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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 Zhixin line on obese children. Methods: Forty obese children aged 7 ~ 12 years were intervened by using the mode of “Zhixinxing” intervention. Before and after the intervention, the awareness rate of health knowledge, the change rate of unhealthy lifestyle, body mass index, blood lipid level and physical examination compliance were the evaluation indexes of intervention effect . Results: The score before intervention was 46.85 ± 13.64 and 69.72 ± 11.48 after intervention, the difference was statistically significant (t = 25.879 7, P <0.01). The number of obese children lacking physical activity after frying There were significant differences in the rate of food intake, the intake of small food, and the rate of late-night drop (P <0.01). After the intervention, the blood fat of 98 people returned to normal, the blood lipid level of 53 people decreased and no new dyslipidemia appeared (P <0.01). There were significant differences between the two groups before and after the intervention (P <0.01). Conclusion: The model of intervention in knowledge and communication can significantly reduce the obesity rate in children, which is worth popularizing and applying.