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Int. J. Life. Sci. Scienti. Res., 3(3): 992-994 MAY 2017
Copyright © 2015-2017| IJLSSR by Society for Scientific Research is under a CC BY-NC 4.0 International License Page 992
A Study to Assess Mothers Knowledge and
their Practices in Prevention of Home
Accidents among Toddler
Pravin R. Gholap*
Department of Mental Health Nursing, Ganpatrao Adke College of Nursing, Sunflower Compound, Dwarka Circle,
Nashik, M.S, India
*
Address for Correspondence: Dr. Pravin R. Gholap, Associate Professor, Department of Mental Health Nursing,
Ganpatrao Adke College of Nursing, Sunflower Compound, Dwarka Circle, Nashik, M.S, India
Received: 21 February 2017/Revised: 04 March 2017/Accepted: 10 April 2017
ABSTRACT- Accident injuries are most common cause of death in children over the age of one. Every year millions of
children are permanently disable or disfigured because of accident. The largest number of accident happen in the living or
dining room but the most serious accident happens in the kitchen and on the stair. Major home accidents are attributed to
careless of parents and poor maintenance. The unintentional injuries in the home result from falls, burns, poisoning,
accidental shooting and suffocation and sharp knives. Objective of study assess the knowledge of mother on their
practices regarding prevention of home accidents among toddler with demographic variables. Demographic variable
showed 45.6% mother wear in the age group of 26-30 years, 62.2% of them belongs to Hindu religion, 55.6% belongs to
joint family, 82.2% had only one toddler in family, 82.2% were housewives, 75.6% were living in pukka house, 55.6% got
knowledge about prevention of home accident through mass media. E.g. T.V, and radio.
Key-words- Child accident, Toddler, Mothers knowledge, Demographic variables
INTRODUCTION
Home accidents are one of the leading causes of death.
“Home accident” is accident which takes place in the
home or in it’s immediately surroundings
1
.
“Prevention is better than cure”
Accidents are one of the five leading cause of death in
developing countries yearly. 10% of children suffer for
accident for which it is necessary to contact the health
services. Home accidents are more in rural area than the
urban area and these home accidents depend on living
conditions of mother’s educational status, age of mothers,
number of child in for family, and the surrounding
environment both indoor and outdoor etc1
.
Accidents are main cause of death among the children aged
between one to five years old. Increase the number of
accident rate because of explorative nature of children so it
is important to know the preventive aspects. Study was
conducted on knowledge of mother regarding prevention of
less than five accidents.
Access this article online
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www.ijlssr.com
DOI: 10.21276/ijlssr.2017.3.3.5
Descriptive method was used with simple random sampling
technique. The result of the study shows that 6% of
mothers have poor knowledge, 78% with average
knowledge and 16% with good knowledge
2
.
Safety measure is important aspect of child care to
minimize the accidental hazards. Children are by nature
accident prone. They are curious, investigative, impatient
and less careful to listen warning. Accident injuries are
leading cause of hospitalization, disability and death of
children. It is expensive aspect of community health.
Greatest numbers of accidental injuries occur in 2-3 years
and 5-6 years of age
3
.
This Study was done by department of public health, Dr.
Stevens’ hospital and Dublin on investigated childhood
accident in the home by randomly surveying children
presenting to a Dublin accident and emergency department
revealed that among 174 children accident, 66% of the
survey were under five. So the accident prevention requires
three prolonged approach that is environmental changes
enforcement of legislation and educational measures
4
.
Children are vulnerable to musculoskeletal injuries both at
home and on the street for various reasons. Morbidity and
disabilities resulting from these, mostly preventable,
injuries, make them a burden to their families and society.
The role of various factors associated with injuries is often
not documented. This prospective study, done on 100
children aged up to 12 years with musculoskeletal trauma,
ARTICLERESEARCH
Int. J. Life. Sci. Scienti. Res. MAY 2017
Copyright © 2015-2017| IJLSSR by Society for Scientific Research is under a CC BY-NC 4.0 International License Page 993
analyzed in details, the various modes of injuries. One in
every five patient was a child below 12 years of age. Boys
were injured more than girls. Injuries, especially fractures,
were most common in the extremities, the upper limb more
commonly injured than the lower limb. Most of the injuries
occurred at home. The most common mode of injuries was
falls that happened while playing both within and outside
the home, followed by road traffic accidents. Most injuries
occurred during day time5
.
