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已发表论文
评估母乳喂养和以家庭为中心的护理：基于德尔菲法的量表及其对儿童心理状态的预测
Authors Yang Y, Sun N, Wang M, Liu M, Chen S, Liu Y, Jiang W
Received 12 June 2025
Accepted for publication 23 November 2025
Published 3 December 2025 Volume 2025:18 Pages 7847—7864
DOI https://doi.org/10.2147/JMDH.S546721
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Pavani Rangachari
Yafei Yang,* Na Sun,* Mengke Wang, Mengying Liu, Shiyan Chen, Ye Liu, Wei Jiang
Department of Pediatrics, South China Hospital, Medical School, Shenzhen University, Shenzhen, 518116, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Wei Jiang, Department of Pediatrics, South China Hospital, Medical School, Shenzhen University, No. 1 Fuxin Road, Pinghu Street, Longgang District, Shenzhen, Guangdong Province, 518116, People’s Republic of China, Email jiangwei19491001@163.com
Purpose: This study aims to develop and validate the Breastfeeding and Family-Centered Care Assessment Scale (ScaleSc) utilizing the Delphi method and to examine its association with child psychological status.
Methods: Children aged 6– 14 years were enrolled as study participants. Through multiple rounds of structured expert consultation, a comprehensive scale encompassing core elements of breastfeeding practices and family-centered care was systematically developed. Concurrently, support vector machine (SVM) and decision tree models were constructed utilizing ScaleSc scores alongside other relevant clinical characteristics of the participants.
Results: Multivariate modeling identified higher ScaleSc scores as a significant protective factor against poor psychological status, with the scale demonstrating substantial predictive importance within both computational models. Furthermore, exposure to school bullying (SchBull) emerged as a potent risk factor, exhibiting a markedly elevated odds ratio (OR) of 43.982 within the logistic regression analysis, highlighting its profound detrimental impact on child psychological well-being. The study robustly confirmed the significant influence of breastfeeding practices and family-centered care on child psychological development, demonstrating the ScaleSc’s efficacy in quantitatively linking these critical early-life factors to psychological outcomes.
Conclusion: This research successfully developed and clinically validated the ScaleSc, establishing its significant utility for assessing child psychological status.
Keywords: Delphi method, scale development, model construction, child psychology, breastfeeding, family-centered care
Department of Pediatrics, South China Hospital, Medical School, Shenzhen University, Shenzhen, 518116, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Wei Jiang, Department of Pediatrics, South China Hospital, Medical School, Shenzhen University, No. 1 Fuxin Road, Pinghu Street, Longgang District, Shenzhen, Guangdong Province, 518116, People’s Republic of China, Email jiangwei19491001@163.com
Purpose: This study aims to develop and validate the Breastfeeding and Family-Centered Care Assessment Scale (ScaleSc) utilizing the Delphi method and to examine its association with child psychological status.
Methods: Children aged 6– 14 years were enrolled as study participants. Through multiple rounds of structured expert consultation, a comprehensive scale encompassing core elements of breastfeeding practices and family-centered care was systematically developed. Concurrently, support vector machine (SVM) and decision tree models were constructed utilizing ScaleSc scores alongside other relevant clinical characteristics of the participants.
Results: Multivariate modeling identified higher ScaleSc scores as a significant protective factor against poor psychological status, with the scale demonstrating substantial predictive importance within both computational models. Furthermore, exposure to school bullying (SchBull) emerged as a potent risk factor, exhibiting a markedly elevated odds ratio (OR) of 43.982 within the logistic regression analysis, highlighting its profound detrimental impact on child psychological well-being. The study robustly confirmed the significant influence of breastfeeding practices and family-centered care on child psychological development, demonstrating the ScaleSc’s efficacy in quantitatively linking these critical early-life factors to psychological outcomes.
Conclusion: This research successfully developed and clinically validated the ScaleSc, establishing its significant utility for assessing child psychological status.
Keywords: Delphi method, scale development, model construction, child psychology, breastfeeding, family-centered care