Child Rearing

儿童饲养
  • 文章类型: Journal Article
    分析在圣地亚哥德孔波斯特拉(西班牙)Real医院的湿护士的职责。次要目标是比较1803年至1808年之间在皇家众议院照顾下的弃儿的死亡率和按教区划分的分布;并确定参加1803年天花疫苗皇家慈善探险的加利西亚弃儿的起源。
    史学研究分析了分类和未分类的系列间接位置和定量历史来源。
    在研究期间,湿护士的职责是提供基本护理和文化指导。在此期间,弃婴的死亡率波动,按教区(当时的医疗保健服务职能单位)分布相似,在ACoruña和Pontevedra省占主导地位。从众议院分析的总共5个加利西亚弃苗是天花疫苗考察的一部分,他们的名字叫胡安·安东尼奥,Jacinto,GerónimoMaría,弗朗西斯科·弗洛伦西奥和胡安·弗朗西斯科.
    在观察期间,圣地亚哥·德孔波斯特拉皇家医院的湿护士负责儿科护理。湿护士在保持婴儿存活的作用中至关重要,可以被认为是当时儿科护士职业的先驱之一。
    UNASSIGNED: To analyze the duties of wet nurses at the Hospital Real in Santiago de Compostela (Spain). The secondary objectives were to compare the mortality rate and distribution by parish of the foundlings under the care of the Royal House between 1803 and 1808; and to determine the origin of the Galician foundlings who participated in the Royal Philanthropic Expedition of the Smallpox Vaccine in 1803.
    UNASSIGNED: Historiographic study that analyzed sorted and not sorted in series indirect positional and quantitative historical sources.
    UNASSIGNED: The duties of wet nurses during the studied period were to provide basic care and cultural instruction. The mortality rate of foundlings fluctuated during that period and their distribution by parish (functional unit of healthcare services at that time) was similar in those years, with a predominance in the provinces of A Coruña and Pontevedra. A total of 5 Galician foundlings from the House analyzed were part of the smallpox vaccine expedition, their names were Juan Antonio, Jacinto, Gerónimo María, Francisco Florencio and Juan Francisco.
    UNASSIGNED: During the observed period the wet nurses of the Hospital Real of Santiago de Compostela were in charge of pediatric care. Wet nurses were vital in the role of keeping the foundlings alive and can be considered as one of the forerunners of the pediatric nurse profession at that time.
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  • 文章类型: Journal Article
    目的:本研究旨在调查在2019年冠状病毒病(COVID-19)大流行背景下,韩国婚姻移民女性育儿的经验意义。
    方法:使用Colaizzi开发的解释学描述性现象学框架,通过从韩国两个多元文化支持中心进行目的性和雪球采样,邀请了10名抚养学龄前和学龄儿童的婚姻移民妇女。参与者抚养一两个孩子,他们的原始国籍是越南人,日本人,柬埔寨人,和中国人。个人深入,面对面,半结构化访谈于2021年9月1日至11月30日进行。我们从成绩单中提取了重要的陈述,将这些转化为抽象的表述,并将它们组织成主题集群和主题,以真实地捕捉参与者的主观体验的本质。
    结果:得出了四个主题集群,其中有14个主题。确定的四个主题集群是“单独导航儿童医疗保健,因为没有提供社会经验而感到内疚,\“\”担心依赖媒体的育儿,“和”不完整和排斥的感觉。“这项研究探讨了由于COVID-19大流行而经历身体和情绪健康危机的婚姻移民妇女抚养孩子的母亲的观点。
    结论:研究结果强调,由于语言和文化障碍限制了获得医疗保健和信息的机会,在COVID-19大流行期间,已婚移民妇女在管理子女健康和福祉方面遇到了更大的挑战。此外,这些妇女由于在广泛的社会限制下为子女提供整体社会和发展环境方面的不足而经历了相当大的情感压力。
    OBJECTIVE: This study aimed to investigate the experiential meaning of child-rearing for marriage immigrant women in Korea in the context of the coronavirus disease 2019 (COVID-19) pandemic.
    METHODS: Using the hermeneutic descriptive phenomenology framework developed by Colaizzi, 10 marriage immigrant women rearing preschool and school-age children were invited through purposive and snowball sampling from two multicultural support centers in Korea. The participants were rearing one or two children, and their original nationalities were Vietnamese, Japanese, Cambodian, and Chinese. Individual in-depth, face-to-face, semi-structured interviews were conducted from September 1 to November 30, 2021. We extracted significant statements from the transcripts, transformed these into abstract formulations, and organized them into theme clusters and themes to authentically capture the essence of the participants\' subjective experiences.
