家庭干预在儿童非器质性喂养困难管理中的应用

doi:10.11852/zgetbjzz2025-0212

摘要/Abstract

摘要： 目的对家庭干预在儿童非器质性喂养困难管理中的应用进行范围综述,识别干预要素并总结干预效果,为临床实践和研究提供一定的思路。方法遵循范围综述研究框架,系统检索PubMed、Web of Science、Scopus、Embase、Cochrane Library、CINAHL、中国知网、维普数据库、万方数据库、中国生物医学文献数据库,时限为建库至2025年1月,并根据纳排标准对文献进行筛选、汇总、提取和分析。结果共纳入11篇文献。家庭干预内容主要涵盖知识宣教、行为干预技巧、心理支持及用餐卫生等方面,干预时长从2周到12个月不等,主要结局指标包括生长发育、进食行为、喂养行为、心理情绪及可行性评价。纳入研究表明家庭干预可改善患儿的饮食行为,促进其生长发育,并优化家长喂养方式,提升其自我效能及亲子互动质量,但评价工具和干预时长等方面缺乏统一标准。结论家庭干预在儿童非器质性喂养困难管理中具有可行性和积极效果。未来需在多学科协作下构建标准化干预体系,融入个性化调整,并通过构建适合本土的“客观测量主导、主观信息补充、生化指标验证”的三维评价模型,以优化干预的针对性与有效性。

关键词: 喂养困难, 非器质性, 家庭干预, 范围综述

Abstract: Objective To conduct a scoping review on the application of family interventions in managing children's non-organic feeding difficulties, identify key intervention components, and summarize their effectiveness, so as to provide certain insights and directions for clinical practice and research. Methods Following the scoping review framework, a systematic search was performed across PubMed, Web of Science, Scopus, Embase, Cochrane Library, CINAHL, CNKI, VIP Database, Wanfang Database, and CBM from inception to January 2025.Literature was screened, summarized, extracted, and analyzed based on inclusion and exclusion criteria. Results Eleven studies were included.Family interventions primarily encompassed nutritional education, behavioral modification techniques, psychological support, and mealtime hygiene practices, with durations ranging from 2 weeks to 12 months.Key outcome measures included growth and development, eating behaviors, feeding practices, psychological well-being, and feasibility assessments.The findings indicated that family interventions improved children's dietary behaviors, promoted growth, optimized parental feeding strategies, enhanced caregivers' self-efficacy, and strengthened parent-child interactions.However, heterogeneity was observed in evaluation tools and intervention durations, highlighting the lack of standardized protocols. Conclusions Family-centered interventions demonstrate feasibility and positive effects in managing non-organic feeding difficulties in children.Future efforts should focus on developing standardized intervention systems through multidisciplinary collaboration, incorporating personalized adjustments, and establishing a culturally adapted three-dimensional evaluation model—"objective measures as the core, subjective feedback as supplementary, and biochemical markers for validation"—to enhance intervention precision and efficacy.

Key words: feeding difficulties, non-organic, family interventions, scoping review

中图分类号:

R179

祝莹莹, 张子皓, 祝家元, 喻金枝, 丁晨莉, 黄铮. 家庭干预在儿童非器质性喂养困难管理中的应用[J]. 中国儿童保健杂志, 2025, 33(8): 871-877.

ZHU Yingying, ZHANG Zihao, ZHU Jiayuan, YU Jinzhi, DING Chenli, HUANG Zheng. Application of family interventions in the management of non-organic feeding difficulties in children[J]. Chinese Journal of Child Health Care, 2025, 33(8): 871-877.

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