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目的应用行为改变理论探索婴幼儿腹泻相关喂养行为的影响因素,为干预喂养行为、促进儿童营养和健康提供参考依据。方法运用横断面资料,通过路径分析了解河北省涞水县476名10~15月龄婴幼儿看护人对腹泻相关喂养行为的知识、态度、家人及村里人的主观准则、看护人的自我效能、行为意向及行为间的关系。结果看护人腹泻相关喂养行为的得分为4.13±1.76;路径分析显示,看护人的知识、家人及村里人的主观准则、看护人的行为意向、态度和自我效能对行为的总效应依次为0.231、0.214、0.128、0.079、0.035。结论对婴幼儿看护人干预的重点在于提高其喂养行为的知识,同时干预的目标人群还应包括其家人及同村人。
Objective To explore the influencing factors of diarrhea-related feeding behavior in infants and young children by using behavioral change theory and to provide reference for intervention in feeding behavior and promoting children’s nutrition and health. Methods Based on the cross-sectional data and path analysis, we analyzed the knowledge, attitudes, subjective criteria of family and village residents, caregivers’ self-efficacy, health and safety of 476 infants and young children’s caregivers aged 10-15 months in Laishui County, Hebei Province, The relationship between behavioral intention and behavior. Results The scores of care-related diarrhea-related feeding behaviors were 4.13 ± 1.76. Path analysis showed that the total effect of caregivers ’behavioral intention, attitude and self-efficacy on behaviors was 0.231 in the order of caregivers’ knowledge, subjective criteria of family members and villagers, 0.214, 0.128, 0.079, 0.035. Conclusion The focus of infant caregivers intervention is to improve their knowledge of feeding behavior, and the target population of intervention should include both family and village.