上海市闵行区家长参与式绘制婴儿生长曲线效果评估

Effect evaluation of infantile growth curve with parental involvement in Minhang district of Shanghai city

目的:评价家长参与绘制婴儿生长发育评价图的效果,以及对婴儿生长发育趋势的影响。方法:通过儿童保健管理系统随机抽取2 400名婴儿,指导家长定期完成生长曲线的绘制,并在首次和末次评价时填写家长参与绘制婴幼儿生长曲线图评估表。结果:第3、4、6次评价时,3种生长曲线图均显示连线的百分比随评价次数而逐渐增加,而画点和未点的百分比则逐渐减少(P<0.001)。末次评价时,3种生长曲线图连线、画点、未点次数的均数分别为3.03次、1.16次和0.37次,差异均无统计学意义(P>0.05)。末次评价时,家长认为孩子生长发育好的比例、曲线图对评估孩子发育帮助大的比例,以及曲线图使用方便的比例均高于首次评价,医务人员认为对家长进行发育指导更有效的比例也高于首次评价,差异均有统计学意义(P<0.001)。出生、首评和末评时,年龄测身高、年龄测体重生长曲线P10-P50的比例逐渐上升,而身高测体重和年龄测体重生长曲线<P3、P3-P10的比例呈下降趋势,差异均有统计学意义(P<0.001)。结论:指导家长参与婴儿生长曲线的绘制,不仅可使家长实时了解婴幼儿的体格生长规律,有利于更好地促进婴幼儿生长发育。

Objective： To evaluate the effect of infantile growth curve with parental involvement and its influence on growth and de velopment tendency of infants. Methods ： A total of 2 400 infants were randomly selected from child health care management system, and their parents were guided to draw infantile growth curve regularly, the evaluation forms were filled at the first and the last evaluation respec tively. Results： All the three kinds of growth curve showed that the percentages of connection gradually increased, meanwhile, the percenta ges of dotting and no dotting gradually decreased at the third, fourth and sixth evaluations （P 〈 0. 001 ）. The means of connection, dotting and no dotting of 3 kinds of growth curve were 3.03, 1.16 and 0. 37 times, respectively, and the difference was not significant （P 〉 0. 05 ）. At the last evaluation, the proportions of parents thinking that infants developed well, growth curve was beneficial to assess infantile development, growth curve was convenient were higher than those at the first evaluation （P 〈 0. 001 ） . The proportion of doctors thinking the guidance for parents was more efficient was higher than that at the first evaluation （P 〈 0. 001 ） . The proportions of P10 P50 in the growth curve of age measuring height and age measuring body weight gradually increased at birth, at the first evaluation and the last evaluation, and the proportions of 〈 P3 and P3 PIO in the growth curve of height measuring bod weight and age measuring body weight showed decreasing trends, there were statistically significant differences （P 〈 0. 001 ） . Conclusion： Parents were guided by doctors to involve in drawing the infantile growth curve, which not only can make parents understand the law of physical growth of infants, but also can preferably promote growth and development of the infants.