Alvarez M L, Mikacic D, Ottenberger A, Salazar M E
Arch Latinoam Nutr. 1979 Jun;29(2):220-32.
Some essential aspects of families with malnourished infants being treated in the Nutritional Rehabilitation Centers managed by the Corporation for Infant Nutrition (CONIN) of Santiago, Chile, were studied in depth. The purpose was to identify and quantify some variables of the family environment as a previous necessary step for the application of an adequate social treatment. The design used is of a descriptive nature. The sample is representative of two of the Centers. The data obtained revealed the following: 1) the families belonged, without exception, to a low socioeconomic level, 21% in extreme poverty; 2) 64.8% of the mothers exhibited a low affectivity index, and in 88.1% of the families a pattern of a most deficient parent-child communication prevailed; 3) 90.4% of the families lived almost totally isolated from the rest of the community; 4) 76.4% of them had an internal physical environment with extremely scarce color stimuli, brown being the predominant color. The findings also revealed that in these families both physical and emotional environments are highly negative and hinder the maintenance of a normal nutritional condition of the child once he returns home after discharge from the Center. This implies not only a late discharge of the child (at a high institutional cost), but it also entails a high risk of his relapsing into malnutrition unless affectivity, communication, physical environment and perhaps other intra-family conditions improve.
对智利圣地亚哥婴儿营养公司(CONIN)管理的营养康复中心收治的营养不良婴儿家庭的一些基本情况进行了深入研究。目的是识别和量化家庭环境的一些变量,作为实施适当社会治疗的必要前期步骤。所采用的设计具有描述性。样本代表了其中两个中心。获得的数据显示如下:1)这些家庭无一例外都属于社会经济水平较低的群体,21%处于极端贫困状态;2)64.8%的母亲情感指数较低,88.1%的家庭中普遍存在亲子沟通极度匮乏的模式;3)90.4%的家庭几乎完全与社区其他部分隔离生活;4)76.4%的家庭内部物理环境色彩刺激极少,棕色是主色调。研究结果还表明,在这些家庭中,物理和情感环境都极为负面,阻碍孩子从中心出院回家后维持正常营养状况。这不仅意味着孩子出院延迟(机构成本高昂),而且还意味着孩子有很高的复发营养不良的风险,除非情感、沟通、物理环境以及或许其他家庭内部条件得到改善。