尼泊尔拉利特普尔县 2 型糖尿病患者的饮食习惯与彭德健康促进模式的关系

IF 1.9 Q3 ENDOCRINOLOGY & METABOLISM
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引用次数: 0

摘要

背景2型糖尿病(T2DM)是尼泊尔最常见的非传染性疾病(NCD)之一。营养在阻碍糖尿病等非传染性疾病发展方面发挥着重要作用。本研究的主要目的是确定影响 T2DM 患者饮食行为和习惯的因素。研究在尼泊尔拉利特普尔县的两个中心进行:一个是糖尿病中心,另一个是甲状腺护理中心。研究人员根据彭德健康促进模式(PHPM)编制了调查问卷,并对 450 名 40-65 岁的 T2DM 患者进行了试用和直接管理。调查工具的有效性和可靠性由专家小组审查,并分别使用了系数和克朗巴赫α检验。结果受访者属于联合家庭、不饮酒、对健康饮食持积极态度(P <0.05)、无吸烟习惯、有健康食品提醒、参加体育锻炼(P <0.001)与良好饮食习惯显著相关。来自联合家庭的受访者有较高的饮食习惯(调整后比值比(aOR = 2.332;95 % 置信度(CI):1.958-2.989,P <;0.01),识字(aOR = 1.783;95 % CI:1.256-2.531, p < 0.01)、无吸烟史(aOR = 0.935; 95 % CI: 0.609-1.434, p < 0.05)、有饮酒史(aOR = 0.615, 95 % CI: 0.412-2.346, p < 0.05)、有家庭支持(aOR = 1.824, 95 % CI: 1.结论核心家庭、文盲、收入较低、吸烟和饮酒、家庭支持差、健康食品摄入少以及很少参加体育活动影响了 T2DM 患者的饮食行为。因此,需要对 T2DM 患者及其家庭成员进行基于 PHPM 的教育干预,以确保他们过上更好的生活。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dietary practices of type 2 diabetes mellitus patients concerning Pender's health Promotion Model in Lalitpur district, Nepal

Background

Type 2 Diabetes Mellitus (T2DM) is one of the most prevalent Non Communicable Diseases (NCD) in Nepal. Nutrition plays a significant role in creating barriers to the development of NCDs like diabetes. The main objective of this study is to identify the factors that influence the dietary behaviors and practices among T2DM patients.

Methods

The study used quantitative method and a cross-sectional research design. The study was carried out in two centers: one in diabetes and another in thyroid care centers at the Lalitpur district, Nepal. A survey questionnaire based on Pender Health Promotion Model (PHPM) was developed, piloted, and administrated directly to 450 T2DM patients aged 40–65. Validity and reliability of the tools was ensured through reviewing panel of experts and using the coefficient and Cronbach's alpha test, respectively. Three sorts of statistical analysis; univariate, bivariate, and multivariate analysis were done using SPSS version 25.

Results

Respondents belonged to a joint family, no alcohol consumption, positive attitude towards a healthy diet (P < 0.05), no smoking habit, reminders for healthy food, and engaging in physical activity (P < 0.001) were significantly associated with good dietary practice. Higher odds of sufficient dietary practice were found in respondents who were from joint families (adjusted Odds Ratio (aOR = 2.332; 95 % Confidence Level (CI): 1.958–2.989, p < 0.01), literate (aOR = 1.783; 95 % CI: 1.256–2.531, p < 0.01), no smoking history (aOR = 0.935; 95 % CI: 0.609–1.434, p < 0.05), alcohol consumption history (aOR = 0.615, 95 % CI: 0.412–2.346, p < 0.05), had family support (aOR = 1.824, 95 % CI: 1.265–2.630, p < 0.01), availability of healthy foods (aOR = 2.26; 95 % CI: 1.453–3.517, p < 0.001), and those who preferred daily physical activities (aOR = 1.982, 95 % CI: 1.369–2.364, p < 0.001).

Conclusion

Nuclear family, illiteracy, lower income, smoking and consumption of alcohol, poor family support, poor access in healthy food, and low engagement in physical activities influenced dietary behavior among T2DM patients. Thus, PHPM based educational intervention needs essential to the T2DM patients and family members to ensure better life.

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来源期刊
Human Nutrition and Metabolism
Human Nutrition and Metabolism Agricultural and Biological Sciences-Food Science
CiteScore
1.50
自引率
0.00%
发文量
30
审稿时长
188 days
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