CAJ | 학술논문

目的：评估现场实操培训宣教方法对家长在婴儿食物转换期喂养行为的影响，探讨促进婴儿生长发育的有效营养宣教方法。方法选取1～3月龄婴儿113例，其中干预组54例，采用知识宣讲结合现场实操的方法，对家长进行正确食物引入知识和适宜技术的培训；对照组59例，只做常规保健指导。两组均追踪6～12月龄时食物引入状况及婴儿生长发育情况。结果干预组和对照组家长在给婴儿引入淀粉类和动物性食物的时间上存在差异（P＜0.05）；淀粉类食物选择上，和对照组对比，干预组更多选择配方米糊，且差异有统计学意义（P＜0.05）；干预组婴儿更乐于接受引入食物，且更少发生不良反应（P＜0.05）；干预组婴儿身长别体重Z评分（WHZ）平均值较对照组高，差异有统计学意义（P＜0.05）；干预组婴儿6月龄贫血患病率较对照组低，差异有统计学意义（P＜0.05）。结论婴儿食物转换期现场实操及喂养指导宣教方法，能有效加强家长对婴儿转换期食物引入的认识，提高家长科学育儿知识水平和实操水平，促进婴儿生长发育。
목적：평고현장실조배훈선교방법대가장재영인식물전환기위양행위적영향，탐토촉진영인생장발육적유효영양선교방법。방법선취1～3월령영인113례，기중간예조54례，채용지식선강결합현장실조적방법，대가장진행정학식물인입지식화괄의기술적배훈；대조조59례，지주상규보건지도。량조균추종6～12월령시식물인입상황급영인생장발육정황。결과간예조화대조조가장재급영인인입정분류화동물성식물적시간상존재차이（P＜0.05）；정분류식물선택상，화대조조대비，간예조경다선택배방미호，차차이유통계학의의（P＜0.05）；간예조영인경악우접수인입식물，차경소발생불량반응（P＜0.05）；간예조영인신장별체중Z평분（WHZ）평균치교대조조고，차이유통계학의의（P＜0.05）；간예조영인6월령빈혈환병솔교대조조저，차이유통계학의의（P＜0.05）。결론영인식물전환기현장실조급위양지도선교방법，능유효가강가장대영인전환기식물인입적인식，제고가장과학육인지식수평화실조수평，촉진영인생장발육。
Objective To evaluate how demonstration teaching affects parents’ feeding habit in the infantile transition to solid food period; to study effective nutritional education on promoting infant growth and development.Methods 113 infants aged 1-3 months were randomly divided into two groups including 54 in the intervention group and 59 in the control group. In the intervention group, knowledge education and demonstration teaching were combined to train parents in knowledge and proper skills on introduction of solid food; in the control group, only routine health care guidance was given. Both the introduction of solid food and infant growth and development were followed up until infants grew to 6~12 months.Results Starchy foods and animal foods were introduced to the infants in different months of age in the intervention group and the control group(P<0.05). Compared to parents in the control group, parents in the intervention group preferred iron-fortified cereals in choosing starchy foods, which was statistically significant(P<0.05). Infants in the intervention group preferred solid food and had less adverse reactions(P<0.05).The infants average Z-score of weight-for-length(WHZ) in the intervention group was higher than that in the control group, which was statistically significant(P<0.05). When the infants were 6 months old, the morbidity rate of anemia of the intervention group was lower than that of the control group, which was statistically significant(P<0.05).Conclusion Demonstration teaching and feeding guidance during the infantile transition to solid food period can effectively help parents know more about introduction of solid food and improve their knowledge and practical skills in infants feeding, which helps infants grow and develop.