Geer Betty, Porter Renee M, Haemer Matthew, Krajicek Marilyn J
University of Colorado Anschutz Medical Campus, College of Nursing, Aurora, CO.
University of Colorado Anschutz Medical Campus, Department of Pediatrics, Section of Nutrition, Aurora, CO.
J Pediatr Nurs. 2014 Nov-Dec;29(6):528-35. doi: 10.1016/j.pedn.2014.09.001. Epub 2014 Sep 16.
Research supports intensive lifestyle interventions (>25 contact hours/six months) to treat childhood obesity. Success requires retention in program. This quality improvement project's purpose was to increase attendance of follow-up patients in a childhood obesity clinic by 10%. A pretest posttest design was used. Three months of baseline data were collected, followed by 52 weeks of intervention data. Data were analyzed using descriptive statistics and Fisher's exact test. Follow-up patient attendance improved significantly from 69% to 81% (z=1.76, p=.039 (95% CI=0.2822, 1.0021)). Simple and inexpensive interventions can significantly increase attendance of obese children in follow-up.
研究支持采用强化生活方式干预措施（六个月内接触时间超过25小时）来治疗儿童肥胖症。成功的关键在于患者持续参与项目。这个质量改进项目的目的是将儿童肥胖诊所后续患者的出勤率提高10%。采用了前测后测设计。收集了三个月的基线数据，随后是52周的干预数据。使用描述性统计和费舍尔精确检验对数据进行分析。后续患者的出勤率从69%显著提高到了81%（z = 1.76，p = 0.039（95%置信区间=0.2822，1.0021））。简单且低成本的干预措施能够显著提高肥胖儿童的后续随访出勤率。
