Evaluation on the effect of diversified health education in promoting college students' physical exercise behavior
-
摘要:
目的 探讨基于微信主导的多元化健康教育对大学生体育锻炼行为及自我身体形象的影响。 方法 采用整群分层抽样的方法,选择2019年3月常州信息职业技术学院大学生276名,按照随机数字表法分为实验组145人、对照组131人。对照组给予常规体育锻炼教育,实验组联合应用基于微信主导的多元化体育锻炼健康教育。3个月后,比较两组大学生体育锻炼行为、自我身体形象。 结果 干预后,实验组大学生有规律地参加体育锻炼(79.31%)、锻炼频率≥3次/周(70.34%)、锻炼时间≥30 min/次(64.60%)、每次锻炼强度中等及以上(73.10%)、每月锻炼费用100~300元(49.66%)高于对照组(62.60%,54.20%,51.15%,61.07%,36.64%),每月锻炼费用<100元(33.79%)、运动损伤(47.59%)低于对照组(49.62%,59.54%),差异均有统计学意义(P值均<0.05);外表评价(3.87±0.32)、外表态度(3.92±0.28)、身体素质态度(3.80±0.33)、健康评价(3.78±0.24)、疾病态度(3.54±0.42)、身体部位满意度(3.61±0.38)、超重忧虑评分(3.14±0.45)均高于对照组(3.54±0.36,3.60±0.34,3.56±0.42,3.51±0.31,3.01±0.36,3.32±0.41,2.78±0.35),差异均有统计学意义(t值分别为8.06, 8.57,5.30, 8.13, 11.15, 6.10, 7.36, P值均<0.05)。 结论 基于微信主导的多元化健康教育有助于促进大学生体育锻炼行为的养成,对于改善自我身体形象有积极的应用价值。 Abstract:Objective To explore the influence of WeChat-led diversified health education on college students' physical exercise behavior and self-body image. Methods The cluster stratified sampling method was adopted to select 276 students from Changzhou College of Information Technology in March 2019. According to the random number table method, they were divided into 145 cases in the treatment group and 131 cases in the control group. The control group was given regular physical exercise education, and the treatment group jointly applied diversified physical exercise health education based on WeChat. Three months later, the physical exercise behavior and self-body image of the two groups of college students were compared. Results The college students in the treatment group regularly participated in physical exercise (79.31%), exercise frequency ≥3 times/week(70.34%), exercise time ≥30 min/time(64.60%), and each exercise intensity medium and above(73.10%), monthly exercise cost 100-300 yuan/month(49.66%), which were significantly higher than the control group (62.60%, 54.20%, 51.15%, 61.07%, 36.64%), monthly exercise cost < 100 yuan(33.79%), sports injury (47.59%) were significantly lower than the control group (49.62%, 59.54%), the difference were statistically significant (P < 0.05). Appearance evaluation score (3.87±0.32), appearance attitude score (3.92±0.28), physical fitness attitude score (3.80±0.33), health evaluation score (3.78±0.24), disease attitude score (3.54±0.42), body part satisfaction score (3.61±0.38) and overweight worry score (3.14±0.45) were significantly higher than those of the control group (3.54±0.36, 3.60±0.34, 3.56±0.42, 3.51±0.31, 3.01±0.36, 3.32±0.41, 2.78±0.35), the difference was statistically significant (t=8.06, 8.57, 5.30, 8.13, 11.15, 6.10, 7.36, P < 0.05). Conclusion Diversified health education based on WeChat is helpful to promote the development of college students' physical exercise behavior, and has positive application value for improving self-body image. -
Key words:
- Health education /
- Exercise movement techniques /
- Behavior /
- Intervention studies /
- Students
-
表 1 干预前后实验组与对照组大学生体育锻炼行为比较