The study showed that 38.93% of the accidents occurred in
the children belonging to the age group 49-60 months. This
is analogous to the findings of a study done in the field
practice area of the PGIMER, Chandigarh in which
maximum number of accidents occurred in the age group of
25-36 months6
.
The child is the most precious possession of mankind, most
loved and perfect in its innocence. Children are to be cared
and protected from environmental hazards. Accidents do
not just happen; they are the result of thoughtfulness,
carelessness, neglect and momentary lack of concentration.
The most common type of injuries occur from motor
vehicle crashes and bicycle crashes which are seen in
children below age group of 127
.
An accidental hanging child although uncommon has been
reported worldwide. We report a case of a toddler, who was
brought to our hospital with an alleged history of hanging
with his head trapped in-between the railings of a balcony.
He became unconscious and developed seizures secondary
to asphyxial injury and survived. Hanging is an important
cause of homicidal and suicidal injury in adults, but in
children, it is usually accidental, leading to death because
of asphyxia as a result of partial or complete hanging.
There is paucity of data in Indian literature regarding
accidental hanging injuries in children. According to
available data from western countries, strangulation ranks
fourth among the causes of unintentional injury in children
younger than 1 year after roadside accidents, drowning, and
burns
8
.
Many unintentional injuries to young children occur in the
home. The study examines the relation between family
socioeconomic and sociodemographic factors and risk
factors for home injury. Presence of household hazards was
examined in 80 families with toddler- aged children.
Parental ability to identify household hazards in pictures
was also assessed. ANOVAs and Pearson product-moment
correlations examined the relationship between presence of
household hazards, knowledge to identify hazards, and
factors of yearly family income, parental age, parental
education, parental marital status, child ethnicity, and the
number of children living in the home. A greater number of
hazards were found in the homes of both the lowest and
highest income families, but poorer knowledge to identify
household hazards was found only among parents of the
lowest income families and younger parents. Across family
socioeconomic status, parent knowledge of hazards was
related to observe household hazards
9
.
India has one of the highest road traffic accidents in the
world. Burn injuries are second only to motor vehicle
accidents as the course of accidental death in children 1-4
yr of age. Most accidents occur in the age group of 2-5 yr,
mostly in boys
10
.
Study was done on 3500 subjects by using simple random
sampling technique. The study was conducted in rural field
practice area of a medical college in South India between
Jan to Dec 2010. Information regarding domestic accidents
was gathered by interviewing the head of the family or the
adult informant by using pretested and pre structured
questionnaire. Total 330 domestic accidents were found in
our study. 210 domestic accidents were due to falls, 225
accidents were seen in female, 217 subjects with accidents
were illiterates 49.7% of accidents took place in the
courtyard, 56.8% of accidents took place while playing or
doing domestic work and 39.2% of accidents took place in
the afternoon
11
METHODOLOGY
The samples for this study were 90 mothers, who having
children between 1-3 year of 51 residencies in selected
urban community of Nashik, India. The house to house
survey was done and found the mother of toddler in Indira
nagar and Rane nagar. The sample was selected by using
simple random technique. The sample obtain are 50 in
Indira nagar, 40 in Rane nagar. Data are collected from the
mothers who are able to understand Hindi or Marathi or
English.
RESULTS AND DISCUSSION
Table 1: Distribution of mothers according to
demographic variables
SI.
No.
