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尼泊尔母亲针对6个月至24个月儿童的辅食喂养方式。

Complementary feeding practices of Nepali mothers for 6 months to 24 months children.

作者信息

Chapagain Ram Hari

机构信息

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

出版信息

JNMA J Nepal Med Assoc. 2013 Jul-Sep;52(191):443-8.

Abstract

INTRODUCTION

Lack of knowledge and proper feeding practices contribute to higher childhood morbidity and mortality. The aim of the study was to evaluate the mother's knowledge and practices in terms of quantity, quality and timing of complementary feeding in infant and young child.

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 from 6 to 24 months of age who attended outpatient department of this hospital, applying systematic sampling technique using semi-structured questionnaire.

RESULTS

Eighty-seven percent of mothers had knowledge about the duration of exclusive breast feeding but only 33.0% practiced it and 21.0% breast fed their children up to 3 months. Eighty-seven percent of mothers knew when to start complementary feeding and 53.27% of mothers used the marketed weaning food. lito alone was offered by 28.27% as complementary food. Though 36.6% had proper knowledge of frequency of complementary feeding, only 33.27% were actually practicing it and 9.9% were offering more frequent than recommended. About half of the mothers fed their child with the food of appropriate consistency and 66.0% fed with the appropriate amount. But only 15.82% mothers fed their children with ideal frequency, sufficient amount and ideal quality.

CONCLUSIONS

There was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of ideal complementary feeding. Rate of exclusive breast feeding was on declining trend.

摘要

引言

知识匮乏和不当的喂养方式导致儿童发病率和死亡率升高。本研究旨在评估母亲在婴幼儿辅食喂养的量、质量和时间方面的知识与实践情况。

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,涉及1100名6至24个月儿童的母亲,这些母亲均为本医院门诊患者,采用系统抽样技术并使用半结构化问卷进行调查。

结果

87%的母亲了解纯母乳喂养的持续时间,但只有33.0%的母亲实际践行,21.0%的母亲纯母乳喂养孩子至3个月。87%的母亲知道何时开始添加辅食,53.27%的母亲使用市售断奶食品。28.27%的母亲仅提供米糊作为辅食。尽管36.6%的母亲对辅食喂养频率有正确认识,但只有33.27%的母亲实际做到,9.9%的母亲喂养频率高于推荐值。约一半的母亲用质地合适的食物喂养孩子,66.0%的母亲喂养量合适。但只有15.82%的母亲以理想的频率、充足的量和理想的质量喂养孩子。

结论

在纯母乳喂养的持续时间以及理想辅食喂养的开始和持续方面,存在知识与实践的差距。纯母乳喂养率呈下降趋势。

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