目的 探讨婴幼儿照护者顺应性喂养（responsive feeding，RF）的阻碍因素，为医护人员制订RF干预方案提供依据。方法 2023年10-12月，采用目的抽样法选取在青岛市某三级甲等医院儿童保健科健康体检的21名婴幼儿主要照护者为研究对象，以能力、机会、动机-行为(capability opportunity motivation-behavior model，COM-B)模型为指导，采用描述性质性研究对其进行半结构式访谈，采用内容分析法分析资料。结果 共提炼3个主题和9个亚主题：能力因素（对RF认识模糊、喂养环境认知与实践技能欠缺、喂养信号识别困难），机会因素（家庭支持缺乏、专业支持不足、宣传推广工作薄弱），动机因素（负面情绪影响、传统思维限制、照护者喂养信念的内在驱动）。结论 医护人员应重视婴幼儿照护者实施RF的阻碍因素，加强医院、社区和家庭的协同合作，多方面满足照护者的需求，促进照护者喂养行为转变。

Objective To explore the barriers to Responsive Feeding（RF) among caregivers of infants and young children，and to provide reference for medical staff to develop RF intervention programs.Methods The purposive sampling method was used to select 21 primary caregivers of infants and young children undergoing health check-ups in the Department of Child Health Care in a tertiary A hospital in Qingdao from October to December 2023.Semi-structured interviews were conducted using a descriptive analysis,and data were analyzed using content analysis.Results Three themes and nine sub-themes were extracted，including capacity factors（vague understanding of RF，insufficient practical skills and knowledge of feeding environment，difficulty in recognizing feeding signals)，opportunity factors（lack of family support，lack of professional support，weak publicity and promotion)，and motivation factors（negative emotional influence，traditional feeding belief，caregivers’ intrinsic feeding motivation).Conclusions Medical staff should pay attention to the barriers to the RF implementation of infant and young child caregivers by strengthening hospital-community-family collaboration.They should meet the needs of caregivers in various ways to promote the change of feeding practice.

R473.72

青岛市医疗卫生重点学科建设项目补助