Demographic Variables Number
(90)
Percentage
1. Type of family
a. Nuclear
b. Joint
40
50
44.4
55.6
2. Size of the family
a. < 4
b. 5-7
c. 8-10
d. > 10
25
29
34
02
27.8
32.2
37.8
2.2
3. Number of toddlers in
family
a. One
b. Two
c. ≥ Three
74
15
01
82.2
16.7
1.1
4. Type of house
a. Pucca
b. Semi Pucca
68
22
75.6
24.4
5. Source of knowledge
a. News and
Magazine
b. TV and Radio
c. Witnessed home
accident
16
50
24
17.8
55.6
26.4
Int. J. Life. Sci. Scienti. Res. MAY 2017
Copyright © 2015-2017| IJLSSR by Society for Scientific Research is under a CC BY-NC 4.0 International License Page 994
Table 1 represents that majority 50(55.6%) belongs to joint
and remaining 40(44.4%) family belongs to nuclear. In
relation to size of family 34 (37.8%) belongs to 8-10
members, 29 (32.2%) belong to 5-7 members, 25(27.8%)
belongs to less than four members and 2(2.2%) belongs to
more than 10 members in family. In relation to number of
toddlers in the family majority 74(82.2%) belongs to one
toddler, 15(16.7%) families have two toddlers and
remaining 1(1.1%) belongs to three or more the three
toddlers in Family. Similarly in relation to type of house
majority 68(75.6%) were Pukka whereas, 22(24.4%) were
semi Pukka houses.
In view of source of knowledge 50 (55.6%) mothers
obtained knowledge from T.V. and Radio, 24 (26.4%) by
witnessed home accidents and remaining 16(17.8%)
obtained the knowledge from news and Magazines.
CONCLUSIONS
The present study assesses the knowledge of mothers
residing in urban community, about their practices in
prevention of home accident among toddlers. The result
revealed that was significant association between
knowledge with demographic variables of those mothers of
children. The present study shown that majority 60(66.7%)
of the urban mother of toddler have adequate knowledge on
practice and 30 (33.3%) mother have moderately adequate
knowledge on practices and nobody have inadequate
knowledge on practice in prevention of home accident
among toddler. The mean for over all knowledge on
practice of mother of toddler was 23.46 (S.D= 2.57). The
highest mean knowledge on practice for burns and scalds
3.82(SD= 1.02) and lowest mean for foreign body
aspiration 1.60 (SD= 0.63). There was significant
association between knowledge with selected demographic
variables such as age, religions, type of family, number of
toddler, size of family, educational status of mother,
occupation of mother income of family and type of house
etc.
REFERENCES
[1] Dorothy M, Barbara A. Text Book of Pediatric Nursing, 6th
ed. New Delhi WB Saunders; 588-906.
[2] Suchitra BS, Knowledge of mother regarding prevention of
under five accidents, Journal of International academic
research for multidisciplinary,2015, 2:12.
[3] Parul D. Pediatric Nursing, second edition, Jaypee brothers
medical Publication, New Delhi; 2009: 134-136.
[4] Laffoy M. Childhood accident at home, Irish medical
journal, 1997; 90(1):26-7.
[5] Sural S, Verma A. The clinical profile of musculoskeletal
injuries in children attending a major hospital in Delhi, India,
Journal of clinical orthopedic and trauma,6 -2015, 12-18.
[6] Anita N, Vijya N. Profile of accidents in children less than
five years of age belonging to a rural community in Belgaum
district. Indian Journal of community medicine. 2007; 32(2):
133-134.
[7] Bini V, Hemavatthy V. Effectiveness on prevention of road
traffic accidents among school going children. International
journal of innovative research in science, engineering and
technology.2015; 4(1): 18592-18595.
[8] Muthukrishnan L, Raman R, Nagaraju K. An unusual cause
of accidental hanging in children, Pediatric emergency care,
2012, 924-925.
[9] Mayes S, Roberts MC, Stough CO. Risk of household
hazard: Socioeconomic and socio demographic factor,
Journal of safety measures, 2014: 87-92.
[10]OP Ghai, Essential Pediatrics, seven edition, CBS
Publication, 2010:682-685.
[11]Sudhir, Deepa K, Ashok N C, Madhuri D. Prevalence of
Domestic Accidents in Rural India: A Cross Sectional study,
Scholars Journal of Applied Medical Sciences, 2014;
2:657-659.
International Journal of Life-Sciences Scientific Research (IJLSSR)
Open Access Policy
Authors/Contributors are responsible for originality, contents, correct
references, and ethical issues.
IJLSSR publishes all articles under Creative Commons
Attribution- Non-Commercial 4.0 International License (CC BY-NC).
https://creativecommons.org/licenses/by-nc/4.0/legalcode
How to cite this article:
Gholap PR: A Study to Assess Mothers Knowledge and Their Practices in Prevention of Home Accidents among Toddler.
