医院-社区-家庭模式对社区肥胖儿童青少年体质量的管理效果研究

背景　1985—2014年我国7岁以上学龄儿童肥胖率由0.5%增至7.3%，现阶段儿童青少年肥胖没有专门和专业的连续性管理，只有因肥胖导致疾病才进入医院诊治，增加了个人心理负担、家庭及社会的经济负担，肥胖儿童的管理亟待解决。目的　了解医院-社区-家庭模式对社区肥胖儿童青少年体质量的管理效果。方法　2017年9月在潍坊社区卫生服务中心设立肥胖联合门诊，以体质指数（BMI）对6岁以上儿童青少年进行肥胖筛查，按照医院-社区-家庭模式管理肥胖儿童青少年体质量，在管理6个月后评价身高、体质量、腹围、BMI及体脂率。结果　干预后，65例儿童青少年的身高增长，体质量、腹围、BMI、体脂率降低，差异有统计学意义（P<0.05）。结论　医院-社区-家庭模式管理肥胖儿童青少年体质量效果明显，可以优化就诊流程，让区域内肥胖儿童青少年体质量有专门专业连续性的管理。

Effects of Hospital-Community-Family Model on Weight Management of Obese Children and Adolescents

Background Compared with that in 1985,the obesity rate of school children over seven years old in China increased from 0.5%to 7.3%in 2014.Currently,there is no specialized and professional continuous weight management of obese children and adolescents.Clinical interventions from hospitals would be provided only when obesity causes diseases,which increases the psychological burden of the individual and the economic burden of the family and society.There is an urgent need for the management of obesity in children and adolescents.Objective To explore the effects of hospital-community-family model on weight management of obese children and adolescents.Methods Obesity clinic was set up in Weifang Community Health Service Center in September 2017.BMI was used to screen children over six years old for obesity.Selected obese children and adolescents were management according to the hospital-community-family model,and the differences of height,body weight,abdominal circumference,BMI and body fat percentage were evaluated after six months of management.Results There were significant differences in the height of 65 children and adolescents increased,body weight,waist circumference,BMI and body fat rate decreased after intervention(P<0.05).Conclusion Hospital-community-family model has a significant effect on the weight management of obese children and adolescents so as to optimize the medical treatment process and enable the regional obese children and adolescents to have professional and continuous weight management.