基于信息-动机-行为技巧模型的减重干预模式在单纯性肥胖患儿中的应用

Weight loss intervention based on IMB model in children with simple obesity

摘要:

目的 探讨信息-动机-行为技巧（IMB）模型在单纯性肥胖患儿减重中的应用效果。方法 选取新疆医科大学第一附属医院2021年5月—2022年1月收治的单纯性肥胖患儿102例，随机分为对照组和观察组，每组51例。对照组进行常规干预，观察组进行以IMB模型为指导的干预。比较两组患儿6个月后体重、体重指数（BMI）、腰围、甘油三酯（TG）、总胆固醇（TC）的变化，以及患儿的减重知识、态度、行为评分。结果 6个月后，观察组体重减轻、BMI减少、腰围缩小幅度大于对照组（P <0.05），TG降低幅度大于对照组（P <0.05）。两组干预前后TC的差值比较，差异无统计学意义（P >0.05）。观察组减重知识、态度、行为评分高于对照组（P <0.05）。结论 基于IMB模型的干预模式对单纯性肥胖患儿减重有良好效果，能提升患儿减重的知识、态度和行为水平，为医护人员指导患儿减重提供有效的干预模式。

Abstract:

Objective To investigate the application effect of information-motivation-behavioral skills (IMB) model on weight loss in children with simple obesity.Methods A total of 102 children with simple obesity admitted to the First Affiliated Hospital of Xinjiang Medical University from May 2021 to January 2022 were randomly divided into control group and observation group, with 51 in each group. The control group received routine intervention, and the observation group received IMB model-guided intervention. The changes in body weight, body mass index (BMI), waist circumference, and the levels of triglyceride (TG) and total cholesterol (TC), as well as the scores of knowledge, attitude and behavior on weight loss, were compared between the two groups of children after 6 months.Results After 6 months, the decreases in the body weight, BMI, waist circumference and the level of TG in the observation group were significantly greater compared with the control group (P < 0.05). The difference in the level of TC before and after the intervention was not different between the two groups (P > 0.05), and the scores of knowledge, attitude and behavior on weight loss in the observation group were higher than those in the control group (P < 0.05).Conclusions The intervention mode based on IMB model has an excellent effect on weight loss in children with simple obesity, and can improve the knowledge, attitude and behavior on weight loss in children, thereby serving as an effective intervention mode for medical staff to guide children to lose weight.