Abstract:

Objective To explore the current situation and its influencing factors of preterm weight catch-up growth at 12 months,and to provide evidence-based advice for catch-up growth of preterm infants. Methods 308 preterm infants and their caregivers were investigated at 5 maternal and child health hospitals in Chengdu by general and feeding information questionnaires,and their weight was used as the outcome indicator of catching-up growth. Results The average weight of 308 preterm infants at 12 months was 9.07±1.08kg（6.8~14 kg）,among which 270（87.7%） achieved standard of satisfaction and 38（12.3%） failed. Logistic regression analysis showed that low gestational age（OR=0.661） was a risk factor,while regular child health care（OR=4.168） and enough milk volume intake（OR=4.501） were protective factors. Conclusion The current situation of preterm infants’ catch-up growth needs to be improved;maternal and child health hospitals should pay more attention to preterm infants’ catch-up growth,and provide high-quality child health care for premature infants.

Key words: Preterm Infant, Catch-Up Growth, Current Situation, Influencing Factors, Pediatric Nursing

摘要：

目的 了解早产儿12月龄体重追赶生长现状并分析影响因素,为探究早产儿追赶生长的科学化管理提供依据。 方法 2017年5月—10月采用早产儿一般资料及喂养情况问卷对成都市5所妇幼保健医院儿童保健科行第12月龄常规儿童保健的早产儿及其照护者进行调查,以体重作为追赶生长的结局指标。 结果 308例早产儿12月龄体重为6.8~14.0（9.07±1.08） kg,270例（87.7%）体重追赶生长满意,38例（12.3%）体重追赶生长未达满意标准。Logistic回归分析结果显示,早产儿低出生胎龄是其体重追赶生长的危险因素（OR=0.661）,定期儿童保健（OR=4.168）与奶量摄入充足（OR=4.501）是其保护因素。结论 早产儿追赶生长情况仍待加强,妇幼保健医院及儿童保健医护团队需重视早产儿追赶生长情况,开展高质量的早产儿保健工作。

关键词: 早产儿, 追赶生长, 现状, 影响因素, 儿科护理学