Table 1. Comparison of physical exercise behaviors between treatment group and control group before and after intervention
干预前后 组别 人数 统计值 有规律地参加体育锻炼 锻炼频率≥3次/周 锻炼时间≥30 min/次 每次锻炼强度中等及以上 每月锻炼费用/元 运动损伤 <100 100~300 >300 干预前 实验组 145 62(42.76) 49(33.79) 45(31.03) 58(40.00) 93(64.14) 36(24.83) 16(11.03) 109(75.17) 对照组 131 61(46.56) 52(39.69) 47(35.88) 60(45.80) 85(64.89) 28(21.37) 17(12.98) 94(71.76) χ2值 0.40 1.03 0.73 0.95 0.57 0.41 P值 0.45 0.08 0.11 0.09 0.31 0.45 干预后 实验组 145 115(79.31)b 102(70.34)b 93(64.60)b 106(73.10)b 49(33.79)b 72(49.66)b 24(16.55) 69(47.59)b 对照组 131 82(62.60)a 71(54.20)a 67(51.15)a 80(61.07)a 65(49.62)a 48(36.64)a 18(13.74) 78(59.54)a χ2值 9.41 7.67 5.30 4.54 7.21 3.95 P值 0.00 0.00 0.02 0.02 0.01 0.03 注:()内数字为报告率或构成比/%;与同组干预前比较,a P<0.05, b P<0.01;运动损伤指运动过程中肌肉拉伤、肌肉挫伤、关节韧带扭伤、运动劳损、运动创伤、骨折等。 表 2 两组大学生干预前后自我身体形象评分比较(x±s)
Table 2. Comparison of body image scores of two groups of college students before and after intervention(x±s)
干预前后 组别 人数 统计值 外表评价 外表态度 身体素质评价 身体素质态度 健康评价 健康态度 疾病态度 身体部位满意度 超重忧虑 自我体重归位 干预前 实验组 145 3.08±0.45 3.14±0.50 3.18±0.45 3.25±0.50 3.25±0.48 3.35±0.41 2.58±0.36 2.75±0.42 2.02±0.45 2.38±0.48 对照组 131 3.12±0.52 3.20±0.46 3.20±0.51 3.28±0.42 3.29±0.44 3.40±0.48 2.62±0.42 2.81±0.45 2.08±0.36 2.42±0.50 t值 0.69 1.03 0.35 0.54 0.72 0.86 0.82 1.15 1.22 0.68 P值 0.21 0.08 0.51 0.52 0.12 0.09 0.09 0.08 0.08 0.17 干预后 实验组 145 3.87±0.32b 3.92±0.28b 3.72±0.35b 3.80±0.33b 3.78±0.24b 3.62±0.38a 3.54±0.42b 3.61±0.38b 3.14±0.45b 3.10±0.45b 对照组 131 3.54±0.36a 3.60±0.34b 3.67±0.40b 3.56±0.42a 3.51±0.31a 3.56±0.34a 3.01±0.36a 3.32±0.41b 2.78±0.35b 3.02±0.51b t值 8.06 8.57 1.11 5.30 8.13 1.38 11.15 6.10 7.36 1.38 P值 0.00 0.00 0.08 0.02 0.00 0.08 0.00 0.01 0.00 0.08 注:与同组干预前比较,a P<0.05, b P<0.01。 -
[1] 习近平. 把人民健康放在优先发展战略地位, 努力全方位全周期保障人民健康[N]. 人民日报, 2016-08-21(1).XI J P. Put people's health at the priority of development strategy, and strive to ensure people's health in all aspects[N]. People's Daily, 2016-08-21(1). [2] 袁雪睛, 于天贺, 李路旋, 等. 河北省大学生健康素养水平与健康状况的关系研究[J]. 中国健康教育, 2018, 34(12): 1072-1075, 1089. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201812004.htmYUAN X J, YU T H, LI L X, et al. Study on the relationship between health literacy and health status of college students in Hebei Province[J]. Chin J Health Educ, 2018, 34(12): 1072-1075, 1089. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201812004.htm [3] RADWAN H, HASAN H A, ISMAT H, et al. Body mass index perception, body image dissatisfaction and their relations with weight-related behaviors among university students[J]. Int J Environ Res Public Health, 2019, 16(9): E1541. doi: 10.3390/ijerph16091541 [4] 符名勇, 陈明聪. 基于微信互动的同伴健康教育在慢性阻塞性肺疾病稳定期病人中的应用效果[J]. 中国健康教育, 2019, 35(6): 550-553. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201906016.htmFU M Y, CHEN M C. The effect of WeChat-based peer health education in stable patients with chronic obstructive pulmonary disease[J]. Chin J Health Educ, 2019, 35(6): 550-553. