (OR=2.84, CI95%: 2.08-3.89) سوانح درون شهری، درفصل بهار 1.6 برابر (OR=1.6, CI95%:1.024-2.61) فصل زمستان و شانس خطر فوت مردان نسبت به زنان 2.07 برابر (OR=2.07, CI95%:1.23-3.49)  گزارش شد.همچنین بالاتر بودن سن فرد از 60 سال شانس فوت را افزایش می دهد (OR=4.04, CI95%:1.92-8.48).

نتیجه‌گیری: سوانح فوتی راکبان خودروهای دو چرخ، در مردان سنین پایین، در مناطق برون شهری و در اوقات روز رخ داده است. شایع ترین تروما ضربه به اندام ها و سر بودند. از این رو، انجام مطالعات بیشتر برای اطمینان از عوامل موثر بر کاهش آسیب های سر و
اندام ها نیاز است.

کلیدواژه‌ها

عنوان مقاله [English]

The epidemiologic characteristic of accidents and injuries in Two-wheeled vehicle riders in Jahrom city from 2009-2014

نویسندگان [English]

  • Fajrieh Zahedinia 1
  • Hamidreza Dowlatkhah 2
  • Navid Kalani 3
  • Salimeh Ranjbar 4
  • Fatemeh Shakeri 5

1 Emergency Peymanieh, Jahrom University of Medical Sciences, Jahrom, Iran

2 Research center for social Determinants of Health, Jahrom University of Medical Sciences, jahrom, Iran

3 Medical Ethics Research Center, Jahrom University of Medical Sciences, Jahrom, Iran

4 MSc of Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran

5 MSc of Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran

چکیده [English]

Introduction: Increasing in traffic accidents threaten the trend of community health promotion. Physical, financial
and psychological disadvantages of accidents are public health priority that investing is essential. This study evaluated the epidemiologic characteristic of accidents and injuries in Two-wheeled vehicle rider in Jahrom city.
Materials and Methods: This descriptive study was done on data of 14,111 were two-wheeled vehicle rider crashes that were entranced from emergency registration from 2009-2014. Data were collected by a questionnaire of emergency care, 115. All statistical analyses were performed using SPSS software version 14. Data was presented by descriptive statistics and logistic regression analysis.
Results: Results showed 62.7 % of accidents were urban, 57.9 % of accidents occurred per day and 61.4 % of injured people were under 30 years old. 1.3% of the injured died and the rest were injured. The most common trauma was injury to the limbs (41.2%) and head (28.9%). Most of vehicles involved in crashes were motorcycle-cars. The risk of death in road accidents was 2.84 times higher (OR=2.48; CI95%: 2.08-3.89) than in urban areas. The risk of death in spring was 1.6 times higher than winter (OR=1.63; CI95%: 1.024-2.61). The risk of death in men reported 2.07 times higher than women (OR=2.07; CI95%: 1.23-3.49). The risk of death in the age group of 31-60 years was higher than subjects under 15
years (OR=0.36; CI95%: 0.22-0.59).
Conclusion: Accidents resulted in the death of two- wheelers were seen in lower aged men, on outside of town and
at daytime. The most common trauma was damage to limb and head. Therefore, more studies are needed to ensure that factors affecting limbs and head injuries are minimized.

کلیدواژه‌ها [English]

  • Automobile
  • injury
  • Driving
  • Motorcycle
  • Traffic accidents
  • Trauma
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مجله علوم پزشکی پارس
دوره 16، شماره 4 - شماره پیاپی 46
دی 1397
صفحه 39-47