婴幼儿家庭养育照护指导需求分析

doi:10.11852/zgetbjzz2021-1653

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (1): 32-36.DOI: 10.11852/zgetbjzz2021-1653

所属专题：婴幼儿养育照护

婴幼儿家庭养育照护指导需求分析

尹春岚¹, 奚翔云¹, 童梅玲², 朱玲³, 张华⁴, 刘云芬⁵, 黄燕⁶, 张永花⁷, 章丽丽⁸, 崔欣华⁹, 倪育¹⁰, 钟新文¹¹, 李霞¹², 许培斌¹

1.青岛市妇女儿童医院,山东青岛 266034;
2.南京市妇幼保健院;
3.山西省妇幼保健院;
4.重庆市妇幼保健院;
5.云南省妇幼保健院;
6.海南省妇女儿童医学中心;
7.兰州市妇幼保健院;
8.无锡市妇幼保健院;
9.连云港市第一人民医院;
10.盐城市妇幼保健院;
11.安溪县妇幼保健院;
12.成都市双流区妇幼保健院

收稿日期:2021-11-08 修回日期:2022-02-18 发布日期:2023-01-04 出版日期:2023-01-10
通讯作者: 许培斌,E-mail: 2263910545@qq.com
作者简介:尹春岚(1992-),女,山东人,硕士研究生,主要研究方向为儿科护理。
基金资助:
国家卫健委人口家庭司项目( 2020年)

Analysis on the needs of family nurturing guidance for infants

YIN Chun-lan¹, XI Xiang-yun¹, TONG Mei-ling², ZHU Ling³, ZHANG Hua⁴, LIU Yun-fen⁵, HUANG Yan⁶, ZHANG Yong-hua⁷, ZHANG Li-li⁸, CUI Xin-hua⁹, NI Yu¹⁰, ZHONG Xin-wen¹¹, LI Xia¹², XU Pei-bin¹

1. Qingdao Women and Children′s Hospital,Qingdao,Shandong 266034,China;
2. Nanjing Maternity and Child Health Care Hospital;
3. Women Health Center of Shanxi;
4. Chongqing Health Center for Women and Children;
5. Yunnan Maternal and Child Health Care Hospital;
6. Hainan Women and Children′s Medical Center;
7. Lanzhou City Maternity and Child-Care Hospital;
8. Wuxi Maternal and Infants Center Hospital;
9. The Frist People′s Hospital of Lianyungang;
10. Yancheng Maternity and Child Health Care Hospital;
11. Anxi County Maternal and Child Health Hospital;
12. Chengdu ShuangLiu District Maternal Child Health Hospital

Received:2021-11-08 Revised:2022-02-18 Online:2023-01-10 Published:2023-01-04
Contact: XU Pei-bin, E-mail: 2263910545@qq.com

摘要/Abstract

摘要： 目的调查婴幼儿家庭养育照护指导需求情况及其影响因素,为推进医育结合照护服务提供参考。方法 2020年9—11月在我国9省12市选取3 439名婴幼儿家庭进行问卷调查。由照护者填写一般资料和家庭养育问卷,收集婴幼儿家庭对照护指导的需求情况。结果在3 439名婴幼儿家庭中,有1 022个(29.7%)家庭有照护指导需求,其中对回应性照护和早期学习机会的指导需求尤为突出。Logistics回归分析显示:主要照护者是父亲(OR=0.476,95%CI:0.361~0.629)和(外)祖父母(OR=0.455,95%CI:0.304~0.681)、工作状态为务农(OR=0.395,95%CI:0.240~0.649)、退休(OR=0.612,95%CI:0.500~0.750)是婴幼儿家庭养育照护指导需求的保护因素;家庭结构为主干家庭(OR=1.295,95%CI:1.101~1.523)、单亲家庭(OR=2.631,95%CI:1.405~4.927),文化程度为大专/本科(OR=2.180,95%CI:1.600~2.971)、研究生及以上(OR=3.116,95%CI:2.109~4.811)、家庭月均收入在10 001～20 000(OR=1.815,95%CI:1.407~2.340)与>20 000元(OR=2.846,95%CI:2.125~3.813)是婴幼儿家庭养育照护高需求的危险因素。结论目前,我国家庭对婴幼儿的养育存在一定的指导需求。各医疗、保健机构特别是妇幼保健机构应不断完善针对婴幼儿养育照护的专业指导与健康服务,以进一步提升婴幼儿家庭照护的质量。

关键词: 婴幼儿, 养育照护, 照护指导, 医育结合

Abstract: Objective To investigate the needs and influencing factors of family nurturing for infants, so as to provide reference for promoting the combination of medical education and care services. Methods From September to November 2020, 3 439 infants were selected from 9 provinces and 12 cities in China for questionnaire survey. Parents were asked to fill in general information and family rearing questionnaire to collect the needs of infant families for nurturing guidance. Results Among 3 439 infants, 29.7% had the need for nurturing guidance, especially for responsive care and early learning opportunities. Logistics regression analysis showed that the main caregivers were father(OR=0.476,95%CI:0.361 - 0.629)and(maternal) grandparents(OR=0.455,95%CI:0.304 - 0.681), farmers(OR=0.395,95%CI:0.240 - 0.649)and retirement(OR=0.612,95%CI:0.500 - 0.750)were protective factors for guidance needs for infants and toddlers family nurturing care. Stem family(OR=1.295,95%CI:1.101 - 1.523), single-parent family(OR=2.631,95%CI:1.405 - 4.927), caregivers with educational level of college/graduate(OR=2.180,95%CI:1.600 - 2.971), postgraduate and above(OR=3.116,95%CI:2.109 - 4.811)and average monthly household income of >10 001 - 20 000 yuan(OR=1.815,95%CI:1.407 - 2.340), above 20 000 yuan(OR=2.846,95%CI:2.125 - 3.813)were risk factors for demand for high guidance needs for infants and toddlers family nurturing care. Conclusions At present, families in China have a certain need for guidance on the nurturing care of infants and toddlers. Medical and health care institutions, especially maternal and child health care institutions, should continue to improve their professional guidance and health services for the nurturing care of infants and toddlers in order to further improve the quality of family care.

Key words: infants and toddlers, nurturing care, nursing guidance, combination of medical and rearing

中图分类号:

R174

尹春岚, 奚翔云, 童梅玲, 朱玲, 张华, 刘云芬, 黄燕, 张永花, 章丽丽, 崔欣华, 倪育, 钟新文, 李霞, 许培斌. 婴幼儿家庭养育照护指导需求分析[J]. 中国儿童保健杂志, 2023, 31(1): 32-36.

YIN Chun-lan, XI Xiang-yun, TONG Mei-ling, ZHU Ling, ZHANG Hua, LIU Yun-fen, HUANG Yan, ZHANG Yong-hua, ZHANG Li-li, CUI Xin-hua, NI Yu, ZHONG Xin-wen, LI Xia, XU Pei-bin. Analysis on the needs of family nurturing guidance for infants[J]. Chinese Journal of Child Health Care, 2023, 31(1): 32-36.

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婴幼儿家庭养育照护指导需求分析

Analysis on the needs of family nurturing guidance for infants

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