Int. J. Life. Sci. Scienti. Res., 2017; 3(3): 992-994. DOI:10.21276/ijlssr.2017.3.3.5
Source of Financial Support: Nil, Conflict of interest: Nil

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A Study to Assess Mothers Knowledge and their Practices in Prevention of Home Accidents among Toddler

  • 1. Int. J. Life. Sci. Scienti. Res., 3(3): 992-994 MAY 2017 Copyright © 2015-2017| IJLSSR by Society for Scientific Research is under a CC BY-NC 4.0 International License Page 992 A Study to Assess Mothers Knowledge and their Practices in Prevention of Home Accidents among Toddler Pravin R. Gholap* Department of Mental Health Nursing, Ganpatrao Adke College of Nursing, Sunflower Compound, Dwarka Circle, Nashik, M.S, India * Address for Correspondence: Dr. Pravin R. Gholap, Associate Professor, Department of Mental Health Nursing, Ganpatrao Adke College of Nursing, Sunflower Compound, Dwarka Circle, Nashik, M.S, India Received: 21 February 2017/Revised: 04 March 2017/Accepted: 10 April 2017 ABSTRACT- Accident injuries are most common cause of death in children over the age of one. Every year millions of children are permanently disable or disfigured because of accident. The largest number of accident happen in the living or dining room but the most serious accident happens in the kitchen and on the stair. Major home accidents are attributed to careless of parents and poor maintenance. The unintentional injuries in the home result from falls, burns, poisoning, accidental shooting and suffocation and sharp knives. Objective of study assess the knowledge of mother on their practices regarding prevention of home accidents among toddler with demographic variables. Demographic variable showed 45.6% mother wear in the age group of 26-30 years, 62.2% of them belongs to Hindu religion, 55.6% belongs to joint family, 82.2% had only one toddler in family, 82.2% were housewives, 75.6% were living in pukka house, 55.6% got knowledge about prevention of home accident through mass media. E.g. T.V, and radio. Key-words- Child accident, Toddler, Mothers knowledge, Demographic variables INTRODUCTION Home accidents are one of the leading causes of death. “Home accident” is accident which takes place in the home or in it’s immediately surroundings 1 . “Prevention is better than cure” Accidents are one of the five leading cause of death in developing countries yearly. 10% of children suffer for accident for which it is necessary to contact the health services. Home accidents are more in rural area than the urban area and these home accidents depend on living conditions of mother’s educational status, age of mothers, number of child in for family, and the surrounding environment both indoor and outdoor etc1 . Accidents are main cause of death among the children aged between one to five years old. Increase the number of accident rate because of explorative nature of children so it is important to know the preventive aspects. Study was conducted on knowledge of mother regarding prevention of less than five accidents. Access this article online Quick Response Code Website: www.ijlssr.com DOI: 10.21276/ijlssr.2017.3.3.5 Descriptive method was used with simple random sampling technique. The result of the study shows that 6% of mothers have poor knowledge, 78% with average knowledge and 16% with good knowledge 2 . Safety measure is important aspect of child care to minimize the accidental hazards. Children are by nature accident prone. They are curious, investigative, impatient and less careful to listen warning. Accident injuries are leading cause of hospitalization, disability and death of children. It is expensive aspect of community health. Greatest numbers of accidental injuries occur in 2-3 years and 5-6 years of age 3 . This Study was done by department of public health, Dr. Stevens’ hospital and Dublin on investigated childhood accident in the home by randomly surveying children presenting to a Dublin accident and emergency department revealed that among 174 children accident, 66% of the survey were under five. So the accident prevention requires three prolonged approach that is environmental changes enforcement of legislation and educational measures 4 . Children are vulnerable to musculoskeletal injuries both at home and on the street for various reasons. Morbidity and disabilities resulting from these, mostly preventable, injuries, make them a burden to their families and society. The role of various factors associated with injuries is often not documented. This prospective study, done on 100 children aged up to 12 years with musculoskeletal trauma, ARTICLERESEARCH
