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首页> 外文期刊>MCN: American Journal of Maternal-Child Nursing >Diabetes risk factors in children: a partnership between nurse practitioner and high school students.
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Diabetes risk factors in children: a partnership between nurse practitioner and high school students.

机译：儿童糖尿病的危险因素：执业护士与高中生之间的伙伴关系。

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PURPOSE: This project was a 4-year university/community collaboration to (1) screen for diabetes risk factors in children from in an inner-city community; (2) assess children's knowledge of nutrition and measure their physical endurance; and (3) survey parents about barriers to healthy living. STUDY DESIGN AND METHODS: Descriptive cross-sectional study utilizing a community participatory-based research approach. For a 4-week period each year, nurse practitioner students and high school students partnered in an evaluation of elementary school children that included assessment of (1) height, weight, waist circumference, BMI, and acanthosis nigricans; (2) scores on a nutrition knowledge test; and (3) recovery heart rate after a dance activity. Parents of the children were surveyed regarding barriers to healthy eating and activity. RESULTS: A total of 240 African American children were evaluated: 25% were obese, 24% had a waist circumference >95th percentile, and 14% had acanthosis nigricans. The mean score of a nutrition knowledge test was 65%, and recovery heart rates were significantly higher than preexercise heart rates. Of 48 parents surveyed, the most common barrier to eating healthy reported was the children's picky eating (62%), and most common barrier to activity was lack of access to safe places to play (54%). CLINICAL IMPLICATIONS: Nurses working with children from inner-city communities should be especially aware of the children's many risk factors for diabetes. Clinicians who hope to make a difference in altering these risks should collaborate with the community to target high-risk populations for diabetes screening, promote good nutrition and exercise, and address barriers to healthy living. When developing plans of care for children, regardless of setting, it is critical to understand the community and incorporate the families as partners in developing culturally relevant interventions.
机译：目的：该项目是一项为期4年的大学/社区合作项目，目的是（1）对一个城市社区儿童的糖尿病危险因素进行筛查; （2）评估儿童的营养知识，并衡量他们的身体耐力; （3）对父母进行健康生活障碍调查。研究设计和方法：描述性横断面研究，采用基于社区参与的研究方法。每年有4周的时间，护士从业生和高中生合作评估了小学生，其中包括（1）身高，体重，腰围，BMI和黑棘皮病的评估; （2）营养知识测验分数; （3）舞蹈活动后恢复心律。对孩子的父母进行了有关健康饮食和活动障碍的调查。结果：总共对240名非洲裔美国儿童进行了评估：肥胖的25％，腰围> 95％的有24％，黑棘皮病的有14％。营养知识测验的平均分数为65％，恢复的心率显着高于运动前的心率。在接受调查的48位父母中，最常见的饮食健康障碍是儿童的挑食（62％），最常见的活动障碍是缺乏安全的娱乐场所（54％）。临床意义：与内城区儿童一起工作的护士应特别注意儿童患糖尿病的许多危险因素。希望在改变这些风险方面有所作为的临床医生应与社区合作，针对高危人群进行糖尿病筛查，促进良好的营养和锻炼，并消除健康生活的障碍。在制定针对儿童的照料计划时，无论其环境如何，至关重要的是要了解社区并使他们的家庭成为合作伙伴来制定与文化相关的干预措施。

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