本共识旨在为托育机构特殊健康需求婴幼儿(包括生长偏离、轻度心理行为发育偏离、慢性疾病稳定期患儿等)提供循证、安全、个性化的养育照护操作指南。基于“安全第一、个体化、回应性照护、医育结合、发展支持、尊重保密”六大原则,共识系统地提出了人员资质、制度建设、环境设施、协同机制等基本要求,并针对营养不良/超重肥胖、轻度心理行为发育偏离、食物过敏、癫痫、哮喘、早产儿等6类常见特殊健康需求婴幼儿,分别明确了照护目标与具体建议。同时,强调通过家-托-医三方协同,建立专案管理、动态监测预警与闭环转介机制,保障照护的连续性与高质量。本共识的实施将为托育服务标准化建设及政策制定提供科学依据,促进特殊健康需求婴幼儿的早期全面发展。
Abstract
This consensus aims to provide evidence-based, safe, and personalized practical guidelines for the nurturing care of infants and toddlers with special health needs (including those with growth deviations, mild psychological and behavioral developmental deviations, and chronic diseases in stable stages) in nursery institutions. Based on the six principles of "safety first, individualization, responsive care, integration of medical and nurturing care, developmental support, and respect for confidentiality", the consensus systematically proposes basic requirements regarding personnel qualifications, system construction, environmental facilities, and collaborative mechanisms. Furthermore, specific care objectives and recommendations are delineated for six common categories of infants and young children with special health needs: malnutrition/obesity, mild psychological and behavioral developmental deviations, food allergies, epilepsy, asthma, and preterm infants. Additionally, it emphasizes the establishment of a case management system, dynamic monitoring and early warning mechanisms, and a closed-loop referral process through the tripartite collaboration of families, nurseries, and medical institutions, ensuring continuity and high quality of care. The implementation of this consensus will provide a scientific basis for the standardization of nursery services and policy formulation, promoting the comprehensive early development of infants and toddlers with special health needs.
关键词
托育机构 /
特殊健康需求 /
养育照护 /
婴幼儿
Key words
nursery institutions /
special health needs /
nurturing care /
infants and toddlers
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