Williams Robin C, Biscaro Anne, Clinton Jean
Canadian Paediatric Society, Early Years Task Force, Ottawa, Ontario.
Paediatr Child Health. 2019 Aug;24(5):340-357. doi: 10.1093/pch/pxz063. Epub 2019 Jul 25.
A secure attachment relationship with at least one healthy adult is essential for a child to develop optimal coping abilities. Primary care providers like paediatricians and family physicians can help by supporting parents in practice settings. Every clinician encounter is an opportunity to ask parents about children's relationships and their behaviour, daily routines, and overall family function. This statement, which focuses on children aged 0 to 6 years, describes basic principles in support of positive parenting and recommends in-office practices to promote secure parent-child relationships, engage families and build trust with parents. Crying, sleep, and difficult behaviours are described as opportunities for clinicians to provide anticipatory, responsive guidance to parents.
与至少一位健康成年人建立安全的依恋关系对于儿童发展最佳应对能力至关重要。儿科医生和家庭医生等初级保健提供者可以通过在实际环境中支持父母来提供帮助。每次与临床医生接触都是一个询问父母关于孩子的关系、行为、日常生活以及整体家庭功能的机会。本声明聚焦于0至6岁的儿童，阐述了支持积极育儿的基本原则，并推荐了在诊所开展的实践活动，以促进安全的亲子关系、让家庭参与进来并与父母建立信任。哭闹、睡眠和难处理的行为被描述为临床医生向父母提供预期性、响应性指导的契机。
