本文關(guān)鍵詞：我國部分貧困農(nóng)村兒童營養(yǎng)包食用依從性及影響因素分析　出處：《中國疾病預(yù)防控制中心》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 貧困農(nóng)村 兒童 營養(yǎng)包 依從性 影響因素

【摘要】：研究目的調(diào)查我國部分貧困農(nóng)村兒童營養(yǎng)包的食用依從狀況,探討其影響因素。研究方法采取定量研究與定性研究相結(jié)合的方法。在貴州省、山西省和云南省各選取兩個縣,對隨機(jī)抽取的334名6～24月齡看護(hù)人進(jìn)行問卷調(diào)查,內(nèi)容包括兒童及看護(hù)人的基本情況、兒童喂養(yǎng)情況、營養(yǎng)包的食用情況、科學(xué)喂養(yǎng)知識掌握情況。使用絕對數(shù)、構(gòu)成比、率對定量資料進(jìn)行統(tǒng)計描述;采用X2檢驗和非條件Logistic回歸進(jìn)行定量資料的影響因素分析。按照信息飽和原則,選擇定量研究中營養(yǎng)包食用依從性好的兒童的看護(hù)人進(jìn)行小組訪談;依從性不好的看護(hù)人進(jìn)行個人深入訪談。訪談提綱依據(jù)健康信念模式設(shè)計,內(nèi)容包括看護(hù)人對營養(yǎng)不良與貧血的易感性及嚴(yán)重性認(rèn)知、兒童食用營養(yǎng)包的益處及障礙認(rèn)知、看護(hù)人的自我效能及提示因素。研究結(jié)果1.營養(yǎng)包食用情況營養(yǎng)包食用依從性好的兒童265名,依從率為79.3%。不同地區(qū)、性別與月齡組兒童營養(yǎng)包食用依從率均在69%以上;選擇給兒童單獨調(diào)成糊吃與單獨沖喝的看護(hù)人分別有50.0%、43.1%,選擇加入到食物中和與奶粉一起喝分別占22.2%、20.1%;看護(hù)人營養(yǎng)包的知識主要來源于面對面咨詢及家長手冊,分別占81.4%、71.3%。2.影響營養(yǎng)包食用依從性的因素定量研究的單因素分析結(jié)果顯示:兒童月齡分組、6月時喂養(yǎng)方式、輔食添加月齡組、看護(hù)人是否知道營養(yǎng)包能夠預(yù)防營養(yǎng)不良、看護(hù)人是否觀察到兒童食用營養(yǎng)包后有身體的變化及看護(hù)人認(rèn)為兒童是否愛吃與兒童營養(yǎng)包食用依從性相關(guān),并具有統(tǒng)計學(xué)意義;多因素分析結(jié)果顯示,6月時喂養(yǎng)方式為純母乳喂養(yǎng)、看護(hù)人知道營養(yǎng)包能夠預(yù)防營養(yǎng)不良、認(rèn)為兒童愛吃營養(yǎng)包、看護(hù)人觀察到兒童食用營養(yǎng)包后有身體的變化及看護(hù)人營養(yǎng)包的知識來源于家長手冊是提高兒童營養(yǎng)包食用依從性的因素。定性研究結(jié)果顯示,看護(hù)人知道兒童營養(yǎng)不良與貧血的嚴(yán)重后果、感受到兒童食用營養(yǎng)包后有身體的變化、遇到兒童不愛吃營養(yǎng)包及生病時愿意多次嘗試、有信心給兒童食用營養(yǎng)包、村醫(yī)隨訪、家庭成員的支持及多種形式的健康教育能夠促進(jìn)兒童營養(yǎng)包食用的依從性。結(jié)論1.研究地區(qū)兒童營養(yǎng)包食用依從性有待提高,尤其是6～11月齡組的兒童。2.兒童存在母乳喂養(yǎng)及輔食添加不合理的喂養(yǎng)問題,且喂養(yǎng)方式和喂養(yǎng)行為與營養(yǎng)包食用的依從性有關(guān)。3.看護(hù)人對營養(yǎng)包作用的認(rèn)識和感知食用營養(yǎng)包后孩子身體的變化、給兒童喂食營養(yǎng)包的自信心、遇到困難時的態(tài)度與行為與兒童營養(yǎng)包食用依從性有關(guān)。4.村醫(yī)的定期隨訪、家庭成員的支持、家長手冊和其他健康教育形式對兒童食用營養(yǎng)包的依從性也有一定的影響。
[Abstract]:Objective to investigate the status of nutritional compliance of children in some poor rural areas in China and to explore the influencing factors. Methods quantitative and qualitative studies were adopted in Guizhou province. A questionnaire survey was conducted among 334 randomly selected nurses aged 6 to 24 months in Shanxi Province and two counties in Yunnan Province, including the basic situation of children and caregivers, and the feeding status of children. The consumption of nutrition package, the knowledge of scientific feeding, the use of absolute number, composition ratio, rate of quantitative data were statistically described; The influencing factors of quantitative data were analyzed by X2 test and non-conditional Logistic regression. The principle of information saturation was used. Group interviews were conducted among caregivers of children with good nutritional compliance in the quantitative study. The interview outline was designed according to the model of health belief and included the susceptibility and severity of malnutrition and anemia. The benefit and obstacle cognition of children eating nutrition package, self-efficacy and hint factors of nursing person. Results: 1. 265 children who had good compliance with nutrition package consumption. 2. The compliance rate was 79.3%. In different areas, the rate of children's compliance with nutrition package was above 69% in the sex and month groups. There were 50.0 and 43.1 children who chose to eat and drink separately, and 22.2g / 20.1 were added to the food and drank with milk powder, respectively. The knowledge of nutrition package of caregivers was mainly derived from face-to-face counseling and parents' manual, accounting for 81.4% respectively. The results of univariate analysis showed that children were divided into groups of age, feeding mode on June, and group of supplementary food added months of age. Whether the caregiver knew that nutrition package could prevent malnutrition, whether the caregiver observed the change of body after the children took the nutrition package, and whether the caregiver thought that the children's love of eating was related to the children's compliance with the nutrition package. And has statistical significance; The results of multivariate analysis showed that in June the feeding mode was exclusively breast-feeding. Caregivers knew that nutrition packages could prevent malnutrition and believed that children preferred nutrition packages. The caregivers observed the changes of children's body after eating nutrition package and the knowledge of nutrition package was derived from the parents' manual. The qualitative research results showed that the children's nutrition package compliance was improved. Caregivers know the serious consequences of malnutrition and anemia, feel that children eat nutrition package after the body changes, when children do not like to eat nutrition package and sick willing to try many times. Have confidence to give children food nutrition package, village doctor follow up. The support of family members and various forms of health education can promote the compliance of children with nutrition package. 1. The compliance of children with nutrition package in the study area needs to be improved. 2. Especially in the 6- to 11-month-old group, children had the problem of breast-feeding and supplementary feeding. And feeding manner and feeding behavior are related to the compliance of nutrition package. 3. The caregivers' understanding of the nutrition package and perception of the changes of the child's body after eating the nutrition package, and the self-confidence of feeding the nutrition package to the child. 3. Attitude and behavior of children with difficulties. 4. Regular follow-up of village doctors and support of family members. Parental manuals and other forms of health education also have a certain impact on children's compliance with food and nutrition packages.
【學(xué)位授予單位】：中國疾病預(yù)防控制中心
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R153.2

