精准化干预对武汉市1～4岁儿童饮食行为问题的效果评价
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摘要
目的评价儿童饮食行为问题的精准化干预效果,为临床应用提供理论依据。方法 2016年1-6月将初筛具有饮食行为问题的70名1～4岁儿童随机分为干预组和对照组,干预组进行病因治疗、营养支持、进食技能、行为疗法等精准化干预;对照组给予常规喂养指导;3个月后评估两组儿童的饮食行为问题、抚养人喂养行为问题及儿童体格发育指标,比较两组的干预效果。结果干预组在儿童饮食行为问题和抚养人喂养行为问题及儿童体重的变化与对照组相比,差异具有统计学意义(P<0.05);但干预手段对两组儿童身高无明显影响(P>0.05)。结论精准化干预改善儿童饮食行为和抚养人喂养行为,值得进一步临床推广。
Objective To evaluate the effect of precise intervention on children′s eating problems,in order to provide theoretical reference for clinical dietary management. Methods Totally 70 children aged 1-4 years with dietary behavior problems from January to June 2016, were enrolled in this study and were randomly divided into intervention group and control group. The intervention group was given precise intervention,such as etiological treatment,nutrition support,eating skill,behavior therapy and so on. The control group received routine feeding instruction and the dietary behavior of the two groups was evaluated in 3 months. The effects of two groups were compared in the aspects of feeding behavior and physical development index of children. Results The differences on children′s dietary behavior problem,feeding behavior problem and the change of children′s weight were significant between intervention group and control group(P<0.05). However,the significant difference on the height of the two groups was not found(P>0.05). Conclusion Precision intervention can promote the healthy development of children via improving dietary behavior and feeding behavior,which is worth of clinical application.
Objective To evaluate the effect of precise intervention on children′s eating problems,in order to provide theoretical reference for clinical dietary management. Methods Totally 70 children aged 1-4 years with dietary behavior problems from January to June 2016, were enrolled in this study and were randomly divided into intervention group and control group. The intervention group was given precise intervention,such as etiological treatment,nutrition support,eating skill,behavior therapy and so on. The control group received routine feeding instruction and the dietary behavior of the two groups was evaluated in 3 months. The effects of two groups were compared in the aspects of feeding behavior and physical development index of children. Results The differences on children′s dietary behavior problem,feeding behavior problem and the change of children′s weight were significant between intervention group and control group(P<0.05). However,the significant difference on the height of the two groups was not found(P>0.05). Conclusion Precision intervention can promote the healthy development of children via improving dietary behavior and feeding behavior,which is worth of clinical application.
引文
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[10] 张丽珊,金星明,严萍,等.儿童饮食行为干预工具在上海市浦东新区1-4岁饮食行为问题儿童中的应用[J].中国儿童保健杂志,2015,23(6):667-670.
[2] 李静,黄彦红,董颖,等.应用爱饭达工具对儿童不良饮食行为问题干预效果评价[J].中国儿童保健杂志,2014,22(3):333-336.
[3] 杨炯贤,闫洁,杨文利,等.儿童饮食行为调查及干预效果研究[J].中国临床医生杂志,2018,46(1):108-110.
[4] 金星明.发育行为儿科学中的婴幼儿营养与喂养[J].中国儿童保健杂志,2014,22(9):897-899.
[5] 任天虹,余晓丹.儿童锌缺乏早期筛查指标的研究[J].中国儿童保健杂志,2013,21(3):288-290.
[6] Kong A,Jones BL,Fiese BH,et al.Parent-child mealtime interactions in racially/ethnically diverse families with preschool-age children[J].Eat Behav,2013,14(4):451-455.
[7] 侯日莹,吕晴,王琇.儿童非器质性进食行为障碍影响因素研究进展[J].医学与社会,2016,29(3):85-87.
[8] 熊祯,张传杰,王仕琼,等.儿童饮食行为问题与家庭饮食环境的相关性研究[J].中国儿童保健杂志,2017,25(12):1259-1262.
[9] 朱玲,任丽丽,杨建平.儿童不良饮食行为临床干预效果评价[J].中国健康教育,2015,31(9):823-826.
[10] 张丽珊,金星明,严萍,等.儿童饮食行为干预工具在上海市浦东新区1-4岁饮食行为问题儿童中的应用[J].中国儿童保健杂志,2015,23(6):667-670.