    RESULTS: Four theme clusters with 14 themes were derived. The four theme clusters identified were \"navigating child healthcare alone,\" \"guilt for not providing a social experience,\" \"worry about media-dependent parenting,\" and \"feelings of incompleteness and exclusion.\" This study explored the perspectives of mothers raising children as marriage migrant women who experienced physical and emotional health crises due to the COVID-19 pandemic.
    CONCLUSIONS: The findings underscore that marriage immigrant women encountered heightened challenges in managing their children\'s health and well-being during the COVID-19 pandemic due to linguistic and cultural barriers limiting access to healthcare and information. Additionally, these women experienced considerable emotional stress from perceived inadequacies in providing a holistic social and developmental environment for their children under extensive social restrictions.
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  • 文章类型: Journal Article
    抚养和教育聋哑儿童的问题一直困扰着发展的观念,这些观念一直不准确,与科学研究不符。这些感知对聋哑儿童和一般聋人的健康和生活质量产生了负面影响。最普遍的建议是严格口头抚养孩子,然后等着瞧会发生什么。只有当孩子严重落后时,才会引入一种完全可以使用的语言-手语,这对保护认知健康来说为时已晚。医学界,和其他人一起,需要为父母提供更好的建议和更好的支持,这样孩子和他们的父母都不会等待和看着只有口头的方法失败。所有人都必须采取负责任的行动,以确保成功的方法。
    The matter of raising and educating deaf children has been caught up in percepts of development that are persistently inaccurate and at odds with scientific research. These percepts have negatively impacted the health and quality of life of deaf children and deaf people in general. The all too prevalent advice is to raise the child strictly orally and wait to see what happens. Only when the child is seriously behind is a completely accessible language - a sign language - introduced, and that is far too late for protecting cognitive health. The medical profession, along with others, needs to offer parents better advice and better supports so that neither the children nor their parents wait and watch as the oral-only method fails. All must take responsible action to assure an approach that succeeds.
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  • 文章类型: Journal Article
    本文考察了“童年兴趣”的概念和道德意义。“这个概念在儿童医疗决策中很重要,在儿科伦理领域也很重要。作者认为,童年兴趣是童年幸福的可识别组成部分,具有道德意义。父母在保护和促进这些利益和特殊义务方面具有特殊作用。这些父母的义务是基于孩子的独立利益,以及更广泛的社会利益。因为父母有抚养孩子的义务,他们还必须有必要的权威和广泛的自由裁量权来实现它们。然而,虽然父母的自由裁量权很宽,它不是无限的,因为它必须用于维护和促进儿童利益。
    This paper examines the concept and moral significance of \"childhood interests.\" This concept is important in medical decision-making for children and more broadly in the field of pediatric ethics. The authors argue that childhood interests are identifiable components of childhood well-being that carry moral weight. Parents have a special role in protecting and promoting these interests and special obligations to do so. These parental obligations are grounded by the independent interests of the child, as well as the good of society more generally. Because parents have these child-rearing obligations, they must also have the authority and wide discretion necessary to fulfill them. However, while parental discretion is wide, it is not unlimited, for it must be used to safeguard and advance childhood interests.
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  • 文章类型: Journal Article
    暴力育儿做法对全球健康和人类发展构成了无形的威胁。利用关于儿童管教方法的未充分利用信息,这项研究探讨了父母教育相似性与暴力育儿行为之间的关系,测试一种新的潜在途径,通过这种途径,父母的教育相似性可能与一生中的儿童健康和福祉有关。该研究使用了涵盖27个撒哈拉以南非洲(SSA)国家的多指标类集调查(MICS)和人口与健康调查(DHS)的数据。结果表明,与伴侣在教育中面临地位不一致(异性恋)的夫妇相比,伴侣享有相同教育水平(同婚)的夫妇采取暴力育儿做法的可能性较小,孩子的年龄不同,但从性别和出生顺序来看,情况就不那么严重了。与受教育程度较低的同居夫妇相比,双方共同受教育程度较高的同居夫妇也不太可能(更多)采取身体暴力(非暴力)做法。在以人均GDP较高为特征的国家中,关系更加牢固,人类发展指数,女性教育,但在收入较高和性别不平等的国家也是如此。除了强调女性教育的重要性,这些发现强调了身份一致性与不一致性在SSA伙伴关系中的关键作用.经过测试的微观机制和国家一级的主持人只能微弱地解释结果异质性,呼吁对该主题进行更多研究。
    Violent childrearing practices represent an invisible threat for global health and human development. Leveraging underused information on child discipline methods, this study explores the relationship between parental educational similarity and violent childrearing practices, testing a new potential pathway through which parental educational similarity may relate to child health and wellbeing over the life course. The study uses data from Multiple Indicator Cluster Surveys (MICS) and Demographic and Health Surveys (DHS) covering 27 sub-Saharan African (SSA) countries. Results suggest that couples where partners share the same level of education (homogamy) are less likely to adopt violent childrearing practices relative to couples where partners face status inconsistency in education (heterogamy), with differences by age of the child, yet less so by sex and birth order. Homogamous couples where both partners share high levels of education are also less (more) likely to adopt physically violent (non-violent) practices relative to homogamous couples with low levels of education. Relationships are stronger in countries characterized by higher GDP per capita, Human Development Index, and female education, yet also in countries with higher income and gender inequalities. Besides stressing the importance of female education, these findings underscore the key role of status concordance vs discordance in SSA partnerships. Tested micro-level mechanisms and country-level moderators only weakly explain result heterogeneity, calling for more research on the topic.
