目的 研究知信行模式干预对母亲在儿童养育过程中育儿知识、育儿态度和育儿行为的影响,促进婴儿生长发育。 方法 选取401名在国际和平妇幼保健出生的婴儿,随机分为干预组和对照组,开展四种家长学校课程,开办6类家长活动,比较干预前后和不同两组家长育儿知识和喂养行为的差异,提供生长发育监测评估与个别化指导。 结果 1岁时,干预组在家长育儿知识方面比入组时有所提高;干预组比对照组母亲更注重创造良好的就餐环境,就餐速度控制得当,鼓励儿童自己吃饭等。挑食偏食的儿童也比对照组少。干预组男童在3个月体重和身长,5个月身长,均显著高于对照组(P<0.01或<0.05)。干预组女童在5个月身长显著高于对照组(t=2.65,P<0.01)。婴儿神经发育评估干预组婴儿适应性语言平均分值显著高于对照组(P<0.05)。 结论 知信行模式干预可以改善家长的育儿知识、态度和行为,对婴儿生长发育有积极促进作用。

Objective To study KAP mode intervention on parental knowledge attitude and behavior of the mother in child rearing process in order to promote the growth and development of infants. Methods 401 babies born in International Peace Maternity and Child Hospital,were randomly divided into intervention and control groups,to carry out four parents' school curriculum to the class parents,compared the differences between two groups' parental knowledge and feeding behavior before and after of intervention.then offer them the growth and development monitoring;evaluation guidance individually. Results One-year-old the study group had much progress than control on parental knowledge.They care of the feeding behavior,good dining environment,properly dining speed,and encourage children to feed themselves.The picky eaters were much less than control.Body length and weight on 3-month,5-month,the two groups had significant differences (P<0.05 ) that showed the study group was higher than the control.The length of girls in two groups in 5month-old had significant differences (t=2.65,P<0.01) study group was higher.Infant neurodevelopment assessment in terms of adaptability of language also the same difference.the study group score was higher. Conclusion The knowledge of KAP mode intervention can improve parents' child-rearing knowledge attitudes and behavior to infant's growth and development.it has a positive role in promoting.