Skybo Theresa A, Ryan-Wenger Nancy
Ohio State University College of Nursing, Columbus, OH, USA.
Pediatr Nurs. 2002 May-Jun;28(3):223-9, 235.
Coronary heart disease continues to be a leading cause of death in adults. Because many risk factors for heart disease make their first appearance in childhood, early intervention is an attractive strategy for this disease. A convenience sample of 58 third grade children participated in a year-long, quasi-experimental study to compare a school-based educational program, HeartPower!, to the standard health education curriculum. Variables examined included knowledge, hypercholesterolemia, obesity, sedentary lifestyle, hypertension, exposure to cigarette smoke, and parental participation. The students who participated in the HeartPower! Program showed improvement (p < 0.05) in their knowledge of healthy lifestyles. Modest improvements in hypertension and exposure to tobacco smoke were observed. These results indicate that focused instruction on important health issues may be preferable to a broad approach.
冠心病仍然是成年人死亡的主要原因。由于许多心脏病风险因素在儿童时期就首次出现，因此早期干预是针对这种疾病的一种有吸引力的策略。一个由58名三年级儿童组成的便利样本参与了一项为期一年的准实验研究，以比较一个名为“心脏力量！”的校本教育项目与标准健康教育课程。所考察的变量包括知识、高胆固醇血症、肥胖、久坐不动的生活方式、高血压、接触香烟烟雾以及家长参与情况。参与“心脏力量！”项目的学生在健康生活方式知识方面有了改善（p < 0.05）。在高血压和接触烟草烟雾方面也观察到了适度改善。这些结果表明，针对重要健康问题的集中指导可能比广泛的方法更可取。
