单纯性肥胖儿童综合干预及健康教育模式探讨.docVIP

单纯性肥胖儿童综合干预及健康教育模式探讨 【摘要】目的对单纯性肥胖儿童进行综合干预，探讨“医院－学校－社区－家庭四位一体”的健康教育模式，达到对单纯性肥胖儿童的有效控制和良好的健康教育。方法肥胖组采用：(1) 干预问卷调查设计方案；（2）对肥胖组儿童的干预；（3）学校与社区对肥胖儿童的发展关注与否的调查与干预；（4）家长对儿童养育观念的影响；（5）测定干预前后的两组生化检测指标（总胆固醇、甘油三酯、血尿酸、血糖）；对照组：在未做任何干预的情况下对本组儿童进行相应的问卷调查与生化检测。结果经干预后肥胖儿童吃饭速度快、常吃油炸食品者比干预前明显减少，每天户外活动超过2h和有吃早餐良好习惯者则比干预前明显增多（P0.01或0.05）；肥胖组干预前的总能量、脂肪、总胆固醇和血尿酸均明显高于对照组（P0.05），干预后肥胖组的能量摄入明显下降（P0.05），脂肪的摄入及总胆固醇和血尿酸也有所下降，但差异尚未达统计学意义（P0.05）；干预后肥胖组儿童家长对孩子的养育观念更科学、养育方式更为合理。结论实施“医院－学校－社区－家庭四位一体”的健康教育模式，制定综合干预措施，有效降低了单纯肥胖儿童的发生率，对减少肥胖所致的并发症具有重要的临床意义。 【关键词】 单纯性肥胖 儿童 综合干预 健康教育 Comprehensive intervention and health education mode in children with simple obesity LIU Xishao,XU Lidan,ZHANG Youhui,Xu Xiaohong (Baoan Peoples Hospital, Shenzhen 518101, China) Abstract:Objective To study the role of comprehensive intervention and Four in One (HospitalSchoolCommunityFamily) health education mode in children with simple obesity.Methods Twentyfive children with simple obesity and 25 healthy ones received questionair survey and biochemical examination. In addition, personal intervention,survey and intervention of the schools and communities, and influence of parents nurturing concept were also made in obesity group.Results Total energy, and serum lipid, total cholesterol and uric acid levels in obesity group were superior to those in control group (P0.05). After intervention, eating habit and outdoor activity were improved (P0.01 or 0.05); energy intake decreased (P0.05), but fat intake and serum total cholesterol and uric acid contents showed no statistical difference (P0.05); parents nurturing concept and way became more scientific and reasonable.Conclusion Comprehensive intervention and Four in One health education mode may reduce the prevalence of simple obesity and the associated complications in children. Key words: simple obesity; children; comprehensive intervention; health education 儿童单纯性肥胖症是一种热能代谢障碍，是摄入热能超过消耗的热能，引起体内脂肪积聚过多所致［1］。王虹等［2］调查报道深圳地区肥胖儿童的发病率为3%，由于过度肥胖引起高血压、高脂血症、糖尿病、动脉粥样硬化性的血管疾