首页|应用健康信念模式对肥胖女大学生的干预效果评价

应用健康信念模式对肥胖女大学生的干预效果评价

Behavioral intervention based on health belief model on weight reducation among female college students

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目的 观察运用健康信念模式对肥胖女大学生减肥信心及行为效果的影响,为合理减肥措施的制定提供参考.方法 选择北京体育大学、中国农业大学、北京林业大学120名超重及肥胖女大学生为研究对象,按区组随机法分为干预组61名和对照组52名,随访1年.前8周两组均进行集中减肥运动,8周后干预组实施以健康信念模式为理论基础的干预教育,对照组不进行干预教育.在减肥开始前、8周及1年后,分别对两组的减肥信心、健康行为、体质量指数及腰围进行比较.结果 干预前、8周后干预组和对照组在减肥信心(x干预前2=2.32,x2周后2=2.04)、健康行为评分(干预前:饮食习惯t=0.56,健康体能t=0.54;8周后:饮食习惯t=2.58、健康体能t=1.43)、体质量指数(t干预前=0.83,t8周后=1.85)和腰围(t干预前=0.43,t8周后=0.46)比较,除8周时两组的饮食习惯外,其余差异均无统计学意义(P值均>0.05),1年后两组的上述各项指标差异均有统计学意义(x2/t值分别为35.6,9.03,10.09,3.25,3.87,P值均<0.05).结论 以健康信念模式为基础的健康教育在集中减肥后对于成功减肥、巩固减肥成果具有重要意义.
Objective To examine the effect of behavioral intervention based on health belief model on weight reduction among female college students.Methods Totally 120 cases of overweight and obese female college students were enrolled and randomly assigned into intervention group (n=61) and control group (n=52).Concentrated exercise of 8 weeks was implemented in both groups.Intervention group received additional education intervention based on health belief model.Weight loss confidence,health behaviors,weight and waist circumference between the two groups were compared before intervention,8 weeks and 1 year after the intervention.Results Except for diet,there were no significant differences on weight loss confidence (before:x2 =2.32;8 weeks later:x2 =2.04),health behaviors (before:eating habits,t =0.56,health-related fitness,t =0.54;8weeks later:eating habits,t=2.58,P<0.05,health-related fitness,t=1.43),BMI (before:t=0.83;8 weeks later:t=1.85) and waist circumference (before:t=0.43;8 weeks later:t=0.46) between the two groups,before the intervention and at the end of 8 weeks (P>0.05).One year after intervention,there were significant differences on weight loss confidence (x2 =35.6),health behaviors (eating habits:t =9.03;health-related fitness:t =10.09),BMI(t--3.25) and waist circumference(t =3.87) between the two groups(P<0.05).Conclusion Combined with concentrated exercise,health belief model is an effective health education model for weight reduction among female college students.

ObesityMental healthIntervention studiesStudents

曹晓娜、王艳、李瑜、胡扬

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北京体育大学社区卫生服务中心,北京100084

北京体育大学科研中心

肥胖症 精神卫生 干预性研究 学生

国家社会科学基金中央高校基本科研业务费专项资金资助课题

12BTY0342015SYS008

2016

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2016.37(8)
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