| BackgroundSimple obesity in children refers to nutritional disturbance caused by children’s long-term energy intake in excess of the metabolic needs of the human body,resulting in excessive calories is converted into a fat accumulation and then body weight exceeds the reference range.With the development of economy and society,the prevalence of childhood obesity in the world is on the rise.It has also become a public health issue which has serious impact on children’s physical and mental health,so it is urgent to arouse the attention of society,families and develop scientific intervention measures to combat childhood obesity.The family-centred care(FCC)model,which is adapted to the bio-psycho-social medicine model,focuses on the important role of the family in health promotion,and it aims to promote the overall health of the family through the cooperation of medical staff and family members.ObjectiveAccording to the health problems and nursing needs of obese children and their families,the thesis focuses on the implementation of individualized family-centered nursing intervention measures,which aims to study the effect of this model on improving the life quality of obese children and reducing their body mass index,in order to find a more scientific and reasonable intervention plan for the prevention and treatment of simple childhood obesity,which provides references for related intervention measures.MethodsSelect one primary school from Xinxiang City,according to the medical examination data of the students,obese children in grades 4~6(9~13 years old)were numbered separately,and 96 simple obese children were randomly selected of the primary school,then they were randomly divided into the experimental group and the control group,and there were 48 cases in each group.The control group was given health education,but the test group,except for the health education,was given family-centered care intervention,namely,forming a family-centered nursing team,which strengthens disease cognition and whole-process information support,giving family dietary guidance,family exercise guidance,strengthening psychological counseling and support,building a home for childhood obesity,encouraging children to self-manage their body weight,and enhancing follow-up tracking system.The thesis adapts general data questionnaire to collect demographic data of obese children,with life quality,body mass index(BMI)as evaluation indexes.The paper applies three time periods which respectively is before intervention,6 months after intervention,12 months after intervention,to organize children to fill in the general applicable core scale of children’s life quality(Peds QLTM4.0)and measure their height,weight,then evaluate the effectiveness of interventions.All data were analyzed by SPSS17.0 software for statistical analysis.The measurement data were described by ±s,and the count data was described by frequency and composition ratio.Comparing between groups and within groups,the t-test is used for the data with normal distribution of measurement data,and the non-parametric test is used for non-normal distribution.The count data was calculated using χ2 or Fisher’s exact probability method,and the repeated measurement data was statistically analyzed using generalized estimating equations.Results1.There are 48 obese children in each of the two groups who participated in this study.At the end of the intervention,there are 44 people in the test group and 46 people in the control group.There was no statistically significant exit rate between the two groups(P>0.05).General data of obese children in the two groups are compared,and the difference is not statistically significant(P>0.05),indicating that the baseline data of subjects in the two groups are identical and comparable.2.Before the intervention,there was no significant difference in the total quality of life scores and the scores of each dimension between the control group and the experimental group(P>0.05).After intervention,the quality of life of the simple obese children in the two groups was statistically significant(P<0.05),and there was no significant difference in the school dimension scores(P>0.05).There was a statistically significant difference in the total score of quality of life and the scores of each dimension between the groups(P<0.05).3.Before the intervention,there was no significant difference in BMI between the two groups(P>0.05).After intervention,the BMI of the obese children in both groups decreased significantly,the difference was statistically significant(P<0.05);the time difference between the groups was statistically significant(P<0.05).Conclusions1.Family-centered care can effectively improve the quality of life of simple obesity children;2.Family-centered care can reduce BMI of simply obese children;3.Family-centered nursing intervention for children with simple obesity has obvious effects,and the long-term effect is relatively more significant. |
