The relationship of a mother's working model of feeding to her feeding behaviour.

The relationship of a mother's working model of feeding to her feeding behaviour.
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母亲的喂养工作模式与其喂养行为的关系。

DOI:
10.1046/j.1365-2648.2001.01906.x
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发表时间:
2001
影响因子:
3.8
通讯作者:
Clark,R
Clark,R
中科院分区:
医学3区
文献类型:
--
作者:
Pridham,KF;Schroeder,M;Brown,R;Clark,R

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母亲的喂养工作模式与其喂养行为的关系本研究的目的是探讨母亲的喂养工作模式对婴儿的调节对婴儿积极的喂养影响和行为的影响,并说明婴儿和母亲的条件。照顾,包括喂养,是这个理论的一个组成部分。可能影响母亲喂养婴儿的工作模式协调的条件包括婴儿出生成熟状态(早产、足月)、评估年龄和健壮性,以年龄别体重评分(WAZ)为指标。母亲的情况包括抑郁症状和喂养实践(母乳喂养或完全奶瓶喂养)。设计/方法:在这个纵向研究的参与者是99名母亲和他们的婴儿(47足月,52早产,极低出生体重)。在提供书面知情同意书后,在婴儿约1、4、8和12个月大时(早产儿的调整年龄)进行家庭评估。 通过视频辅助访谈评估工作模型协调。母亲的积极情感和行为,包括敏感性和反应能力,通过录像喂养互动进行评级。结果/发现。使用一般线性混合模型的重复测量分析显示,工作模型协调和WAZ评分与积极情感和行为呈显着正相关,与抑郁症状呈显着负相关。无论是出生成熟度的状态,婴儿的年龄,也没有喂养的做法有显着影响母亲的积极影响和行为在feeding.Conclusions。护士的努力,以提高母亲的喂养工作模式的协调,可以帮助母亲喂养更大的积极影响和行为。需要进一步研究母亲的喂养期望和意图的协调如何与她的抑郁症状以及她对婴儿的成长和幸福的看法有关。这个理论模型需要在整个早产儿群体中进行测试。
The relationship of a mother’s working model of feeding to her feeding behaviourAims of the study.This study aimed to examine the difference the attunement of a mother’s working model of feeding to her infant makes for her positive feeding affect and behaviour, accounting for infant and mother conditions.Background/rationale.The concept of a mother’s working model of feeding is derived from attachment theory. Caregiving, including feeding, is a component of this theory. The conditions that may influence the attunement of a mother’s working model of feeding to her infant include infant birth maturity status (premature, full‐term), age at assessment, and robustness, indexed by weight‐for‐agezscore (WAZ). Mother conditions include symptoms of depression and feeding practice (breast feeding or exclusive bottle feeding).Design/methods.Participants in this longitudinal study were 99 mothers and their infants (47 full‐term, 52 premature, very low birth weight). After written informed consent was given, home assessments were made when infants were approximately 1, 4, 8 and 12 months old (adjusted age for premature infants). Working model attunement was assessed with a video‐assisted interview. A mother’s positive affect and behaviour, including sensitivity and responsiveness, were rated from videotaped feeding interaction.Results/findings.Repeated measures analysis with a general linear mixed model showed a significant positive relationship with positive affect and behaviour for both working model attunement and the WAZ score and a significant negative relationship for symptoms of depression. Neither birth maturity status, infant age, nor feeding practice had a significant effect on mother’s positive affect and behaviour during feeding.Conclusions.Nurses’ efforts to enhance the attunement of a mother’s working model of feeding may help mothers feed with greater positive affect and behaviour. Further study of how the attunement of a mother’s feeding expectations and intentions are related to her symptoms of depression and with what she makes of the infant’s growth and well‐being is needed. The theoretical model needs testing with infants from the entire premature population.
提高儿童健康计划的护理质量:健康和社会科学伙伴关系面临的挑战。
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