回应性照护在婴幼儿养育照护中的应用研究进展

冯蔚熙; 朱玲凤

doi:10.11852/zgetbjzz2024-0252

PDF(618 KB)

中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (3) : 288-292. DOI: 10.11852/zgetbjzz2024-0252

综述

回应性照护在婴幼儿养育照护中的应用研究进展

冯蔚熙^1,2, 朱玲凤²

作者信息 +

Application of responsive caregiving in infant nurturing care

FENG Weixi^1,2, ZHU Lingfeng²

Author information +

文章历史 +

摘要

婴幼儿时期为儿童大脑发育的关键期,营养喂养和科学的照护方式是保证其生命质量的物质基础和促进其健康成长的有效措施。回应性照护作为科学的照护方式,通过照护者与婴幼儿的互动沟通及敏锐观察,来识别婴幼儿发出的需求信号并作出及时正确的回应,有利于养育质量的提高。本文系统回顾了国内外关于回应性照护研究的现状,分析了其内涵、理论基础、指导依据、实施效果及面临的挑战,旨在为婴幼儿的临床照护实践提供理论依据。

Abstract

Infancy and toddlerhood are critical periods for brain development in children.Nutritional feeding and scientific care are the material basis to ensure their quality of life and effective measures to promote their healthy growth. As a scientific way of care, responsive care aims to identify the needs signals of infants and toddlers and make timely and correct responses through the interactive communication and keen observation between caregivers and infants, which is conducive to improving the quality of parenting.This paper systematically reviews the current situation of responsive care research at home and abroad, analyzes its connotation, theoretical basis, guiding basis, implementation effect and challenges, and aims to provide theoretical basis for clinical care practice of infants and young children.

导出引用

冯蔚熙, 朱玲凤. 回应性照护在婴幼儿养育照护中的应用研究进展[J]. 中国儿童保健杂志. 2025, 33(3): 288-292 https://doi.org/10.11852/zgetbjzz2024-0252

FENG Weixi, ZHU Lingfeng. Application of responsive caregiving in infant nurturing care[J]. Chinese Journal of Child Health Care. 2025, 33(3): 288-292 https://doi.org/10.11852/zgetbjzz2024-0252

