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纳米比亚东北部一家地区医院中,患有营养不良子女的母亲的营养知识与行为。

Nutritional knowledge and practices of mothers with malnourished children in a regional hospital in Northeast Namibia.

作者信息

Albanus Fillemon Shekutamba, Ashipala Daniel Opotamutale

机构信息

Department of General Nursing Science, School of Nursing and Public Health, Faculty of Health Sciences and Veterinary Medicine, University of Namibia (UNAM), Rundu, Namibia.

出版信息

J Public Health Afr. 2023 May 31;14(8):2391. doi: 10.4081/jphia.2023.2391. eCollection 2023 Aug 7.

Abstract

BACKGROUND

An estimated 159 million children under five are affected by malnutrition, with an additional 101 million children under five being underweight in sub-Saharan Africa. In Namibia, 24% of children under age 5 are stunted and 8% are severely stunted. The Kavango region has the highest rate of stunting (38.8%) in the country.

OBJECTIVE

The purpose of the study was to determine and describe the nutritional knowledge and practices of mothers with malnourished children regarding feeding at Rundu Intermediate Hospital, Kavango East Region, Namibia.

MATERIALS AND METHODS

A quantitative cross-sectional research design was used. A convenience sampling technique was used to select 199 mothers with malnourished children who were admitted to the pediatric ward. Data were collected via self-administered questionnaires with closed-ended questions.

RESULTS

51.8% of the mothers had correct nutritional knowledge regarding breastfeeding for six months before giving other food, and 74.4% believed that newborns should be initiated to breastfeeding within an hour after birth, while the same number breastfed their babies on demand. Furthermore, 35.6% of the participants followed appropriate practices regarding feeding.

CONCLUSIONS

Most mothers (51.8%) had appropriate nutritional knowledge. However, only a minority (35.6%) of the mothers had the appropriate practices regarding feeding their children. Hence, there was a knowledge/practice mismatch regarding the significance of exclusive breastfeeding during the first six months, and generally the vitality of breast milk to the child. These findings may be used to develop strategies and target interventions to create awareness among mothers regarding effective breastfeeding practices.

摘要

背景

据估计,全球有1.59亿五岁以下儿童营养不良,撒哈拉以南非洲还有1.01亿五岁以下儿童体重不足。在纳米比亚,24%的五岁以下儿童发育迟缓,8%的儿童严重发育迟缓。卡万戈地区是该国发育迟缓率最高的地区(38.8%)。

目的

本研究的目的是确定并描述纳米比亚卡万戈东部地区伦杜中级医院中,患有营养不良儿童的母亲在喂养方面的营养知识和做法。

材料与方法

采用定量横断面研究设计。使用便利抽样技术,选取了199名患有营养不良儿童且入住儿科病房的母亲。通过自填式封闭式问卷收集数据。

结果

51.8%的母亲对在添加其他食物前进行六个月母乳喂养有正确的营养知识,74.4%的母亲认为新生儿应在出生后一小时内开始母乳喂养,同样比例的母亲按需喂养婴儿。此外,35.6%的参与者在喂养方面遵循了适当做法。

结论

大多数母亲(51.8%)有适当的营养知识。然而,只有少数母亲(35.6%)在喂养孩子方面有适当做法。因此,在头六个月纯母乳喂养的重要性以及母乳对孩子的总体重要性方面,存在知识与做法不匹配的情况。这些研究结果可用于制定策略和针对性干预措施,以提高母亲对有效母乳喂养做法的认识。

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