Objective To explore the temperament type, temperament dimension levels and influencing factors of infants with cow's milk protein allergy (CMPA), so as to provide basis for early family nurturing of infants with CMPA. Methods From January 2019 to December 2020, 102 infants who took typical physical examination in the Child Health Center ofFujiar Provincial Maternity and Children's Hospital were enrolled as the control group, and 102 infants with CMPA aged 4 to 8 months in the allergy specialist clinic were enrolled as the case group. All infants were evaluated by Chinese Infant Temperament Scale (CITS) and Cow's Milk-related Symptom Score (CoMiSS). Vitamin D level was measured in all infants and maternal anxiety was measured using the Self-Rating Anxiety Scale (SAS). Results A significant difference was found in infants' temperament types between the two groups (χ2=51.866, P<0.05). Except persistence and distractibility at the temperament dimension, the scores of activity level, rhythmicity, approach-withdrawal, adaptability, intensity of reaction, mood and threshold of responsiveness of infants in CMPA group were higher than those in control group (t=5.713,4.154,4.844,5.052,5.067,4.138,4.787,P<0.05). The CoMiSS scores of the infants and the maternal SAS scores in the CMPA group were significantly higher than those in the control group (t=49.433, 16.562, P<0.05), while vitamin D level of infants in CMPA group was significantly lower (t=-16.981, P<0.05). Spearman analysis showed that maternal anxiety and CoMiSS score were correlated with temperament type of infants with CMPA (r=0.191,0.228,P<0.05), and the maternal anxiety level was related to the CoMiSS score and vitamin D level (r=0.762,-0.520,P<0.05). Conclusions The temperament type of CMPA infants has increased in the difficult-to-nurture type and decreased in the easy-to-nurture type. Family parenting should be guided according to the temperament type of the infants, paying attention to the influence of maternal anxiety on the infants' temperament type and family parenting. Moreover, providing health education and standardized diagnosis and treatment can alleviate allergic symptoms and improve nutritional status of infants, thereby improving the health of infants with CMPA.
Key words
cow's milk protein allergy /
temperament /
anxiety /
family nurturing
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References
[1] 陈林,胡燕.儿童食物过敏与家庭生活质量研究进展[J].中华儿科杂志, 2021, 59(7): 607-610.
[2] 张夜曲,胡燕.儿童食物过敏的营养管理[J].中华儿科杂志, 2019, 57(3): 238-240.
[3] 中华医学会儿科学分会免疫学组,中华医学会儿科学分会儿童保健学组,中华医学会儿科学分会消化学组,等.中国婴幼儿牛奶蛋白过敏诊治循证建议[J].中华儿科杂志, 2013, 53(3): 183-186.
[4] 洪琦,姚凯南,周胜利,等. 儿童气质测查量表的修订和标准化[J]. 中华儿科杂志, 1999, 37(3): 135-138.
[5] 李伟艳,周少明, 王少华,等. 牛奶相关症状评分在婴儿牛奶蛋白过敏早期识别中的评价:多中心调查分析[J]. 临床儿科杂志,2020,38(8): 603-605.
[6] 朱一可,吴馨如,刘思奇,等. 抽动障碍患儿父母焦虑、抑郁现状问卷调查及相关因素分析[J]. 北京医学,2020,42(11): 1111-1114.
[7] Sicherer SH, Noone SA, Munoz-Furlong A. The impact of childhood food allergy on quality of life[J]. Ann Allergy Asthma Immunol, 2001, 87(6): 461-464.
[8] 中华儿科杂志编辑委员会,中华医学会儿科学分会.儿童过敏性疾病诊断及治疗专家共识[J].中华儿科杂志, 2019, 57 (3): 164-170.
[9] 韦茹,王静,杨延萍,等. 早期湿疹婴儿的气质特征研究[J].中山大学学报(医学科学版),2020,41(4): 657-660.
[10] 吴星东,江瑞芬,谢辉,等. 哮喘婴幼儿的气质类型及其母亲人格因素分析[J].南昌大学学报(医学版),2012, 52(12): 51-53.
[11] 林海, 常佳, 刘晓红, 等. 哮喘儿童气质类型及行为问题的研究[J]. 中国临床医生杂志, 2020, 48(5): 611-614.
[12] 胡艳, 李传应, 吴成, 等. 辅助性维生素D联合游离氨基酸治疗牛奶蛋白过敏患儿的临床疗效[J]. 安徽医学, 2021, 42(2): 129-132.
[13] 中华医学会儿科学分会消化学组.食物过敏相关消化道疾病诊断与管理专家共识[J].中华儿科杂志, 2017, 55(7): 287-292.
[14] 张卫涛, 周鹏军, 连莉阳, 等. 特应性皮炎患儿25-羟基维生素D缺乏与食物过敏的相关研究[J].重庆医学, 2018, 47(17): 2316-2322.
[15] 杨祝玲, 张泉山, 付四毛, 等. 胃肠道牛奶蛋白过敏婴儿25-羟维生素D水平分析 [J]. 南昌大学学报(医学版), 2019, 59(4): 62-64.
[16] 李晶, 刘慧, 陈玮玮, 等. 4~6岁儿童行为发展与母亲人格特征的关系[J]. 中国心理卫生杂志, 2016, 30(12): 929-932.
[17] De Vente W,Majdandzic M,Bogels SM. Intergenerational transmission of anxiety: Linking parental anxiety to infant autonomic hyperarousal and fearful temperament[J]. J Child Psychol Psychiatry, 2020, 61(11):1203-1212.
[18] 卢永红, 陈瑞红, 陈小莉, 等. 血清Hcy、催乳素、孕酮变化与产后抑郁的关系[J]. 实验与检验医学, 2019, 37(6): 1138-1142.
[19] Moen ØL, Opheim E, Trollvik A. Parents experiences raising a child with food allergy:A qualitative review [J]. J Pediatr Nurs, 2019,46:e52-e63.
[20] 王丽王, 念蓉, 甘文玲, 等. 食物过敏婴儿规范化治疗前后生活质量研究[J]. 中华实用儿科临床杂志, 2015, 30(21):1649-1651.