中图分类号： R174

参考文献

[1] 王玉英,于冬梅,段一凡,等. 2016—2017年中国6～23月龄婴幼儿喂养状况[J].卫生研究,2023,52(5):691-697.
Wang YY, Yu DM, Duan YF,et al. Feeding status of infants and young children aged 6-3 months in China in 2016—2017[J]. J Hyg Res,2023,52(5):691-697.(in Chinese)
[2] IFAD.Poverty reduction through nutritious foods[R].e Social Sciences,2018.
[3] 赵金璐,黄佳琦. 中国及发展中国家儿童营养现状、原因及政策比较研究[J]. 中国食物与营养,2021,27(3):5-11.
Zhao JL, Huang JQ. A comparative study on the status quo, causes and policies of child nutrition in China and developing countries[J]. Chin Food Nutr,2021,27(3):5-11.(in Chinese)
[4] 胡晓.儿童保健医生对婴幼儿营养与喂养知识干预的效果分析[J].中国社区医师,2022,38(20):159-161.
Hu X. Effect analysis of child health doctors' intervention on infant nutrition and feedingknowledge[J]. Chin Commun Doct,2022,38(20):159-161.(in Chinese)
[5] Scherer E, Hagaman A, Chung E, et al. The relationship between responsivecaregiving andchild outcomes: Evidence from direct observations of mother-child dyads in Pakistan[J]. BMC Public Health,2019,19(1):252.
[6] 许培斌,奚翔云. 养育照护策略与行动一解读世界卫生组织《儿童早期发展养育照护框架》[J]. 中国妇幼健康研究,2020,31(7):840-843.
Xu PB,Xi XY. Parenting strategies and actions-Interpreting the World Health Organization Framework for Early Childhood Developmental Parenting and Care[J]. Chin J Women Child Health Res,2020,31(7):840-843.(in Chinese)
[7] 何宛君,尤梁惠,张敏.婴幼儿回应性照护与体重管理[J].中国妇幼健康研究,2023,34(3):113-118.
He WJ, You LH, Zhang M. Responsive care and weight management ininfants and young children[J].Chin J Women Child Health Res,2023,34(3):113-118.(in Chinese)
[8] 祁月,张羽頔,蒋子晗,等. 2月龄时回应性照护对婴儿6个月内发育影响的出生队列研究[J].中国儿童保健杂志,2020,28(1):23-27.
Qi Y, Zhang YD, Jiang ZH, et al. A birth cohort study on the effects of responsive care at 2 months of age on infant development during 6 months[J]. Chin J Child Health Care,2020,28(1):23-27.(in Chinese)
[9] 赵淑良,王爱华,苗逸群,等. 婴幼儿回应性喂养研究进展[J].护理学杂志,2022,37(23):107-110.
Zhao SL, Wang AH, Miao YQ, et al.Research progress on responsive feeding of infants[J].J Nurs Sci,2022,37(23):107-110.(in Chinese)
[10] 中国营养学会膳食指南修订专家委员会妇幼人群指南修订专家工作组.6月龄内婴儿母乳喂养指南的科学依据[J].临床儿科杂志,2016,34(8):637-640.
[11] 国家卫生健康委公厅.国家卫生健康委办公厅关于印发3岁以下婴幼儿健康养育照护指南(试行)的通知国卫办妇幼函〔2022〕409号[EB/OL].[2023-02-26].http://www.gov.cn/zhengce/zhengceku/2022/11/29/content_5729421.htm.
[12] 邵洁,童梅玲,张悦,等.婴幼儿养育照护专家共识[J].中国儿童保健杂志,2020,28(9):1063-1068.
Shao J, Tong ML, Zhang Y, et al. Expert consensus on infant care[J].Chin J Child Health Care,2020,28(9):1063-1068.(in Chinese)
[13] 崔宇杰,张云婷,赵瑾,等.我国儿童早期发展工作现状分析及策略建议[J].华东师范大学学报(教育科学版),2019,37(3):107-117.
Cui YJ, Zhang YT, Zhao J, et al.Current situation analysis and strategy suggestions for early child development in China[J]. J East Chin Norm Univ(Educ Sci),2019,37(3):107-117.(in Chinese)
[14] 王丹,黄垂灿,樊利春.回应性喂养对婴幼儿睡眠影响的研究进展[J].中国儿童保健杂志,2023,31(6):656-660.
Wang D, Huang CC, Fan LC. Research progress on the effects of responsive feeding on infant sleep[J].Chin J Child Health Care,2023,31(6):656-660.(in Chinese)
[15] 徐玉英,王雪娜,李佳,等.婴幼儿回应性照护的研究进展[J].中国儿童保健杂志,2023,31(1):71-75.
Xu YY, Wang XN, Li J, et al. Research progress in responsive care of infants and youngchildren[J].Chin J Child Health Care,2023,31(1):71-75.(in Chinese)
[16] Sokolovic N,Schneider A, Periman M, et al.Teaching home-visitors to support responsive caregiving:A cluster randomized controlled trial of an online professional development program in Brazil[J].J Glob Health,2022,12:04007.
[17] Wade M, Madigan S, Akbari E, et al.Cumulative biomedical risk and social cognition in the second year of life: Prediction and moderat ion by responsive parenting[J]. Frontiers in Psychology,2015(6):354.
[18] Hodges EA, Hughes SO, Hopkinson J,et al. Maternal decisions about the initiation and termination of infant feeding[J]. Appetite,2008,50(2-3):333-339.
[19] Hetherington MM. Understanding infant eating behaviour - Lessons learned from observation[J]. Physiol Behav,2017,176:117-124.
[20] Paul IM, Hohman EE, Birch LL,et al. Exploring infant signing to enhance responsive parenting: Findings from the INSIGHT study[J]. Matern Child Nutr,2019,15(3):e12800.
[21] Bowlby J.The nature of the child's tie to his mother[J]. Int J Psychoanal,1958,39(5):350-373.
[22] Thompson RA. Emotion regulation:A theme in search of definition[J]. Monogr Soc Res Child Dev,1994,59(2-3):25-52.
[23] Curtin M, Thompson LA. What is parent-child interaction therapy?[J]. JAMA Pediatr,2023,177(4):441.
[24] Twintoh RF, Anku PJ, Amu H, et al. Childcare practices among teenage mothers in Ghana: A qualitative study using the ecological systems theory[J]. BMC Public Health,2021,21(1):16.
[25] Rochat P.The evolution of developmental theories since piaget:A metaview[J]. Perspect Psychol Sci, 2023,10.doi:https://doi.org/10.1177/17456916231186611.
