早期养育指导对婴幼儿喂养及生长发育的影响  

Effect of early parenting guidance on infant feeding and growth and development

作　　者：张倩[1] 管长丽[1] Zhang Qian;Guan Changli(Children's Health Development Center,Jinan Central Hospital,Jinan 250000,China)

机构地区：[1]济南市中心医院儿童健康发展中心,济南250000

出　　处：《国际护理学杂志》2024年第9期1641-1645,共5页international journal of nursing

基　　金：山东省医药卫生科技发展计划项目(202112020791)。

摘　　要：目的分析早期养育指导对婴幼儿喂养及生长发育的临床效果。方法选择2021年1月至2022年12月在济南市中心医院儿童健康发展中心接受保健干预的足月新生儿90例,通过随机原则分成对照组及观察组,各45例,对照组实施常规保健干预,观察组实施早期养育指导联合常规保健干预,比较两组新生儿身高、体重、头围、血红蛋白、血清铁、血清锌、发育商(DQ)、并发症发生情况。结果小儿6个月、12个月、18个月时,观察组身高、体重、头围水平均高于对照组(P<0.05);干预前,观察组血红蛋白、血清铁、血清锌与对照组比较差异无统计学意义(P>0.05);干预后,观察组血红蛋白、血清铁、血清锌水平高于对照组(P<0.05);小儿6个月、12个月、18个月时,观察组DQ量表大运动、精细运动、适应性、语言、社交及发育商评分高于对照组(P<0.05);观察组并发症发生率与对照组比较差异无统计学意义(P>0.05)。结论早期养育指导可有效提升婴幼儿喂养效果,促进婴幼儿生长发育,降低并发症发生风险。Objective To analyze the clinical effect of early parenting guidance on infant feeding and growth and development.Methods A total of 90 full-term newborns who received health intervention in this hospital from January 2020 to December 2021 were selected and randomly divided into control group and observation group,with 45 cases in each group.The control group received routine health care intervention,and the observation group received early parenting guidance combined with routine health care intervention.The neonatal height,weight,head circumference,hemoglobin,serum iron,serum zinc,development quotient(DQ)and complications were compared between the two groups.Results Height,weight and head circumference of children in the observation group were higher than those in the control group at 6 months,12 months and 18 months(P<0.05).Before intervention,there was no significant difference in hemoglobin,serum iron and serum zinc between observation group and control group(P>0.05).After intervention,the levels of hemoglobin,serum iron and serum zinc in observation group were higher than those in control group(P<0.05).At 6 months,12 months and 18 months,the gross motor,fine motor,adaptability,language,social and developmental quotient scores of DQ in observation group were higher than those in control group(P<0.05).There was no significant difference in the incidence of complications between observation group and control group(P>0.05).Conclusions Early parenting guidance can effectively improve the feeding effect of infants,promote the growth and development of infants,and reduce the risk of complications.

关 键 词：早期养育指导 婴幼儿喂养 生长发育 儿童保健 

分 类 号：R473.72[医药卫生—护理学]