Hemşire Liderliğinde Okul Temelli Sağlıklı Beslenme Temalı Motor Oyun Aktiviteleri

Öz

Çocukluk obezitesi, ilerleyen dönemlerde baş edilmesi zor ciddi problemlere yol açan küresel bir sağlık sorunudur. Bu soruna yönelik önleyici müdahalelerin uygulanmasında okullar, önemli roller üstlenen uygun ortamlardır. Rollerin yerine getirilmesinde ise okul hemşireleri oldukça kritik bir konumdadır. Hemşire liderliğinde yürütülen müdahale programlarıyla obezitenin azaltılmasına yönelik yaklaşımlar ortaya koyulmaktadır. Programlarda yer alan sağlık etkinlikleri, çocuklara farklı öğretim yöntemleri ile sunulmaktadır. Ancak hareket kaslarını çalıştıran ve çocukluk çağının vazgeçilmezi olan motor oyun aktivitelerine oldukça az rastlanmaktadır. Motor oyun aktiviteleri, sağlıklı beslenme konusundaki bilgileri artırmak ve sağlıklı beslenme davranışını geliştirmek için eğlenceli bir öğrenme yöntemidir. Çocukların bu dönemde iyi planlanmış motor oyun aktivitelerine gereksinimi vardır. Bu çalışmanın amacı, hemşire liderliğinde oluşturulan ve yürütülen okul temelli sağlıklı beslenme temalı motor oyun aktivitelerini tanıtmaktır. Fiziksel aktivitenin sağlıklı beslenmeye daima eşlik etmesi gerektiğine dayanarak oluşturulan oyunların, hazırlanma ve uygulanma basamakları çalışmada ayrıntılı olarak anlatılmaktadır. Bu motor oyun aktivitelerinin okul hemşireliği uygulamalarında kullanılması önerilmektedir.

Anahtar Kelimeler

• okul çağı çocukları
• okul hemşireliği
• okul temelli sağlıklı beslenme programı
• motor oyun aktiviteleri

Nurse-Led School-Based Healthy Nutrition Themed Motor Play Activities

Öz

Childhood obesity is an important global health problem that causes serious problems deal with onward periods. Schools are suitable environments that undertake important roles in applying preventive interventions to this problem. School nurses are in a critical position in carry out of these roles. With nurse-led intervention programs, reducing obesity approaches are put forward. Health activities in the programs are presented to children with different teaching methods. However, motor plays are irreplaceable in childhood and activate the movement muscles, are very rare. However, motor play activities that activate the movement muscles and are irreplaceable in childhood are very rare. Motor play activities are an entertaining learning method in increasing the knowledge about healthy nutrition and developing healthy nutrition behaviour. During this period, children are in need of well-planned motor play activities. The aim of this study is introducing the nurse-led formed and conducted school-based healthy nutritional themed motor play activities. The preparation and implementation steps of the formed plays that based physical activity should always accompany with healthy nutrition, are explained in detail in the study. These motor play activities are recommended to use in school nursing practices.

Anahtar Kelimeler

• school-aged children
• school nursing
• school based healthy nutrition program
• motor play activities

Kaynakça

1. 1. Di Cesare M, Sorić M, Bovet P, Miranda JJ, Bhutta Z, Stevens GA. et al. The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC Medicine 2019;17:1-20.
2. 2. Development Initiatives. 2018 Global Nutrition Report: Shining a Light to Spur Action on Nutrition. Bristol. Development Initiatives Poverty Research Ltd. 2018. https://globalnutritionreport.org/ Erişim: 10.07.2020.
3. 3. Yardim MS, Özcebe LH, Araz OM, Uner S, Li S, Konsuk Unlu H et al. Prevalence of childhood obesity and related parental factors across socioeconomic strata in Ankara, Turkey. Eastern Mediterranean Health Journal 2019;25(6):374-384.
4. 4. Yilmaz S, Calikoglu EO, Kosan Z. Prevalence of obesity among adolescents in Eastern Turkey: A cross-sectional study with a review of the local literature. Nigerian Journal of Clinical Practice 2019;22(8):1070-1077.
5. 5. Quelly SB. Characteristics associated with school nurse childhood obesity prevention practices. Pediatric Nursing 2017;43(4):193-199.
6. 6. Pbert L, Druker S, Gapinski MA, Gellar L, Magner R, Reed G, et al. Journal of School Health. 2013;83(3):182-193.
7. 7. American Academy of Pediatrics, Council on School Health. Role of the School Nurse in Providing School Health Services. Pediatrics. 2016 Jun;137(6), e20160852-e20160852. https://pediatrics.aappublications.org/content/pediatrics/137/6/e20160852.full.pdf Erişim: 11.07.2020.
8. 8. National Association of School Nurses. Maughan ED, Bobo N, Butler S, Schantz S. Framework for 21st century school nursing practice: National Association of School Nurses. NASN School Nurse 2016;31(1):45-53.

