儿童身体活动不足已然成为一项严峻的公共卫生问题,致使肥胖、心血管疾病等慢性健康问题在儿童群体中的发病率不断攀升。小学生作为此问题的关键群体,其大部分时间在教育环境中度过,这使得学校成为推动体育锻炼开展的首要理想场所。然而,诸多障碍如兴趣缺失、资源匮乏以及支持不足等,使得促进小学生持续参与体育锻炼面临重重困难。本研究深入探讨了跨理论模型(TTM)在促进小学生体育活动中的应用价值,为理解并满足不同准备程度的小学生参与体育锻炼的差异化需求,提供了一种基于阶段的方法。详细论述了在学校环境中运用跨理论模型的潜在优势,着重介绍了将其融入学校教育的实用路径,并提出了教育工作者、家长与社区协同合作支持儿童体育锻炼的策略建议。Childhood physical inactivity has become a major public health issue, contributing to the growing prevalence of obesity, cardiovascular diseases, and other chronic conditions in children. Primary school students, who spend a significant portion of their time in educational environments, are key to addressing this concern. Schools, therefore, serve as an ideal setting for promoting physical activity. However, fostering regular physical exercise among children is often difficult due to barriers like lack of interest, limited resources, and insufficient support. This article explores the use of the Transtheoretical Model (TTM) to promote physical activity among primary school students. This article provides a stage-based approach to understanding and meeting the differentiated needs of primary school students with different levels of readiness to engage in physical exercise. The article also discusses the potential advantages of applying TTM in schools, presents practical methods for integrating it into school programs, and outlines ways in which educators, parents, and the community can collaborate to support children’s physical activity.
目的探讨基于跨理论模型的快速康复外科护理干预对急性阑尾炎术后恢复及生活质量的影响。方法选取2023年1月—2024年1月瑞州医院收治的84例急性阑尾炎患者作为研究对象,按照随机数字表法将患者分为对照组和观察组,各42例。所有患者均接受手术治疗,对照组实施常规围术期护理干预,观察组则采用基于跨理论模型的快速康复外科护理。对比2组患者的术后恢复情况、干预前后生活质量[简易生活质量评分(the MOS item short from health survey,SF-36)]及护理满意度。结果观察组排气时间、排便时间、下床活动时间及住院时间显著短于对照组,差异有统计学意义(P<0.05)。干预前,2组患者SF-36评分比较,差异无统计学意义(P>0.05);干预后,2组患者SF-36评分比干预前提高,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组患者的护理总满意率为95.24%,高于对照组的76.19%(P<0.05)。结论对于急性阑尾炎术后患者应用基于跨理论模型的快速康复外科护理干预,能够显著加快术后恢复速度,提高生活质量及护理满意度,有广泛的推广应用价值。
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