[26] Ainsworth MD, Bell SM. Attachment, exploration, and separation: Illustrated by the behavior of one-year-olds in a strange situation[J]. Child Dev,1970,41(1):49-67.
[27] Rhodes EC, Damio G, LaPlant HW, et al. Promoting equity in breastfeeding through peer counseling: The US breastfeeding heritage and pride program[J]. Int J Equity Health,2021,20(1):128.
[28] 童梅玲,邵洁,张悦,等.婴幼儿养育照护关键信息100条[J].中国妇幼健康研究,2020,31(9):1132-1136.
Tong ML, Shao J, Zhang Y, et al. 100 key messages for parenting care for infants and young children[J].Chin J Women Child Health Res,2020,31(9):1132-1136.(in Chinese)
[29] 王成群,徐海青,汪鸿,等.医护教家相结合养育照护促进高危早产儿发育的研究[J].中国儿童保健杂志,2022,30(6):607-611.
Wang CQ,Xu HQ,Wang H,et al.Study on the development of high-risk peterm infants promo-ted by the combination of nursing care and nursing care[J].Chin J Child Health Care,2022,30(6):607-611.(in Chinese)
[30] Yrjölä P, Myers MM, Welch MG,et al.Facilitating early parent-infant emotional connection improves cortical networks in preterm infants[J]. Sci Transl Med,2022,14(664):eabq4786.
[31] Bowlby J.Attachment and loss:Volume 1.Attachment[M].2nd ed.New York:Basic Books.
[32] Berlin LJ, Martoccio TL, Bryce CI,et al.Improving infants stress-induced cortisol regulation through attachmentbased intervention:A randomized controlled trial[J]. Psychoneuroendocrinol,2019,103:225-232.
[33] 罗爽,尹华英,王海梅. 基于Web of Science的母亲敏感性研究文献计量分析[J].护理学报,2022,29(12):28-33.
Luo S, Yin HY, Wang HM. Bibliometric analysis of research on maternal se-nsitivity based on Web of Science[J].J Nurs(Chin),2022,29(12):28-33.(in Chinese)
[34] Little EE, Legare CH, Carver LJ. Mother-infant physical contact predicts responsive feeding among U.S. breastfeeding mothers[J].Nutrients,2018,10(9):1251.
[35] Barnard KE. NCAST feeding manual[M]. Seattle. Washington: NCAST Publications,1994.1.
[36] 孙一婕. 不同喂养方式下3月龄婴儿母婴互动差异及母婴互动影响因素研究[D].北京:中国疾病预防控制中心,2022.
Sun YJ. Study on the differences in mother-infant interaction of 3-month-old infants under-different feeding methods and the influencing factors of mother-infant interaction[D].Beijing:Chinese Center for Disease Control and Prevention,2022.(in Chinese)
[37] Hetherington MM.Understanding infant eating behaviour-Lessons learned from observation[J]. Physiol Behav,2017,176:117-124.
[38] Watson J, McGuire W. Responsive versus scheduled feeding for preterm infants[J].Cochrane Database Syst Rev,2015 (10). doi: 10.1002/14651858.CD005255.pub4.
[39] Scherer E, Hagaman A, Chung E, et al.The relationship between responsive caregiving and child outcomes.evidence from direct observations of mother-child dyads in Pakistan[J]. BMC Public Health,2019,19(1):252.
[40] Mallan KM, Daniels LA, Wilson JL,et al. Association between maternal depressive symptoms in the early post-natal period and responsiveness in feeding at child age 2 years[J].Maternal & Child Nutrition Vol,2015,11(4): 926-935.
[41] Khalesi ZB, Mirzaii S, Rad EH,et al. Determinants of maternal role adaptation in mothers with preterm neonates[J]. JBRA Assist Reprod,2021,25(3):434-438.
[42] Morton SU, Schnur M, Kerper R,et al.Premature infants have normal maturation of the T cell receptor repertoire at term[J]. Front Immunol,2022,13:854414.
[43] Fernandez Medina IM,Granero-Molina J, Fernandez-Sola C, et al. Bonding in neonatal intensive care units:Experiences of extremely preterm infants' mothers[J].Women Birth,2018,31(4):325-330.
[44] 俞峰. 代际学习视角下祖辈与父辈合作育儿研究[D].上海:上海师范大学,2021.
Yu F. Research on cooperative parenting between grandparents and parents from the perspective of intergenerational learning[D]. Shanghai:Shanghai Normal University,2021.
[45] Khalsa AS, Woo JG, Kharofa RY, et al. Parental intuitive eating behaviors and their association with infant feeding styles among low-income families[J]. Eat Behav,2019,32:78-84.
[46] 刘岩,于桂玲,李智慧,等.婴幼儿照护者顺应喂养评估工具的研究进展[J].护理学杂志,2022,37(2):105-109.
Liu Y, Yu GL,Li ZH, et al.Research progress on the assessment tools of responsive feeding in caregivers of infants and young children[J].J Nurs Sci,2022,37(2):105-109.(in Chinese)
[47] 贾妮,许梦雪,丁美琦,等.中文版亲子互动-喂养量表的信效度初步研究[J].中国儿童保健杂志,2022,30(8):839-844.
Jia N, Xu MX, Ding MQ, et al. A preliminary study on the reliability and validity of Chinese Parent-Child Interaction Feeding Scale[J].Chin J Child Health Care,2022,30(8):839-844.(in Chinese)
[48] 黄楹,张海峰,童连.婴幼儿回应性照护评价量表的初步编制与评价[J].中国儿童保健杂志,2022,30(4):386-391.
Huang Y, Zhang HF, Tong L. Preliminary development and evaluation of Responsive Care Evaluation Scale for Infants and Young Children[J].Chin J Child Health Care,2022,30(4):386-391.(in Chinese)