9. 9. Kim SJ, Cho H, Baek SS. Effects of healthy life practice education on reported health behaviors among fourth-grade elementary school students in South Korea. The Journal of School Nursing 2016;32(6):397-406.
10. 10. T.C. Sağlık Bakanlığı. Türkiye Beslenme Rehberi TÜBER 2015. Yayın no: 1031, 2. Baskı. Ankara; 2019. p.109-112.
11. 11. Kim J, Kim YM, Jang HB, Lee HJ, Park SI, Park KH, Lim H. Evidence-based nutritional intervention protocol for korean moderate-severe obese children and adolescents. Clinical Nutrition Research 2019;8(3):184-195.
12. 12. Speroni KG, Earley C, Atherton M. Evaluating the effectiveness of the kids living fit [tm] program: A comparative study. Journal of School Nursing 2007;23(6):329-336.
13. 13. Wright K, Giger JN, Norris K, Suro Z. Impact of a nurse-directed, coordinated school health program to enhance physical activity behaviors and reduce body mass index among minority children: A parallel-group, randomized control trial. International Journal of Nursing Studies 2013;50(6):727-737.
14. 14. Jacobson D, Melnyk BM. A primary care healthy choices ıntervention program for overweight and obese school-age children and their parents. Journal of Pediatric Health Care 2012;26(2):126-138.
15. 15. Schroeder K, Jia H, Wang YC, Smaldone A. Implementation of a school nurse-led intervention for children with severe obesity in New York City schools. Journal of Pediatric Nursing 2017;35:16-22.
16. 16. Johnston CA, Moreno JP, El-Mubasher A, Gallagher M, Tyler C, Woehler D. Impact of a school-based pediatric obesity prevention program facilitated by health professionals. Journal of School Health 2013;83(3):171-181.
17. 17. Tucker S, Lanningham-Foster LM. Nurse-Led School-Based Child Obesity Prevention. The Journal of School Nursing 2015;31(6):450-466.
18. 18. Bonsergent E, Agrinier N, Thilly N, Tessier S, Legrand K, Lecomte E. et al. Overweight and obesity prevention for adolescents: a cluster randomized controlled trial in a school setting. American Journal of Preventive Medicine 2013;44(1):30-39.
19. 19. Kim SJ, Baek SS, Kang KA. Development and exploratory testing of a school-based educational program for healthy life behaviors among fifth grade children in South Korea. Japan Journal of Nursing Science 2017;14(1):13-26.
20. 20. Ling J, Anderson LM, Ji H. Self-management training for Chinese obese children at risk for metabolic syndrome: Effectiveness and implications for school health. School Psychology International 2015;36(2):189-206.
21. 21. Villalba JA, Amirehsani K, Lewis TF. Increasing healthy behaviors in adolescents of mexican heritage in rural emerging Latino communities: Results from a school-based health intervention pilot study. Journal of İmmigrant and Minority Health 2010;13(3):629-632.
22. 22. Toruner EK, Ayaz S, Altay N, Citak EA ve ark. Efficacy of a school-based healthy life program in Turkey. Children's Health Care 2015;44(1):69-86.
23. 23. González CS, Gómez N, Navarro V, Cairós M, Quirce C, Toledo P et al. Learning healthy lifestyles through active videogames, motor games and the gamification of educational activities. Computers in Human Behavior 2016;55:529-551.
24. 24. Tallon JM, Saavedra Dias R, Costa AM, Leitão JC, Barros A, Rodrigues V et al. Impact of technology and school-based nutrition education programs on nutrition knowledge and behavior during adolescence-A Systematic Review. Scandinavian Journal of Educational Research 2019;1-12.
25. 25. Whittemore R, Jeon S, Grey M. An internet obesity prevention program for adolescents. Journal of Adolescent Health 2013;52(4):439-47.
26. 26. Alcântara CM, Silva AN, Pinheiro PN, Queiroz MV. Digital technologies for promotion of healthy eating habits in teenagers. Revista brasileira de enfermagem 2019;72(2):513-20.
27. 27. Moore JB, Pawloski LR, Goldberg P, Kyeung MO, Stoehr A, Baghi H. Childhood obesity study: A pilot study of the effect of the nutrition education program Color My Pyramid. The Journal of School Nursing 2009;25(3):230-239.
28. 28. Frenn M, Malin S, Bansal N, Delgado M, Greer Y, Havice M et al. Addressing health disparities in middle school students’ nutrition and exercise. Journal of Community Health Nursing 2003;20:1-14.
29. 29. Monzavi R, Dreimane D, Geffner ME, Braun S, Conrad B, Klier M et al. Improvement in risk factors for metabolic syndrome and insulin resistance in overweight youth who are treated with lifestyle intervention. Pediatrics. 2006; 117(6):1111-1118.
30. 30. Wilson LF. Adolescents’ attitudes about obesity and what they want in obesity prevention programs. The Journal of School Nursing 2007;23(4):229-238.
31. 31. Schroeder K, Smaldone A. What barriers and facilitators do school nurses experience when implementing an obesity intervention?. The Journal of School Nursing 2017;33(6):456-466.
32. 32. Hong L, Yufeng W, Agho K, Jacobs J. Preventing behavior problems among elementary school children: Impact of a universal school-based program in China. Journal of School Health 2011;81: 273-280.