摘要
目的探讨超重/肥胖2型糖尿病(T2DM)患者的饮食依从性并分析其影响因素。方法2021年5月1日至12月30日通过便利取样招募海口市三所三甲医院T2DM住院患者276例,依据亚洲成人身体质量指数(BMI)标准将其分为超重/肥胖组和正常/偏瘦组,比较两组的一般资料及临床指标,采用多元线性回归分析超重/肥胖T2DM患者饮食依从性的影响因素。结果回收有效问卷260份。超重/肥胖患者占比42.3%(110/260)。超重/肥胖组的年龄、糖尿病确诊年龄、T2DM患者饮食行为依从性量表(T2DM-CFIDBS)各维度评分及总分均显著低于正常/偏瘦组(P<0.05);超重/肥胖组的20~59岁年龄段、无医保、5年及以下病程占比高于正常/偏瘦组(P<0.05)。多元线性回归分析结果显示,糖尿病自我效能量表(DSES)评分、有糖尿病家族史是影响超重/肥胖T2DM患者饮食依从性的独立因素(P<0.05)。结论相较正常/偏瘦T2DM患者,超重/肥胖T2DM患者的饮食依从性更差,需重点关注有糖尿病家族史的超重/肥胖T2DM患者,着重从自我效能宣教方面提升饮食依从性。
Objective To explore the dietary compliance of overweight/obese patients with type 2 diabetes mellitus(T2DM)and analyze its influencing factors.Methods From May 1 to December 30,2021,276 inpatients with T2DM in three tertiary hospitals in Haikou City were recruited by convenient sampling.According to the Asian adult body mass index(BMI)standard,the patients were divided into overweight/obese group and normal/lean group.The general data and clinical indicators of the two groups were compared,and multiple linear regression was used to analyze the influencing factors of dietary compliance in overweight/obese patients with T2DM.Results A total of 260 valid questionnaires were collected.Overweight/obese patients accounted for 42.3%(110/260).The age,the age of diabetes diagnosis,the scores of each dimension and the total score of Influence Factors of Dietary Behavior Compliance Scale for Patients with T2DM(T2DM-CFIDBS)in the overweight/obese group were significantly lower than those in the normal/lean group(P<0.05);the proportion of 20 to 59 years old,without medical insurance,and with a course of 5 years or less in the overweight/obese group were higher than that in the normal/lean group(P<0.05).Multiple linear regression analysis showed that Diabetes Self-Efficacy Scale(DSES)score and family history of diabetes were independent factors affecting dietary compliance in overweight/obese patients with T2DM(P<0.05).Conclusion Compared with normal/lean T2DM patients,overweight/obese T2DM patients have worse dietary compliance.It is necessary to focus on overweight/obese T2DM patients with a family history of diabetes,and focus on improving dietary compliance from the aspect of self-efficacy education.
作者
常伟涛
易珉坤
王筱星
王栎昕
郭彦岑
杨成航
管冰清
CHANG Weitao;YI Minkun;WANG Xiaoxing;WANG Lixin;GUO Yancen;YANG Chenghang;GUAN Bingqing(No.1 Clinical College,Hainan Medical University,Haikou 571199;Medical Psychology Department,the FirstAffiliated Hospital of Hainan Medical University,Haikou 570102,China)
出处
《临床医学研究与实践》
2024年第6期22-25,50,共5页
Clinical Research and Practice
基金
海南医学院大学生创新创业训练计划项目(No.202111810020)。
关键词
2型糖尿病
超重/肥胖
饮食依从性
自我效能
type 2 diabetes mellitus
overweight/obese
dietary compliance
self-efficacy