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張倩男;孫靜;賈旭東;霍軍生;;營養(yǎng)包對我國嬰幼兒營養(yǎng)干預(yù)效果的Meta分析[J];衛(wèi)生研究;2015年06期

2 張文杰;楊海霞;李培獻(xiàn);彭美琴;;某縣貧困地區(qū)兒童營養(yǎng)改善項目營養(yǎng)包服用影響因素分析[J];中國婦幼衛(wèi)生雜志;2015年02期

3 陳群;趙海浪;;健康信念模式在健康促進(jìn)中的應(yīng)用進(jìn)展[J];臨床合理用藥雜志;2014年23期

4 劉爽;李駿;龔晨睿;程茅偉;宋毅;;湖北省農(nóng)村地區(qū)2歲以下嬰幼兒喂養(yǎng)狀況[J];中華預(yù)防醫(yī)學(xué)雜志;2014年08期

5 王曉兵;張林秀;王國飛;羅仁福;Alexis Medina;Scott Rozelle;;西南兩省貧困地區(qū)兒童土源性線蟲感染狀況及影響因素分析[J];中國血吸蟲病防治雜志;2014年03期

6 蔣希;虞杰;;印度ICDS項目中的營養(yǎng)計劃及對我國的啟示[J];讀與寫(教育教學(xué)刊);2014年06期

7 黃媛媛;蔡軍;;印度兒童發(fā)展綜合服務(wù)計劃的目的、實施及其對我國的啟發(fā)[J];學(xué)前教育研究;2013年03期

8 ;中國0～6歲兒童營養(yǎng)發(fā)展報告(節(jié)錄)[J];營養(yǎng)學(xué)報;2013年01期

9 陳春明;呂書紅;;《哥本哈根共識》簡介[J];中國健康教育;2012年06期

10 馬艷艷;宮麗敏;;嬰幼兒鐵缺乏及缺鐵性貧血預(yù)防策略[J];中國兒童保健雜志;2012年02期

相關(guān)會議論文 前2條

1 孫靜;李瑾;蔡祥q;王麗娟;唐艷斌;黃建;樸瑋;霍軍生;;貧困地區(qū)兒童營養(yǎng)改善項目效果監(jiān)測評估[A];第十二屆全國營養(yǎng)科學(xué)大會論文匯編[C];2015年

2 李廷玉;王蓉;趙勇;瞿平;楊耀煌;練雪梅;毛春婷;戴英;劉友學(xué);;不同劑量維生素A強化餅干對學(xué)齡前兒童健康影響的研究[A];首屆中國西部營養(yǎng)與健康、亞健康學(xué)術(shù)會議論文集[C];2005年

相關(guān)碩士學(xué)位論文 前4條

1 張倩男;營養(yǎng)包對我國南北兩貧困縣6~23月齡嬰幼兒營養(yǎng)干預(yù)效果評估[D];中國疾病預(yù)防控制中心;2015年

2 秦?zé)樕?美國兒童營養(yǎng)計劃“WIC”項目的研究[D];華中師范大學(xué);2013年

3 蔡佳音;我國5歲以下兒童營養(yǎng)問題及影響因素研究[D];北京協(xié)和醫(yī)學(xué)院;2013年

4 楊旭;基于健康信念模式的醫(yī)護(hù)人員健康狀況影響因素的研究[D];第三軍醫(yī)大學(xué);2013年

，

本文編號：1428896