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目的通过了解甘肃省贫困地区婴幼儿喂养与喂养困难的状况,探索解决贫困地区婴幼儿喂养问题的有效途径。方法采取整群抽样的方法,通过问卷,调查6~36个月龄婴幼儿的喂养方式、喂养行为及喂养困难。结果 1)喂养人喂养方式与喂养行为方面突出的问题是:50.6%将纯牛奶或纯羊奶作为母乳的替代物;56.5%在6~12月完全断母乳;51.2%和15.8%分别到7~8月和>9月开始添加辅食;72.9%对新添加的食物让婴儿尝试的次数<5次。2)不合理喂养与喂养困难间差异有统计学意义(P<0.05)的因素有:完全断母乳时间<6月;给婴儿吃剩饭;对不好的饮食习惯不矫正。结论西部贫困地区婴幼儿喂养的问题在起步阶段就出现一些不正确的喂养观念与行为,因此,通过健康教育及早的向抚养人宣传科学喂养的理念及方法是丞待解决的问题。
Objective To understand the status of infant and child feeding and feeding difficulties in poverty-stricken areas of Gansu Province and explore effective ways to solve the problem of infant and young child feeding in impoverished areas. Methods A cluster sampling method was adopted to investigate the feeding methods, feeding behavior and feeding difficulties of infants aged 6 ~ 36 months through questionnaires. Results 1) The prominent problems of feeding manners and feeding behavior were: 50.6% pure milk or pure goat milk as a substitute for breast milk; 56.5% completely broken breast milk from June to December; 51.2% and 15.8% respectively to 7 ~ August and> September began to add complementary food; 72.9% of the newly added food to the number of baby attempts <5 times. 2) unreasonable differences between feeding and feeding difficulties were statistically significant (P <0.05) of the factors: a complete break in breast milk <6 months; to the baby leftovers; not correct the bad eating habits. Conclusions Infant and young child feeding problems in the poor areas of the west have some incorrect ideas and behaviors of feeding at the initial stage. Therefore, the concept and method of promoting scientific feeding through early education of health educators is a problem to be solved.