  • 2. Int. J. Life. Sci. Scienti. Res. MAY 2017 Copyright © 2015-2017| IJLSSR by Society for Scientific Research is under a CC BY-NC 4.0 International License Page 993 analyzed in details, the various modes of injuries. One in every five patient was a child below 12 years of age. Boys were injured more than girls. Injuries, especially fractures, were most common in the extremities, the upper limb more commonly injured than the lower limb. Most of the injuries occurred at home. The most common mode of injuries was falls that happened while playing both within and outside the home, followed by road traffic accidents. Most injuries occurred during day time5 . The study showed that 38.93% of the accidents occurred in the children belonging to the age group 49-60 months. This is analogous to the findings of a study done in the field practice area of the PGIMER, Chandigarh in which maximum number of accidents occurred in the age group of 25-36 months6 . The child is the most precious possession of mankind, most loved and perfect in its innocence. Children are to be cared and protected from environmental hazards. Accidents do not just happen; they are the result of thoughtfulness, carelessness, neglect and momentary lack of concentration. The most common type of injuries occur from motor vehicle crashes and bicycle crashes which are seen in children below age group of 127 . An accidental hanging child although uncommon has been reported worldwide. We report a case of a toddler, who was brought to our hospital with an alleged history of hanging with his head trapped in-between the railings of a balcony. He became unconscious and developed seizures secondary to asphyxial injury and survived. Hanging is an important cause of homicidal and suicidal injury in adults, but in children, it is usually accidental, leading to death because of asphyxia as a result of partial or complete hanging. There is paucity of data in Indian literature regarding accidental hanging injuries in children. According to available data from western countries, strangulation ranks fourth among the causes of unintentional injury in children younger than 1 year after roadside accidents, drowning, and burns 8 . Many unintentional injuries to young children occur in the home. The study examines the relation between family socioeconomic and sociodemographic factors and risk factors for home injury. Presence of household hazards was examined in 80 families with toddler- aged children. Parental ability to identify household hazards in pictures was also assessed. ANOVAs and Pearson product-moment correlations examined the relationship between presence of household hazards, knowledge to identify hazards, and factors of yearly family income, parental age, parental education, parental marital status, child ethnicity, and the number of children living in the home. A greater number of hazards were found in the homes of both the lowest and highest income families, but poorer knowledge to identify household hazards was found only among parents of the lowest income families and younger parents. Across family socioeconomic status, parent knowledge of hazards was related to observe household hazards 9 . India has one of the highest road traffic accidents in the world. Burn injuries are second only to motor vehicle accidents as the course of accidental death in children 1-4 yr of age. Most accidents occur in the age group of 2-5 yr, mostly in boys 10 . Study was done on 3500 subjects by using simple random sampling technique. The study was conducted in rural field practice area of a medical college in South India between Jan to Dec 2010. Information regarding domestic accidents was gathered by interviewing the head of the family or the adult informant by using pretested and pre structured questionnaire. Total 330 domestic accidents were found in our study. 210 domestic accidents were due to falls, 225 accidents were seen in female, 217 subjects with accidents were illiterates 49.7% of accidents took place in the courtyard, 56.8% of accidents took place while playing or doing domestic work and 39.2% of accidents took place in the afternoon 11 METHODOLOGY The samples for this study were 90 mothers, who having children between 1-3 year of 51 residencies in selected urban community of Nashik, India. The house to house survey was done and found the mother of toddler in Indira nagar and Rane nagar. The sample was selected by using simple random technique. The sample obtain are 50 in Indira nagar, 40 in Rane nagar. Data are collected from the mothers who are able to understand Hindi or Marathi or English. RESULTS AND DISCUSSION Table 1: Distribution of mothers according to demographic variables SI. No. Demographic Variables Number (90) Percentage 1. Type of family a. Nuclear b. Joint 40 50 44.4 55.6 2. Size of the family a. < 4 b. 5-7 c. 8-10 d. > 10 25 29 34 02 27.8 32.2 37.8 2.2 3. Number of toddlers in family a. One b. Two c. ≥ Three 74 15 01 82.2 16.7 1.1 4. Type of house a. Pucca b. Semi Pucca 68 22 75.6 24.4 5. Source of knowledge a. News and Magazine b. TV and Radio c. Witnessed home accident 16 50 24 17.8 55.6 26.4
