基于健康行为过程取向的大学生膳食行为干预

发布时间：2018-01-27 13:36

本文关键词： 健康行为过程取向大学生膳食行为干预　出处：《卫生研究》2017年05期 　论文类型：期刊论文

【摘要】：目的基于健康行为过程取向(health action process approach,HAPA)理论,对大学生膳食行为展开分阶段干预研究,验证基于该理论的干预措施对改善大学生膳食行为的有效性。方法采用随机抽样的方法选取山西某医科类院校2013~2015级184名大学生作为研究对象,其中男生37人,女生147人。随机将其分为干预组(86人)和对照组(98人),于2015年10月至2016年5月,进行基于健康行为过程取向的膳食行为干预研究,其中对照组不施加任何干预措施,干预组按照研究对象所处的膳食行为阶段,将其划分至意向前组、意向组及行动组,并根据各自阶段的特征,施加不同的干预措施,利用大学生膳食行为量表进行干预效果评估。采用Epi Data 3.1、SPSS 20.0对数据进行整理与分析。结果实施干预后,干预组行动阶段的人数比例由52.33%增加到66.28%。干预组干预前后及干预后对照组与干预组的膳食行为总分(P0.001)、膳食观念(P0.001)、口味倾向(P0.001,P=0.002)、进食规律(P0.001)、膳食习惯(P=0.006,P0.001)的得分差异有统计学意义,干预后得分高于干预前,干预组得分高于对照组。干预后研究对象在意向前阶段(t=-5.22,P0.001)、意向阶段(t=-13.69,P0.001)和行动阶段(t=-8.82,P0.001)得分均高于干预前。结论依据健康行为过程取向理论所采取的个体化阶段匹配干预措施,对改善大学生膳食行为具有积极效果。
[Abstract]:Based on the health behavior of the process oriented (health action process approach, HAPA) theory, carried out the research into the stage of intervention on College Students' dietary behavior, test the theory based interventions to improve college students' dietary behavior. The validity of methods using random sampling method to select 184 students of Shanxi Medical College 2013~2015 as the research object, the 37 boys and 147 girls. They were randomly divided into intervention group (86 people) and control group (98), from October 2015 to May 2016, the health behavior orientation based on dietary intervention, the control group was not given any intervention measures, the intervention group at the stage of dietary behavior according to the research object and divide it to forward the intention and action group, group group, and according to the characteristics of each stage, applying different intervention measures to use students' dietary behavior scale were dry The effect of pre evaluation. Using Epi Data 3.1, SPSS 20 for data collection and analysis. The results of the implementation of the intervention, the intervention group action stage the proportion increased from 52.33% to 66.28%. before and after the intervention group and the dry diet behavior score prognosis of control group and intervention group (P0.001), dietary concept (P0.001), taste preference (P0.001, P=0.002), eating pattern (P0.001), dietary habits (P=0.006, P0.001) were statistically significant different scores, scores after the intervention than before the intervention, the intervention group was significantly higher than the control group. The intervention study about forward stage (t=-5.22, P0.001), (t=-13.69, P0.001) the intention stage and the action stage (t=-8.82, P0.001) scores were higher than before intervention. Conclusion on the basis of individual stage adopt healthy behavior process oriented theory, intervention measures to improve college students' dietary behavior has a positive effect.

【作者单位】：山西医科大学;
【基金】：国家自然科学基金青年基金(No.71403155) 教育部人文社会科学研究青年基金(No.13YJCZH239)
【分类号】：R153
【正文快照】： 大学生正处于生长发育的重要阶段,承担着来自学习、生活及就业等多方面的压力,体力和脑力活动较多,合理控制营养与膳食对身体健康及发展至关重要[1]。研究发现,大学生存在不健康的膳食行为,表现在不健康的减肥方式,不吃早餐,高脂肪、高胆固醇、低纤维、低维生素、低铁低钙饮食

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