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影响尼泊尔母亲对6个月至24个月儿童辅食喂养方式的因素。

Factors affecting complementary feeding practices of Nepali mothers for 6 months to 24 months children.

作者信息

Chapagain R H

机构信息

Department of Paediatircs, Mahakali Zonal Hospital, Mahendranagar, Nepal.

出版信息

J Nepal Health Res Counc. 2013 May;11(24):205-7.

Abstract

BACKGROUND

Exclusive breastfeeding for the first six months followed by complementary feeding along with breastfeeding is crucial for proper growth and development of a child. The aim of the study was to study the factors influencing the complementary feeding practices.

METHODS

A hospital based cross-sectional study was conducted between June, 2010 to October, 2011, at Kanti Children's Hospital, Nepal, involving 1100 mothers of children 6 to 24 months of age attending outpatient department, applying systematic sampling technique and using semi-structured questionnaire.

RESULTS

More than half (56.81%) mothers fed their children complementary food of appropriate consistency; 366 (33.27%) fed with recommended frequency and 834 (75.82%) with the appropriate amount. But only 174 (15.82%) among all were actually feeding their child appropriate complementary food in sufficient amount and with required frequency. Lack of knowledge regarding ideal feeding practice was found to be the most important factor associated. Whether or not mother received feeding advice during immunization of the child was found to be significantly associated with appropriate feeding practice. Education of mother, type of family, profession of father, whether mother is a housewife or job holder was other important associations.

CONCLUSIONS

Vast majority of Nepali mothers are not complementary feeding their child appropriately and they lack knowledge regarding ideal feeding practices. Emphasis should be given to educate mothers about complementary feeding practices and immunization clinics can be very useful for the purpose.

摘要

背景

头六个月纯母乳喂养,之后在母乳喂养的同时添加辅食,对儿童的正常生长发育至关重要。本研究的目的是探讨影响辅食添加行为的因素。

方法

2010年6月至2011年10月在尼泊尔坎蒂儿童医院开展了一项基于医院的横断面研究,纳入1100名6至24个月儿童的母亲,这些母亲均在门诊就诊,采用系统抽样技术并使用半结构化问卷。

结果

超过半数(56.81%)的母亲给孩子喂了质地合适的辅食;366名(33.27%)喂食频率符合推荐标准,834名(75.82%)喂食量合适。但在所有母亲中,只有174名(15.82%)实际以足够的量和规定的频率给孩子喂了合适的辅食。发现对理想喂养行为缺乏了解是最主要的相关因素。孩子免疫接种期间母亲是否接受喂养建议与合适的喂养行为显著相关。母亲的教育程度、家庭类型、父亲职业、母亲是家庭主妇还是有工作也是其他重要的相关因素。

结论

绝大多数尼泊尔母亲没有给孩子进行适当的辅食添加,她们缺乏关于理想喂养行为的知识。应着重对母亲进行辅食添加行为方面的教育,免疫接种门诊对此目的会非常有用。

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