关键词: 婴幼儿喂养, 临床路径, 健康教育, 贫困地区, 婴幼儿喂养指数, 婴幼儿喂养困难

Abstract: Objective To effectively promote the concept and method of feeding infants scientifically in poor areas, improving the feeding skills and raise the health level of infants. Methods Based on completing the national health education task themed as "the activity of eliminating the infant anemia", the clinical pathway and adult training Methods were used to conduct the multiple trainings on the grass-roots service personnel and the infants' parents;the two indexes, including the feeding index and feeding difficulty of the infants, were used to evaluate the training effect. Results 1) Before and after the training, the feeding indexes of the infants in all age groups were significantly improved.Before training, the feeding indexes of all age groups were lower than those of the urban sample;the indexes of aged 6 to 8 months were lower than those of the rural sample;the indexes of aged 9 to 11 months were similar to those of the rural sample;and the indexes of aged 12 to 24 months were higher than those of the rural sample.After training, the indexes of each age group were higher than those before training.2) Before and after the training, the feeding difficulty in the group aged 9 to 11 months was not significantly improved;and the feeding difficulties of other groups in different ages were improved significantly.The feeding difficulty of aged 9 to 11 months was characterized by the broad coverage and low warning degree;which is based on:there were 14 projects in the questionnaire;and 8 projects in this group had no significant difference; the top score of each item was 7, the scores of this group before and after intervention were 2.61±1.154 and 2.51±1.115 respectively. Conclusions Based on the health education method of the clinical pathway, the feeding situation of the infants can be improved effectively and comprehensively.For the feeing difficulty, it is needed to be more systematic and targeted measures.

Key words: infant feeding, clinical pathway, health education, poor areas, infant feeding index, infant feeding difficulty