运用知信行模式对肥胖儿童干预效果观察

Observation on intervention effect of knowledge,attitude,and practice mode on obese children

目的:分析知信行干预措施对肥胖儿童的干预效果。方法:运用知信行干预模式对407名7～12岁肥胖儿童进行干预,以干预前后健康知识知晓率、不良生活习惯的改变率、体重指数、血脂水平及体质检测达标情况为干预效果的评价指标。结果:干预前综合评分(46.85±13.64)分,干预后为(69.72±11.48)分,差异有统计学意义(t=25.879 7,P<0.01);干预后肥胖儿童缺乏体育活动人数、油炸食品摄入人数、小食品摄入率、宵夜人数下降率差异均有统计学意义(P均<0.01);干预后98人血脂恢复正常,53人血脂水平下降,未出现新的血脂异常者;干预前后体质健康指标达标获得优秀、良好和及格人数差异均有统计学意义(P均<0.01)。结论:知信行干预模式显著降低儿童肥胖率,值得推广应用。

Objective： To analyze the intervention effect of knowledge, attitude, and practice （KAP） mode on obese children. Methods： KAP mode was used to intervene 407 obese children aged 7 -12 years old, the evaluation indexes of intervention effect included awareness rate of health knowledge, change rate of bad living habits, body mass index （BMI）, blood lipids levels, and body test before and after intervention. Results： The composite score before and after intervention were （46. 85 ± 13.64） and （69. 72 ~ 11.48）, respectively, there was statistically significant significance （ t = 25. 879 7, P 〈 0. 01 ） ; there were statistically significant significances in the numbers of obese children lacking physical activities and ingesting fried food, the intake rate of snack foods and decreasing rate of number of obese ehil-dren taking night snack between before and after intervention （P all 〈 0.01 ） ; after intervention, blood lipids levels in 98 obese children re- turned to normal, the levels of blood lipids in 53 obese children decreased, no new obese children was found with abnormal blood lipids; there were statistically significant significances in excellent, good, and qualified numbers of physical health indexes in obese children be- tween before and after intervention （P all 〈 0. 01 ） . Conclusion： KAP intervention mode can significantly reduce the incidence rate of obe- sity in children, which is worthy to be popularized and applied.