  • 3. Int. J. Life. Sci. Scienti. Res. MAY 2017 Copyright © 2015-2017| IJLSSR by Society for Scientific Research is under a CC BY-NC 4.0 International License Page 994 Table 1 represents that majority 50(55.6%) belongs to joint and remaining 40(44.4%) family belongs to nuclear. In relation to size of family 34 (37.8%) belongs to 8-10 members, 29 (32.2%) belong to 5-7 members, 25(27.8%) belongs to less than four members and 2(2.2%) belongs to more than 10 members in family. In relation to number of toddlers in the family majority 74(82.2%) belongs to one toddler, 15(16.7%) families have two toddlers and remaining 1(1.1%) belongs to three or more the three toddlers in Family. Similarly in relation to type of house majority 68(75.6%) were Pukka whereas, 22(24.4%) were semi Pukka houses. In view of source of knowledge 50 (55.6%) mothers obtained knowledge from T.V. and Radio, 24 (26.4%) by witnessed home accidents and remaining 16(17.8%) obtained the knowledge from news and Magazines. CONCLUSIONS The present study assesses the knowledge of mothers residing in urban community, about their practices in prevention of home accident among toddlers. The result revealed that was significant association between knowledge with demographic variables of those mothers of children. The present study shown that majority 60(66.7%) of the urban mother of toddler have adequate knowledge on practice and 30 (33.3%) mother have moderately adequate knowledge on practices and nobody have inadequate knowledge on practice in prevention of home accident among toddler. The mean for over all knowledge on practice of mother of toddler was 23.46 (S.D= 2.57). The highest mean knowledge on practice for burns and scalds 3.82(SD= 1.02) and lowest mean for foreign body aspiration 1.60 (SD= 0.63). There was significant association between knowledge with selected demographic variables such as age, religions, type of family, number of toddler, size of family, educational status of mother, occupation of mother income of family and type of house etc. REFERENCES [1] Dorothy M, Barbara A. Text Book of Pediatric Nursing, 6th ed. New Delhi WB Saunders; 588-906. [2] Suchitra BS, Knowledge of mother regarding prevention of under five accidents, Journal of International academic research for multidisciplinary,2015, 2:12. [3] Parul D. Pediatric Nursing, second edition, Jaypee brothers medical Publication, New Delhi; 2009: 134-136. [4] Laffoy M. Childhood accident at home, Irish medical journal, 1997; 90(1):26-7. [5] Sural S, Verma A. The clinical profile of musculoskeletal injuries in children attending a major hospital in Delhi, India, Journal of clinical orthopedic and trauma,6 -2015, 12-18. [6] Anita N, Vijya N. Profile of accidents in children less than five years of age belonging to a rural community in Belgaum district. Indian Journal of community medicine. 2007; 32(2): 133-134. [7] Bini V, Hemavatthy V. Effectiveness on prevention of road traffic accidents among school going children. International journal of innovative research in science, engineering and technology.2015; 4(1): 18592-18595. [8] Muthukrishnan L, Raman R, Nagaraju K. An unusual cause of accidental hanging in children, Pediatric emergency care, 2012, 924-925. [9] Mayes S, Roberts MC, Stough CO. Risk of household hazard: Socioeconomic and socio demographic factor, Journal of safety measures, 2014: 87-92. [10]OP Ghai, Essential Pediatrics, seven edition, CBS Publication, 2010:682-685. [11]Sudhir, Deepa K, Ashok N C, Madhuri D. Prevalence of Domestic Accidents in Rural India: A Cross Sectional study, Scholars Journal of Applied Medical Sciences, 2014; 2:657-659. International Journal of Life-Sciences Scientific Research (IJLSSR) Open Access Policy Authors/Contributors are responsible for originality, contents, correct references, and ethical issues. IJLSSR publishes all articles under Creative Commons Attribution- Non-Commercial 4.0 International License (CC BY-NC). https://creativecommons.org/licenses/by-nc/4.0/legalcode How to cite this article: Gholap PR: A Study to Assess Mothers Knowledge and Their Practices in Prevention of Home Accidents among Toddler. Int. J. Life. Sci. Scienti. Res., 2017; 3(3): 992-994. DOI:10.21276/ijlssr.2017.3.3.5 Source of Financial Support: Nil, Conflict of interest: Nil