首页|2型糖尿病患者饮食行为依从性的潜在剖面分析及其影响因素研究

2型糖尿病患者饮食行为依从性的潜在剖面分析及其影响因素研究

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目的 了解2型糖尿病(type 2 diabetes mellitus,T2DM)患者饮食行为依从性的潜在类别特征,探索分析不同类别T2DM患者饮食行为依从性水平的影响因素。方法 采用便利抽样法选取2022年10月-2023年5月在南宁市某三级甲等医院就诊的326例T2DM患者作为调查对象。使用一般资料调查表、T2DM患者饮食行为依从性测评量表、糖尿病知识调查问卷、糖尿病饮食健康信念问卷、社会支持评定量表进行调查。基于潜在剖面分析方法识别T2DM患者饮食行为依从性的潜在类别,并运用多元logistic回归分析不同类别的影响因素。结果 T2DM患者饮食行为依从性表现出3种不同潜在类别,分别命名为高自控力-饮食均衡型组(35。9%)、中等自控力-低果蔬依从型组(18。4%)和低自控力-低油盐依从型组(45。7%);多元logistic回归分析结果显示:糖尿病饮食知识、糖尿病饮食健康信念、社会支持水平、糖尿病病程、BMI是T2DM患者饮食行为依从性的影响因素(P<0。05)。结论 T2DM患者饮食行为依从性存在明显异质性,提示医护人员应早期辨识不同类别患者饮食行为依从性特征,并据此提供精准化的干预策略,以提高T2DM患者饮食行为依从性水平,实现优质饮食管理。
Latent profile analysis of dietary behavior compliance in patients with type 2 diabetes mellitus and its influencing factors
Objective To understand the characteristics of potential categories of dietary behavior compliance in patients with type 2 diabetes mellitus(T2DM),and to explore and analyze the influencing factors of dietary behavior compliance in patients with T2DM.Methods A total of 326 patients with T2DM from October 2022 to May 2023 in a Grade Ⅲ Class A hospital in Nanning were selected by convenience sampling.The general information question-naire,the T2DM patients'dietary behavior compliance scale,the diabetes knowledge questionnaire,the diabetes diet health belief questionnaire,and the social support rating scale were used to investigate.Potential categories of dieta-ry behavior compliance in T2DM patients were identified based on potential profile analysis,and multiple logistic re-gression was used to analyze the influencing factors of different categories.Results The compliance of dietary behavior in T2DM patients showed 3 different potential categories,which were named as high self-control-balanced diet group(35.9%),mediumself-control-low fruit and vegetable compliance group(18.4%),and low self-control-low oil and salt compliance group(45.7%).Multiple logistic regression analysis showed that diabetic diet knowledge,diabetic diet health belief,social support level,diabetes duration,and BMI were the influencing factors of dietary behavior compliance in T2DM patients(P<0.05).Conclusion There is significant heterogeneity in dietary behavior compli-ance of T2DM patients,and it is suggested that doctors and nurses should identify the characteristics of dietary be-havior compliance in different categories of patients at an early stage and provide accurate intervention strategies ac-cordingly,so as to improve the compliance level of diet behavior of T2DM patients and realize high-quality diet man-agement.

type 2 diabetes mellitusdietary behavior compliancelatent profile analysisnursing

刘瑞杰、梁志金、黄艳、吴林梅、钟静静

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广西中医药大学护理学院,广西南宁 530200

广西中医药大学附属瑞康医院,广西南宁 530011

2型糖尿病 饮食行为依从性 潜在剖面分析 护理

广西壮族自治区中医药管理局自筹经费科研课题

GZZC2020079

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(13)
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