父母认知及养育行为与儿童肥胖就诊治疗的关系分析

目的了解父母的认知度及养育行为与肥胖儿就诊治疗率的关系。方法选择2012年8月-2013年8月从幼儿园体检出的865例3~6岁肥胖儿的父母之一,其中接受宣教的236例作为肥胖组;抽取100例同年龄组体重正常儿童父母之一作为正常组。两组均给予肥胖相关问卷调查,对肥胖组同时给予肥胖知识的健康宣教,统计来医院进行肥胖就诊治疗人数。结果肥胖儿童父母的文化程度偏低、有家族性风险、对儿童健康状况的评价高、对儿童肥胖的认知度低、亲子互动(父母亲)时间少、让儿童每周汗流浃背活动次数少、放任喂养与放任看电视机会多;对236个肥胖儿父母宣教,就诊治疗率20.34%,比父母未接受宣教仅1.43%的就诊治疗率有明显提高。结论肥胖儿童就诊治疗率低的关键是父母对儿童肥胖的相关知识认知度低,通过宣教是可以提高父母的认知度。

Relationship analysis between parents' cognition as,rearing behavior and childhood obesity treatment rate

Objective To find out the relationships between parents' awareness the parenting behavior and the treatment rate of obese children. Method A total of 236 obese children's parents from 865 children aged 3~6 who were diagnosed with obesity in August 2012 to August 2013 were selected as an obesity group,and 100 parents' of healthy children at the same age as the normal group.Both groups were given obesity-related surveys,and extra knowledge publicity and education of obesity were given to the obesity group.The number of people came to hospital to treat obesity was calculated. Results Obese children usually had familial risk:the parents had low education,their assessment of health status on children was high,and the awareness of child obesity was low.They gave less sports time for children to sweating and too much time for them to watching TV or let them along.236 obese children's parents received publicity and education,the treatment rate was 20.34%.Compared with the 1.43% treatment rate of parents without publicity and education,the rate had significantly improved. Conclusion Parents' awareness of childhood obesity has primary relationship to the treatment rate of obese children,and their awareness can be improved by publicity and education.