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  • 文章类型: Journal Article
    父母在培养儿童健康习惯中的作用是一个强有力的研究领域。然而,现有的大多数文献主要集中在母亲的育儿实践上。鉴于核武器的出现,双收入家庭和最近印度城市孕产妇就业激增,父亲在抚养和喂养孩子方面的参与值得关注。这项研究的目的是记录印度父亲对父亲育儿做法的看法,在其他健康行为中强调儿童的饮食。36名来自加尔各答的6-59个月儿童的父亲,印度参加了面对面或通过印地语的Zoom/电话进行的半结构化采访,孟加拉语,和英语。采访是录音的,逐字转录,并翻译成英语。通过模板分析技术对转录的数据进行主题分析。使用NVivo软件程序检测主题。总的来说,这些印度父亲在幼儿保育和喂养方面发挥了重要作用,这反映在以下七个主题中:(i)父亲参与各种育儿活动;(ii)实施有反应性和无反应性的喂养方式;(iii)对挑剔和缓慢饮食的关注;(iv)对屏幕时间过长的关注;(v)父亲与母亲的育儿;(vi)父亲常规参与育儿的障碍;(营养和更多健康知识的期望)。这增强了对父亲育儿行为的理解,支持将父亲纳入未来以家庭为中心的生活方式干预措施,旨在改善儿童的健康结果。包括他们的饮食习惯。
    The role of parents in fostering children\'s healthy habits is a robust area of research. However, most of the existing literature predominantly focuses on mothers\' parenting practices. Given the emergence of nuclear, dual earning families and the recent surge in maternal employment in urban India, fathers\' engagement in child rearing and feeding warrants attention. The purpose of this research was to document the views of Indian fathers about paternal parenting practices, with an emphasis on children\'s diet among other health behaviors. Thirty-three fathers of children aged 6-59 months from Kolkata, India took part in semi-structured interviews conducted either face-to-face or over Zoom/telephone in Hindi, Bengali, and English. The interviews were audio recorded, transcribed verbatim, and translated to English. The transcribed data were subjected to thematic analysis informed by the Template Analysis technique. Themes were detected using the NVivo software program. Overall, these Indian fathers played an important role in early childhood care and feeding as reflected in the following seven themes: (i) Involvement of fathers in various childcare activities; (ii) Implementation of responsive and non-responsive feeding practices; (iii) Concerns regarding fussy and slow eating; (iv) Concerns regarding excessive screen time; (v) Paternal vs maternal parenting; (vi) Barriers to routine engagement of fathers in childcare; (vii) Desire for more nutrition and health knowledge. This enhanced understanding of paternal parenting behavior supports the inclusion of fathers in future family-focused lifestyle interventions aimed at improving children\'s health outcomes, including their dietary habits.