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201906016.htm [5] ZHANG Y, XIA T, HUANG L, et al. Factors influencing user engagement of health information disseminated by Chinese provincial centers for disease control and prevention on WeChat: observational study[J]. JMIR Mhealth Uhealth, 2019, 7(6): e12245. doi: 10.2196/12245 [6] 李凤英. 健康教育对大学生体育锻炼行为的影响[J]. 四川体育科学, 2017, 36(1): 129-132. https://www.cnki.com.cn/Article/CJFDTOTAL-SCTK201701028.htmLI F Y. The impact of health education on college students' physical exercise behavior[J]. Sichuan Sports Sci, 2017, 36(1): 129-132. https://www.cnki.com.cn/Article/CJFDTOTAL-SCTK201701028.htm [7] CASH T. Manual for the Multidimensionsal Body-self Relations Questionnaire[M]. Norfolk, VA: Old Dorninion University, 2000. [8] 郑博. 长春某高校大学生环境支持对锻炼行为取向的干预研究[J]. 中国学校卫生, 2017, 38(9): 1406-1408. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201709041.htmZHENG B. Intervention study of environmental support on exercise behavior orientation of college students in a university in Changchun[J]. Chin J Sch Health, 2017, 38(9): 1406-1408. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201709041.htm [9] 刘咏菊, 郑晓, 赵慧宁, 等. 基于健康行为过程取向的大学生体育锻炼行为比较[J]. 中国学校卫生, 2017, 38(5): 660-662. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201705009.htmLIU Y J, ZHENG X, ZHAO H N, et al. Comparison of college students' physical exercise behavior based on healthy behavior process orientation[J]. Chin J Sch Health, 2017, 38(5): 660-662. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201705009.htm [10] 张琳, 刘鹏. 体育锻炼及团体心理辅导对朝鲜族大学生社交焦虑干预效果评价[J]. 中国学校卫生, 2017, 38(8): 1251-1253. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201708043.htmZHANG L, LIU P. Evaluation of the effect of physical exercise and group psychological counseling on the social anxiety of Korean college students[J]. Chin J Sch Health, 2017, 38(8): 1251-1253. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201708043.htm [11] DONG Y, WANG P, DAI Z, et al. Increased self-care activities and glycemic control rate in relation to health education via Wechat among diabetes patients: a randomized clinical trial[J]. Medicine, 2018, 97(50): e13632. [12] 王丽萍, 黄连成, 徐红, 等. 微信公众号在健康教育与健康促进工作中的应用[J]. 中国健康教育, 2017, 33(7): 669-371. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201707025.htmWANG L P, HUANG L C, XU H, et al. Application of a WeChat public account in health education and health promotion[J]. Chin J Health Educ, 2017, 33(7): 669-371. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201707025.htm [13] LI W, HAN L Q, GUO Y J, et al. Using WeChat official adounts to improve malaria health literacy among Chinese expatriates in Niger: An intervention study[J]. Malar J, 2016, 15(1): 567. doi: 10.1186/s12936-016-1621-y [14] 李梦园, 刘洋, 王宝庆, 等. 新疆大学生健康素养及使用移动APP获取健康知识情况调查[J]. 中国健康教育, 2018, 34(3): 272-275. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201803019.htmLI M Y, LIU Y, WANG B Q, et al. Survey on college students' health literacy and health information gaine by mobile APP in Xinjiang[J]. Chin J Health Educ, 2018, 34(3): 272-275. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201803019.htm [15] 张华, 董银凤, 孙志岭, 等. 大学生健康素养微信公众平台的干预效果评价[J]. 中国学校卫生, 2017, 38(11): 1644-1647. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201711016.htmZHANG H, DONG Y F, SUN Z L, et al. Evaluation of the intervention effect of the WeChat public platform on the health literacy of college students[J]. Chin J Sch Health, 2017, 38(11): 1644-1647. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201711016.htm [16] GILCHRIST J D, PILA E, CASTONQUAY A, et al. Body pride and physical activity: differential associations between fitness-and appearance-related pride in young adult Canadians[J]. Body Image, 2018, 27: 77-85. DOI: 10.1016/j.bodyim.2018.08.010. [17] 韩光思, 谢昕贝, 周晓凤, 等. 大学生的外在形象改造市场需求可行性分析: 以南京工程学院为例[J]. 中国市场, 2019(14): 126, 129. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZG201914060.htmHAN G S, XIE X B, ZHOU X F, et al. Feasibility analysis of market demand for college students' external image transformation: taking Nanjing institute of technology as an example[J]. Chin Mark, 2019(14): 126, 129. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZG201914060.htm [18] 李俊, 张惠红. 中、美大学生身体形象与身体活动量及其关系的对比研究[J]. 中国体育科技, 2015, 51(3): 114-120. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY201503016.htmLI J, ZHANG H H. A comparative study on the relationship between body image and physical activity of Chinese and American college students[J]. China Sports Sci Technol, 2015, 51(3): 114-120. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY201503016.htm [19] 张惠红, 赖勤, 叶培军. 大学体育教育对学生身体健康的作用: 对大学生身体锻炼、身体素质及身体形象的跟踪研究[J]. 首都体育学院学报, 2014, 26(5): 417-419. https://www.cnki.com.cn/Article/CJFDTOTAL-BTSF201405009.htmZHANG H H, LAI Q, YE P J. The effect of college physical education on students' health: a tracking study on college students' physical exercise, physical fitness and body image[J]. J Capital Instit Phys Educ, 2014, 26(5): 417-419. https://www.cnki.com.cn/Article/CJFDTOTAL-BTSF201405009.htm [20] 汲新波, 王永红, 赵春辉. 大学生心理适应性和满意度与心理健康教育需求研究[J]. 中国健康教育, 2019, 35(1): 92-95. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201901024.htmJI X B, WANG Y H, ZHAO C H. Investigation on psychological adaptability and satisfaction and their psychological health education needs among college students[J]. Chin J Health Educ, 2019, 35(1): 92-95. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201901024.htm [21] 徐划萍, 邱慧, 汪东颖. E时代下生活方式的远程管理对高校肥胖女生身体成分及体质健康的影响[J]. 中国医药导报, 2018, 15(8): 166-170. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201808041.htmXU H P, QIU H, WANG D Y. The influence of remote management of lifestyle on the college obese girls' body composition and physical health in the E-era[J]. China Med Herald, 2018, 15(8): 166-170. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201808041.htm [22] 张铮, 于伯坤, 李府桂, 等. 微信运动使用对健康行为的影响: 基于计划行为理论分析[J]. 新闻界, 2016(6): 60-67. DOI: 10.15897/j.cnki.cn51-1046/g2.2017.06.010.ZHANG Z, YU B K, LI F G, et al. The impact of WeChat exercise use on healthy behavior: an analysis based on the theory of planned behavior[J]. News, 2016(6): 60-67. DOI: 10.15897/j.cnki.cn51-1046/g2.2017.06.010.
计量
- 文章访问数: 540
- HTML全文浏览量: 277
- PDF下载量: 31
- 被引次数: 0