儿童保健门诊饮食行为问题就诊儿童的临床干预

目的 对2～5岁儿童保健门诊就诊存在饮食行为问题的儿童进行临床干预。方法 将儿童按照就诊时间先后顺序随机分为干预组和对照组,干预组采用个性化干预方法,对照组采用常规喂养指导。结果 六大饮食行为问题表现从高到低依次是:不良进食习惯112例(55.45%);精力充沛胃口差95例(47.03%);对某种食物特别偏好93例(46.04%);父母过度关心71例(35.15%);害怕进食20例(9.9%);潜在疾病状态16例(7.9%),两组儿童干预后与干预前比较差异均有统计学意义(P<0.01),干预组儿童各类饮食行为问题评分提高程度高于对照组,差异有统计学意义(P<0.01)。结论 开展以家庭为单位的个性化临床干预,能有效地改善2～5岁儿童的饮食行为。

Clinical intervention for children with eating behavior problems in the child health care outpatient

Objective To give clinical intervention to children with eating behavior problems aged 2 to 5 years old in Tongji child health care outpatient. Methods According to the time they came to the outpatient,the children were divided into the intervention group and the contrast group at random.The intervention group were given individual intervention,while the contrast group received regular feeding guidance. Results The incidence of 6 eating behavior problems from high to low was as follows122 cases with bad eating habits (55.45%),95 cases with bad appetite but energetic (47.03%),93 cases had special preferences for some food (46.04%),71 cases were over cared by their parents (35.15%),20 cases were afraid of eating (9.9%),16 cases with potential diseases (7.9%).There was significant differences in both two groups compared before and after intervention(P<0.01).The increase of score of eating behavior problems in intervention group was higher than that of contrast group.There were significant differences(P<0.01). Conclusion Home-based individual clinical intervention can effectively improve the children's eating behavior aged 2 to 5 years old.