以微信群为载体的家庭医生-儿童保健医生-家长联合干预在学龄前儿童肥胖管理中的应用效果

Application Effect of Family Doctor-Pediatric Healthcare Provider-Parent Joint Intervention Using WeChat Groups as a Carrier in Obesity Management of Preschool Children

目的:探讨以微信群作为载体的家庭医生-儿童保健医生-家长联合干预在学龄前儿童肥胖管理中的应用效果。方法:选取2022年1—6月上海市闵行区某街道社区卫生服务中心儿童保健科在册管理的220例肥胖儿童作为研究对象,采用随机数字表法分为对照组和观察组,各110例。对照组接受常规儿童健康干预,观察组在对照组基础上接受以微信群为载体的家庭医生-儿童保健医生-家长联合干预。比较两组干预效果。结果:观察组肥胖率低于对照组,差异有统计学意义(P=0.012)。干预后,观察组蔬果摄入量、膳食多样性评分高于对照组,且增加值大于对照组,观察组高糖食品摄入量评分低于对照组,且减少值大于对照组,差异有统计学意义(P<0.001)。干预后,观察组每周运动量大于对照组,且增加值大于对照组,观察组身体质量指数(BMI)小于对照组,且减少值大于对照组,差异有统计学意义(P<0.001)。干预后,观察组儿童心理健康量表评分低于对照组,且减小值大于对照组,自我形象评估量表评分高于对照组,且增加值大于对照组,差异有统计学意义(P<0.05)。结论:以微信群为载体的家庭医生-儿童保健医生-家长联合干预在学龄前儿童肥胖管理中的应用效果显著,可改善儿童饮食结构,增加运动量,降低BMI,改善心理健康状况和自我形象。

Objective:To explore the application effect of family doctor-pediatric healthcare provider-parent joint intervention using WeChat groups as a carrier in obesity management of preschool children.Methods:From January 2022 to June 2022,220 obese children under the management of the Child Health Care Department of a sub-district community health service center in Minhang District of Shanghai were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 110 cases in each group.The control group received conventional child health intervention,and the observation group received family doctor-pediatric healthcare provider-parent joint intervention using WeChat groups as a carrier on the basis of the control group.The intervention effects of the two groups were compared.Results:The obesity rate in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.012).After intervention,the vegetable and fruit intake and dietary diversity scores in the observation group were higher than those in the control group,and the increase value in the observation group was greater than that in the control group,while the score of high-sugar food intake in the observation group was lower than that in the control group,and the reduction value in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.001).After intervention,the weekly exercise amount in the observation group was higher than that in the control group,and the increase value in the observation group was greater than that in the control group,while the body mass index(BMI)in the observation group was lower than that in the control group,and the reduction value in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.001).After intervention,the score of the mental health scale in the observation group was lower than that in the control group,and the reduction value in the observation group was greater than that in the control group,while the score of the self-image assessment scale in the observation group was higher than that in the control group,and the increase value in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application effect of family doctor-pediatric healthcare provider-parent joint intervention using WeChat groups as a carrier in obesity management of preschool children is significant,which can improve children's dietary structure,increase physical activity,reduce BMI,and improve mental health and self-image.