婴儿家长接受SOAP营养咨询效果评价

Effective Evaluation on the Parents of the Infants Received the Subjective,Objective,Assessment and Plan

目的了解采取SOAP[主观询问(subjective)、客观检查(objective)、评价(assessment)和营养治疗计划(plan)]营养咨询法对婴儿体格发育的影响。方法选取2007年3至5月在山西省妇幼保健院儿童保健科接受体检的100例婴儿为观察对象,将其随机分为SOAP组(n=50)和常规组(n=50),观测6个月。对SOAP组家长进行SOAP营养咨询,对常规组家长采用儿童保健门诊常规指导(本研究遵循的程序符合山西省妇幼保健院人体试验委员会制定的伦理学标准,得到该委员会批准,分组征得受试对象监护人的知情同意,并与其签署临床研究知情同意书)。每3个月检查两组婴儿的体格发育,并对两组婴儿家长营养知识及喂养行为做定期评价。结果6个月后,①两组家长的育儿营养知识-信念-行为较前均有改善,经重复测量方差分析,SOAP组家长的婴儿辅食添加情况、营养知识和喂养技术得分的增加,显著高于常规组,且差异有显著意义(P<0.05);②SOAP组受试儿的辅食添加更趋合理,膳食营养素摄入量占推荐摄入量的比例基本达到要求,与常规组比较,差异有显著意义(P<0.05);③两组受试儿体重、身长、头围、Kaup指数比较,差异无显著意义(P>0.05),但经重复测量方差分析,SOAP组儿童体重、身高的增加值均较常规组高,且差异有显著意义(P<0.01)。结论接受SOAP营养咨询法的家长在育儿营养知识-信念-行为的改善上优于常规组,SOAP组受试儿的某些生长发育指标优于常规组。因此,SOAP营养咨询法是一种个性化的儿童保健营养指导方法,优于常规指导。

Objective Based upon the study of the influence on infants＇ growth produced by the parents who received the SOAP（subjective, objective, assessment and plan）nutrition consultancy training, this thesis aims to figure out an effective instruction for the infant nutrition. Method From March to May, 2007,one hundred infants who had physical examination in the Shanxi Province Maternal and Child Health Hospital were taken as samples and randomly divided into two groups： SOAP group（n=50） and convention group（n= 50）. They were observed for six months. The infants＇ parents from SOAP group received the SOAP nutrition consultancy training, and convention group received the regular instructions of the children health（This study followed the procedures in line with human trials in Shanxi Province Maternal and Child Health Hospital ethics standards established by the Committee, has given its approval, the grouping subjects guardians informed consent, and clinical research with the signing of informed consent）. The researchers examined the two groups of infants every three months and regular evaluated their parentsf knowledge of nutrition and feeding behaviors. Results After six months of intervention, （1）Two groups of infants＇ parents improved their nutrition knowledge, beliefs and behaviors. Based on the analysis of variance of repeated measure data, the scores of infant supplementary food, nutrition knowledge and feeding knowledge, made by those from SOAP group are much higher than those made by parents from convention group and the difference was brilliant（P〈0.05）.（2）The infant supplementary food of the SOAP group was more reasonable, and its ratio of Dietary Reference Intakes （DRIs） to the recommending intakes quantity almost reaches the standards. In comparison with the convention group, the difference is brilliant （P〈0.05）. （3） Two groups of infants had no statistic difference in weight, height, head perimeter and kaup indexes. However, the analysis of variance of repeated measure data showed that the infants from the SOAP group grew faster in their weight and height than the infants of the convention group did. And difference is brilliant （P〈0. 01 ）. Conclusion The parents who have studied the SOAP nutrition consuhancy training made greater improvements in the nutrition knowledge, beliefs and behaviors than the parents from convention group, some growth indexes of the infants of the SOAP are better than those of convention group. SOAP nutrition consultancy is a special instruction for the children health and advantageous to the convention ways. It is proved that SOAP is an effective way for children care.