北京市0～3岁婴幼儿家长养育照护能力现状及影响因素分析

doi:10.11852/zgetbjzz2022-0929

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (7): 741-745.DOI: 10.11852/zgetbjzz2022-0929

北京市0～3岁婴幼儿家长养育照护能力现状及影响因素分析

孔文瑞¹, 许梦雪¹, 贾妮¹, 穆立娟², 韩颖³, 李秋菊⁴, 孟召学⁵, 王淑兰⁶, 朱宗涵⁷, 关宏岩¹

1.首都儿科研究所,婴幼儿照护服务研究指导中心,北京 100020;
2.北京市房山区妇幼保健院;
3.北京市东城区妇幼保健计划生育服务中心;
4.北京市朝阳区妇幼保健院;
5.北京市通州区妇幼保健院;
6.北京市平谷区妇幼保健院;
7.首都儿科研究所

收稿日期:2022-07-29 修回日期:2022-11-17 发布日期:2023-07-12 出版日期:2023-07-10
通讯作者: 关宏岩,E-mail: hongyanguan@126.com
作者简介:孔文瑞(1997-),女,陕西人,硕士研究生在读,主要研究方向为养育照护环境评估及干预。
基金资助:
北京市卫生健康委婴幼儿照护课题项目(人口家庭处2020011号)

Status quo and related factors of parental nurturing care ability of children aged 0-3 in Beijing

KONG Wenrui¹, XU Mengxue¹, JIA Ni¹, MU Lijuan², HAN Ying³, LI Qiuju⁴, MENG Zhaoxue⁵, WANG Shulan⁶, ZHU Zonghan⁷, GUAN Hongyan¹

1. Nurturing Care Center, Capital Institute of Pediatrics, Beijing 100020, China;
2. Beijing Fangshan Maternal and Child Health Hospital;
3. Dongcheng District Maternity and Child Healthcare and Family Planning Service Center;
4. Beijing Chaoyang Maternal and Child Health Hospital;
5. Beijing Tongzhou Maternal and Child Health Hospital;
6. Beijing Pinggu Maternal andChild Health Hospital;
7. Capital Institute of Pediatrics

Received:2022-07-29 Revised:2022-11-17 Online:2023-07-10 Published:2023-07-12
Contact: GUAN Hongyan, E-mail: hongyanguan@126.com

摘要/Abstract

摘要： 目的调查北京市0～3岁婴幼儿家长养育照护能力现状及其影响因素,为进一步科学且有针对性的家长养育照护能力指导提供循证支持。方法 2020年7—11月在北京市5所区级妇幼保健院1 514名0～3岁婴幼儿家长中进行问卷调查,采用自编《家长养育照护能力自评问卷》评估家长养育照护能力,包括养育观念与方式、健康护理、营养与喂养、回应性照护、玩耍体验和安全保障6个方面,采用单因素分析和多元线性逐步回归分析探索家长养育照护能力的影响因素。结果家长养育照护能力的总分为(77.81±10.31)分,养育观念与方式得分为(78.81±13.84)分、健康护理(69.43±11.17)分、营养与喂养(78.51±13.06)分、回应性照护(84.00±13.66)分、玩耍体验(73.35±18.84)分和安全保障(82.77±12.80)分。多元线性逐步回归分析结果显示:儿童年龄(1岁:β=-2.09,95%CI:-3.17~-1.02;2~3岁:β=-3.95,95%CI:-5.27~-2.62)、家庭年收入(β=1.39,95%CI:1.16~3.95)、儿童拥有绘本数(β=2.55,95%CI:0.25~2.53)、早期学习支持(β=7.20,95%CI:6.09~8.31)、是否有固定玩耍场所(β=5.48,95%CI:4.33~6.63)是家长养育照护能力总得分的影响因素(P＜0.05)。结论北京市0～3岁婴幼儿家长养育照护能力整体情况良好,但在婴幼儿健康护理及玩耍体验等养育照护实践方面仍有待进一步提升,今后应为家长提供针对性的育儿支持,更好的促进婴幼儿早期发展。

关键词: 婴幼儿, 养育照护能力, 评估, 指导

Abstract: Objective To investigate the status quo and related factors of parental nurturing care ability of children aged 0-3 in Beijing, in order to provide evidence-based reference for further scientific and targeted guidance on nurturing care. Methods From July to November 2020, a self-administered questionnaire survey was conducted among 1 514 parents of children aged 0-3 years in 5 districts of Beijing. A self-designed Caregiver′s Nurturing Care Practice Self-report Questionnaire was used to assess the ability of nurturing care, including nurturing concept and style, health care, nutrition and feeding, responsive caregiving, early learning opportunities, security and safety. Univariate and multivatiate linear regression analysis were used to examine the influence of children, parents and family environment factors on nurturing care ability. Results The total score of the Caregiver′s Nurturing Care Practice Self-report Questionnaire was 77.81±10.31. The scores of nurturing concept and style, health care, nutrition and feeding, responsive caregiving, play experience, security and safety were 78.81±13.84, 69.43±11.17, 78.51±13.06, 84.00±13.66, 73.35±18.84 and 82.77±12.80, respectively.Multivariate linear analysis showed that children′s age (1 year old:β=-2.09,95%CI:-3.17- -1.02; 2-3 years old: β=-3.95, 95%CI:-5.27--2.62), annual household income (β=1.39, 95%CI:1.16-3.95), number of picture books (β=2.55, 95%CI:0.25-2.53), early learning support (β=7.20, 95%CI:6.09-8.31), and availability of a regular playground (β=5.48, 95%CI:4.33-6.63) were factors influencing the total parental nurturing ability score (P＜0.05). Conclusions Parents of 0- to 3-year-old infants and toddlers have good nurturing care ability overall, but there is still room for further improvement in health care and early learning opportunity. Relative support or intervention is needed to better promote early childhood development.

Key words: infants and toddlers, nurturing care ability, assessment, instruction

中图分类号:

R473.72

孔文瑞, 许梦雪, 贾妮, 穆立娟, 韩颖, 李秋菊, 孟召学, 王淑兰, 朱宗涵, 关宏岩. 北京市0～3岁婴幼儿家长养育照护能力现状及影响因素分析[J]. 中国儿童保健杂志, 2023, 31(7): 741-745.

KONG Wenrui, XU Mengxue, JIA Ni, MU Lijuan, HAN Ying, LI Qiuju, MENG Zhaoxue, WANG Shulan, ZHU Zonghan, GUAN Hongyan. Status quo and related factors of parental nurturing care ability of children aged 0-3 in Beijing[J]. Chinese Journal of Child Health Care, 2023, 31(7): 741-745.

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北京市0～3岁婴幼儿家长养育照护能力现状及影响因素分析

Status quo and related factors of parental nurturing care ability of children aged 0-3 in Beijing

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