综合干预改善肥胖儿童自我意识的研究

Group Intervention Effect on Self-conception of Obesity Children

目的:探讨综合营养、运动及心理辅导等手段的团体干预对肥胖儿童自我意识的影响。方法:采用平行对照,对86名肥胖儿童(平均年龄10.4±2.52岁)进行为期一年的团体干预,内容包括营养、运动及心理辅导等手段。干预前后对其作Piers-Harris儿童自我意识量表测查,并与正常体重儿童对比分析。结果:肥胖儿童自我意识总分、躯体与外貌、焦虑(P<0.01)、智力与学校属性、行为、合群(P<0.05)等得分显著低于正常体重儿童,且表现出性别差异:肥胖男生的总分、智力与学校属性、躯体与外貌属性(P<0.01)、合群等得分(P<0.05)显著降低,而肥胖女生仅焦虑(P<0.05)一项得分降低。团体干预一年后,肥胖儿童自我意识的总分(P<0.05)、智力与学校属性、躯体与外貌属性(P<0.01)等均显著提高,并且肥胖男生、肥胖女生的自我意识均与正常体重儿童无显著性差异。结论:肥胖儿童自我意识明显受损,团体干预可以提高肥胖儿童的自我意识。

Objective： To investigate group intervention effects on obesity children＇s self-conception. Methods： 86 obesity children （mean10.4±2.52 years） were under group intervention for one year. Piers-Hart＇is Children＇s Self-concept Scale was used to measure both obesity and normal weight children before and after, compared and analyzed. Results： The total self-concept scores of obesity children and scores of anxiety （P〈0.01）, physical appearance, teamwork （P〈0.05）, etc. were significantly lower than those of normal children, and there were difference between sexes： The total scores of obesity boys, school and intellectual and physical appearance （P〈0.01）, teamwork （P〈0.05）, etc. were significantly lower than those of normal boys. And the obesity girls only had a lower anxiety score （P〈0.05）. One year after the intervention, the total self--concept scorns of obesity children （P〈0.05）, physical appearance, teamwork（P〈0.01 ）, etc. were significantly improved, there was no significant difference between obesity children and normal children, boys and girls correspondingly. Conclusion： Obesity damage children＇s self-conception and group intervention can be an effective way to resume impaired self-conception, and manage obesity children.