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。
Abstract
Objective To explore influencing factors of feeding behaviors associated with diarrhea among young children with behavioral change theories and provide some references for intervention and promotion of children's nutrition and health. Methods A community-based cross-sectional study of 476 children aged 10~15 months was conducted with their caregivers in Laishui County,China.Path analysis was conducted to explore the relationships among caregivers' knowledge,attitudes,family and residents' subjective norm,caregivers' self-efficacy,intentions and behaviors associated with diarrhea. Results The score of caregivers' feeding behaviors associated with diarrhea was 4.13±1.76.The total effect of caregiver's knowledge,family and residents' subjective norm,caregivers' intentions,attitudes and self-efficacy to feeding behaviors associated with diarrhea were 0.231,0.214,0.128,0.079 and 0.035,respectively. Conclusion Interventions to caregivers should focus on improving knowledges about feeding behaviors,while family and residents also should included.
关键词
腹泻 /
喂养行为 /
行为改变理论 /
路径分析
Key words
diarrhea /
feeding behaviors /
behavioral change theories /
path analysis
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] World Health Organization.WHO child growth standards:length/height-for-age,weight-for-age,weight-for-length,weight-for-height and body mass index-for-age:methods and development[C].WHO,Geneva.2006.
[2] 朱毓,万宏伟,侯燕文,等.计划行为理论在初产妇早期母乳喂养干预中的应用[J].护理研究,2015,29(20):2478-2480.
[3] 武一萍,郭纯全,初玉娟,等.健康教育对母乳喂养的促进作用[J].中国儿童保健杂志,2014,22(5):556-558.
[4] 朱秀,陆虹.电话随访对初产妇产褥期母乳喂养行为的影响[J].中国妇幼保健,2011,26(10):1478-1481.
[5] Ajzen I.The theory of planned behavior[J].Organ Behav Huma Decis Process,1991,50(2):179-211.
[6] 黄敬亭.健康教育学[M].3版.上海:复旦大学出版社,2003:33-37.
[7] 钟春梅,汪之顼,孙忠清,等.农村母亲婴幼儿喂养知识-态度-行为调查分析[J].青岛大学医学院学报,2010,46(4):354-356.
[8] 贺安然,李兴友,刘琴,等.重庆市633例婴幼儿母亲母乳喂养知-信-行调查[J].中国妇幼保健,2015,30(4):594-597.
[9] 刘洁.城市社区邻里隔阂及其公共治理--以长沙S社区为例.长沙:中南大学,2010.
[10] Gollwitzer PM.Weakness of the will:Is a quick fix possible?[J].Motivation and Emotion,2014,38(3):305-322.
[11] Armitage CJ.Efficacy of a brief worksite intervention to reduce smoking.The roles of behavioral and implementation intentions[J].J Occup Health Psychol,2008,12(4):376-390.
[12] Stadler G,Oettingen G,Gollwitzer PM.Intervention effects of information and self-regulation on eating fruits and vegetables over two years[J].Health Psychol,2010,29(3):274-283.
[13] Hagger MS,Lonsdale A,Koka A,et al.An intervention to reduce alcohol consumption in undergraduate students using implementation intentions and mental simulations:a cross-national study[J].Int J Behav Med,2012,19(1):82-96.
[14] Hall PA,Zehr CE,Ng M,et al.Implementation intentions for physical activity in supportive and unsupportive environmental conditions:An experimental examination of intention-behavior consistency[J].Journal of Experimental Social Psychology,2012,48(1):432-436.
[15] Norman P.The theory of planned behavior and binge drinking among undergraduate students:assessing the impact of habit strength[J].Addict Behav,2011,36(5):502-507.
[16] Van Bree RJH,van Stralen MM,Mudde AN,et al.Habit as mediator of the relationship between prior and later physical activity:A longitudinal study in older adults[J].Psychology of Sport and Exercise,2015,19:95-102.
[17] Gardner B.A review and analysis of the use of "habit" in understanding,predicting and influencing health-related behaviour[J].Health Psychol Rev,2014,21:1-19.
基金
美国约翰霍普金斯大学资助(973-0111 P&G Fellows)
PDF(569 KB)
