儿童保健门诊与社区饮食行为问题就诊儿童的临床干预

【目的】 探索儿童饮食行为问题诊断和干预的方法。 【方法】 将儿童分为干预组和对照组,分别应用阶段性综合干预和常规干预的方法,观察对儿童四类饮食行为问题,包括精力充沛胃口差、挑食偏食、不良进食习惯和害怕进食的干预作用。 【结果】 儿童保健门诊和社区就诊儿童四类不良饮食行为问题中,挑食偏食儿童不同年龄组的构成比差异有统计学意义(χ²=12.458,P<0.001);其余三项不良饮食行为问题不同年龄组构成比差异无统计学意义。对比四类儿童饮食行为问题干预前后的行为改变,干预组和对照组间差异均有统计学意义(P<0.05),干预组的效果优于对照组。年龄组间差异未见统计学意义。 【结论】 应在我国推广和完善以家庭为单位的阶段性儿童饮食行为临床干预方法。

Feeding and eating problems intervention controlled trial among children who visit health care clinic and community healthy facility

【Objective】 To explore diagnosis and intervention method of eating problems among children of 1~5 years in China.【Methods】 Of individuals from intervention group(comprehensive method) and control group(traditional method),four types of eating problems were observed,including inadequate food intake,restrict range of food,unhealthy habit,avoidance due to specific fear.【Results】 Among children who visit child health care clinic and community healthy facility,there was significant difference among age-group(χ2=12.458,P<0.001)in type of restrict range of food,there were no significant differences among age-group in types of inadequate food intake,unhealthy habit,and avoidance due to specific fear.Results significantly showed increase scores among intervention method group(P<0.05),but there was no statistically significant among age-group.【Conclusion】 Periodicity intervention method based on family-unit should play an important role in clinical eating behavior intervention and be generalized in child health care area.