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目的探讨先天性心脏病婴幼儿的营养问题与母亲喂养行为的相关性。方法选取2013年12月~2014年8月间该院收治的先天性心脏病婴幼儿148例,收集患儿体格和血清白蛋白水平检查结果,采用自制的问卷对母亲喂养知识、喂养观念、母婴情感交流和社会支持3个维度进行调查,分析其与患儿营养水平之间的相关性。结果患儿的身高、体重、头围、胸围、上臂围与母亲喂养观念和母亲喂养状况量表总分之间均呈明显正相关(P<0.05);患儿的身高、体重、头围、胸围、腹部皮褶厚度与母亲和患儿的情感交流及社会支持之间呈明显正相关(P<0.05);患儿体格检查结果与母亲喂养知识之间无明显相关性(P>0.05)。患儿血清白蛋白水平和母亲喂养知识、母亲喂养观念、母婴情感交流和社会支持、喂养状况量表总分之间均无明显相关性(P>0.05)。结论母亲喂养行为中的喂养观念、母婴情感交流和社会支持与先天性心脏病婴幼儿的营养水平之间呈明显的正相关。
Objective To investigate the correlation between nutritional status of infants with congenital heart disease and mother’s feeding behavior. Methods 148 cases of congenital heart disease infants and young children admitted to our hospital from December 2013 to August 2014 were collected. The results of physical examination and serum albumin level were collected. The questionnaires of maternal feeding knowledge, feeding concept, Infant emotional exchange and social support in three dimensions to investigate the correlation between nutritional status and children. Results The height, weight, head circumference, chest circumference and upper arm circumference of the children were positively correlated with the mother feeding concept and the mother feeding status scale (P <0.05). The height, weight, head circumference, There was a significant positive correlation between the thickness of bust and abdomen skinfold and the emotional communication and social support between mother and children (P <0.05). There was no significant correlation between physical exam results and mother’s feeding knowledge (P> 0.05). There was no significant correlation between serum albumin level and maternal feeding knowledge, maternal feeding concept, mother-infant emotional exchange, social support, and feeding status scores (P> 0.05). Conclusion There is a significant positive correlation between feeding concept, mother-infant emotional communication and social support and nutritional status of infants and toddlers with congenital heart disease.