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  • 文章类型: Journal Article
    背景:母亲需要称职的电子健康素养(eHL)技能,以在虚拟环境中为孩子的健康带来有益的收益,这是一个新的健康平台。我们预测,在幼儿期发挥核心作用的母亲的合格eHL将对孩子的健康产生积极影响。本研究旨在确定幼儿母亲的eHL水平,并调查母亲的eHL与幼儿发展(ECD)和早期育儿实践(EPP)之间的关系。
    方法:这项横断面研究是使用eHealth对36-59个月儿童的母亲进行的。社会人口统计学和个人特征形式,对参与的母亲实施了幼儿发展模块和电子健康素养量表。
    结果:分析了440对母子对的数据。有足够的eHL水平的母亲的孩子更有可能是早期儿童发展指数(ECDI)-在轨道上,调整后的赔率比(AOR),95%置信区间(CI):2.16(1.29-3.61);在学习中有足够的支持,AOR(%95CI):3.23(1.69-6.18);每天有足够的膳食和零食,AOR(%95CI):2.43(1.56-3.78)。
    结论:这些结果表明,需要通过改善母亲的eHL水平来促进儿童健康的干预措施。
    BACKGROUND: Mothers need a competent electronic health literacy (eHL) skill for beneficial gains for the health of their children in the virtual environment, which is a new health platform. We predict that a competent eHL of mothers who play a central role in early childhood will positively affect the health of their children. This study aimed to determine the level of eHL of mothers of young children and investigate the relationship between mothers\' eHL and early childhood development (ECD) and early parenting practices (EPP).
    METHODS: This cross-sectional study was conducted on mothers with children aged 36-59 months using eHealth. Sociodemographic and personal characteristics form, Early Childhood Development Module and eHealth Literacy Scale were administered to the participating mothers.
    RESULTS: The data from 440 mother-child pairs were analysed. Children of mothers with sufficient eHL levels were more likely to be Early Childhood Development Index (ECDI)-on-track, adjusted odds ratio (AOR), 95% confidence interval (CI): 2.16 (1.29-3.61); have adequate support in learning, AOR (%95 CI): 3.23 (1.69-6.18); and have adequate daily meals and snacks, AOR (%95 CI): 2.43 (1.56-3.78).
    CONCLUSIONS: These results revealed that there is a need for interventions that will contribute to child health by improving mothers\' eHL levels.
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  • 文章类型: Journal Article
    诊断不足,因此治疗不足,产妇抑郁症仍然是最常见的生育并发症.各种症状表明分娩后持续超过十年。这意味着对儿童的身体和情感照顾的明显脆弱性。使用2120名婴儿的前瞻性纵向性别分层出生队列,我们研究了母亲早期抑郁症状与随后的儿童心理社会和关系特征之间的关系。母亲在分娩后5个月自我报告抑郁症状的严重程度和频率。父母,教师,目标参与者报告了儿童的心理健康和与成人的关系,从幼儿园到十年级。估计了一系列最小二乘回归,同时控制先前存在/同时存在的儿童和家庭混淆。患有抑郁症状的母亲的儿子和女儿都有遭受更大的心理社会损害的风险,违反课堂规则,与教师的关系很困难,不太愉快的用餐时间(6岁)和睡眠,在童年和青春期强制或不一致的育儿实践。对于男孩来说,这些前瞻性关联在12岁和15岁之间大部分是一致的.女孩在15岁之前也经历了更多有问题的互动。这项研究提供了在早期发育的重要过渡时期,与早期产妇困扰相关的儿子和女儿的明显长期脆弱性的观察,中间,后来的童年。
    Under-diagnosed and thus under-treated, maternal depression remains the most common complication of childbearing. Varying symptoms suggest persistence up to more than a decade following childbirth. This implies distinct vulnerabilities for the physical and emotional care of children. Using a prospective-longitudinal sex-stratified birth cohort of 2120 infants, we examined the relationship between early maternal depression symptoms and subsequent child psycho-social and relational characteristics. Mothers self-reported the severity and frequency of depressive symptoms 5 months after childbirth. Parents, teachers, and target participants reported on child mental health and relationships with adults, from kindergarten to tenth grade. A series of least-squares regressions were estimated, while controlling for pre-existing/concurrent child and family confounds. Both sons and daughters of mothers with more depressive symptoms were at risk of experiencing greater psycho-social impairment, classroom rule defiance, difficult relationships with teachers, less enjoyable mealtimes (age 6 years) and sleep, and coercive or inconsistent parenting practices in childhood and adolescence. For boys, these prospective associations were mostly consistent through ages 12 and 15 years. Girls also experienced more problematic interactions through to age 15 years. This study provides observations of distinct long-term vulnerabilities for sons and daughters in association with early maternal distress at important transitional periods of development in early, middle, and later childhood.
