Mason Heather N, Crabtree Valerie, Caudill Paul, Topp Robert
School of Nursing, University of Louisville, Louisville, KY 40047, USA.
J Pediatr Nurs. 2008 Oct;23(5):337-44. doi: 10.1016/j.pedn.2008.01.080. Epub 2008 Jun 20.
Childhood obesity is an increasing health problem because of its strong associations with chronic health problems in children and adults. Obesity during childhood commonly persists into adulthood and is resistant to interventions that involve only recommendations to decrease caloric intake and to increase caloric expenditure through increased physical activity. The challenge with this approach to childhood obesity is that it is not theoretically based, nor does it consider the child's or the parent's perceptions of the health problem or their transition along the stages of behavioral change. Case management has been proven to be successful in managing various chronic health problems in both adults and children. This article will introduce a new intervention model based on the transtheoretical framework by utilizing case management in a primary care setting to treat childhood obesity.
儿童肥胖是一个日益严重的健康问题，因为它与儿童和成人的慢性健康问题密切相关。儿童期肥胖通常会持续到成年期，并且对仅涉及通过增加体育活动来减少热量摄入和增加热量消耗建议的干预措施具有抗性。这种应对儿童肥胖的方法面临的挑战在于，它既没有理论依据，也没有考虑儿童或家长对健康问题的认知，以及他们在行为改变各阶段的转变情况。病例管理已被证明在管理成人和儿童的各种慢性健康问题方面是成功的。本文将介绍一种基于跨理论框架的新干预模式，即在初级保健环境中利用病例管理来治疗儿童肥胖。