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  • 文章类型: Journal Article
    研究表明,文化适应和粮食不安全是与美国(US)家庭中使用特定食物育儿做法分别相关的因素。某些食物育儿习惯,如强制控制和非结构化的食物育儿做法,与儿童的负面健康后果有关,比如饮食失调。当前的研究旨在探索577Latinx样本中文化适应策略与食物育儿实践之间的关联,苗族,索马里/埃塞俄比亚,多种族家庭。第二个目标是了解食品安全状况是否显着改变了文化适应策略与食品育儿实践之间的关系。结果表明,文化适应策略与食物育儿行为显着相关,这些关系的模式因种族和民族而异。Further,食品安全状况显着改变了拉丁美洲人的文化适应策略与食品育儿实践之间的关系,苗族,索马里/埃塞俄比亚家庭,但不是多种族家庭。这些结果指出了文化适应策略之间的复杂关系,粮食安全状况,以及美国移民人口中的食物育儿做法。纵向研究探索文化适应策略之间的时间关系,粮食安全状况,和食物育儿做法将有助于区分食物育儿做法如何在移民到美国后演变。
    Research suggests that acculturation and food insecurity are factors that are separately associated with the use of specific food parenting practices among United States (US) families. Certain food parenting practices, such as coercive control and unstructured food parenting practices, are related to negative health consequences in children, such as disordered eating behaviors. The current study aimed to explore associations between acculturation strategies and food parenting practices in a sample of 577 Latinx, Hmong, Somali/Ethiopian, and Multiracial families. A secondary objective was to understand whether food security status significantly modified the relationships between acculturation strategies and food parenting practices. Results showed that acculturation strategies were significantly related to food parenting practices, and patterns in these relationships differed across race and ethnicity. Further, food security status significantly modified the relationship between acculturation strategies and food parenting practices for Latinx, Hmong, and Somali/Ethiopian families, but not for Multiracial families. These results point to the complex relationships among acculturation strategies, food security status, and food parenting practices in immigrant populations in the US. Longitudinal studies exploring the temporal relationships between acculturation strategies, food security status, and food parenting practices would help tease apart how food parenting practices may evolve upon migrating to the US.
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  • 文章类型: Journal Article
    先前的研究表明,对患有注意力缺陷/多动障碍(ADHD)的青少年的常规心理社会护理是一种折衷和个性化的混合,包括稀释的循证实践(EBP)和低价值方法。这项研究评估了社区为ADHD青少年提供的EBP和常规护理(UC)在理论行为上产生不同变化的程度,心理,多动症的认知机制。进行了一项基于社区的随机试验,对青少年和社区治疗师进行EBP分娩支持(支持青少年每日自主[STAND])与UC分娩的双重随机分组。参与者是278名具有文化多样性的青少年(11-17岁),患有ADHD和护理人员。在基线时测量机械结果,治疗后,并使用家长评级进行随访,观察,和基于任务的措施。使用线性混合模型的结果表明,与STAND相比,UC对父母评估和基于任务的执行功能表现出更好的影响。然而,当持牌治疗师提供时,相对于UC,STAND对青少年动机和减少父母的侵扰性表现出优异的效果。社区提供的STAND和UC的机制似乎有所不同。UC效能可能通过改善执行功能而发生,而STAND效力可能通过改善青少年动机和减少低价值育儿实践而发生。然而,当未经许可交付时,社区治疗师,STAND没有颁布拟议的机制。社区提供的针对ADHD的EBP的未来适应应增加对无证治疗师的支持,他们占社区精神卫生劳动力的大多数。
    Previous research suggests that routine psychosocial care for adolescents with attention-deficit/hyperactivity disorder (ADHD) is an eclectic and individualized mix of diluted evidence-based practices (EBPs) and low-value approaches. This study evaluated the extent to which a community-delivered EBP and usual care (UC) for adolescents with ADHD produce differential changes in theorized behavioral, psychological, and cognitive mechanisms of ADHD. A randomized community-based trial was conducted with double randomization of adolescent and community therapists to EBP delivery supports (Supporting Teens\' Autonomy Daily [STAND]) versus UC delivery. Participants were 278 culturally diverse adolescents (ages 11-17) with ADHD and caregivers. Mechanistic outcomes were measured at baseline, post-treatment, and follow-up using parent-rated, observational, and task-based measures. Results using linear mixed models indicated that UC demonstrated superior effects on parent-rated and task-based executive functioning relative to STAND. However, STAND demonstrated superior effects on adolescent motivation and reducing parental intrusiveness relative to UC when it was delivered by licensed therapists. Mechanisms of community-delivered STAND and UC appear to differ. UC potency may occur through improved executive functioning, whereas STAND potency may occur through improved teen motivation and reducing low-value parenting practices. However, when delivered by unlicensed, community-based therapists, STAND did not enact proposed mechanisms. Future adaptations of community-delivered EBPs for ADHD should increase supports for unlicensed therapists, who comprise the majority of the community mental health workforce.
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