2型糖尿病患者的时间观、饮食行为和血糖控制。

IF 2.2 4区 医学 Q1 NURSING
Nursing Research Pub Date : 2023-11-01 Epub Date: 2023-09-19 DOI:10.1097/NNR.0000000000000689
Pina Jin, Xiaojing Wang, Aihua Li, Huan Dong, Meihua Ji
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引用次数: 0

摘要

背景:饮食行为是2型糖尿病(T2DM)患者自我管理的关键组成部分,因为它对血糖控制和预防糖尿病并发症至关重要。然而,对糖尿病患者来说,做出可持续的饮食行为改变并实现长期最佳血糖控制是一项挑战。目标:饮食行为的改变涉及到目前的努力,以实现未来的利益。本研究的主要目的是调查T2DM患者的时间观、饮食行为和健康结果之间的关系。基于时间自我调节理论(TST)和先前的研究,本研究的次要目的是探索时间视角如何影响饮食行为。方法:在方便的抽样(N=329)后,在2021年11月至2022年10月期间对T2DM患者进行横断面研究。使用自我报告问卷和从医疗记录中检索临床信息来收集数据。采用层次回归和通径分析方法探讨研究变量之间的关系。结果:我们的分析表明,以未来为导向的时间观与更好的饮食行为有关,但与血红蛋白A1c无关。分层回归分析还表明,在控制协变量后,具有更面向未来的时间视角与更健康的饮食行为相关。基于理论和路径分析,未来时间观通过自我控制能力和意图对饮食行为产生间接影响。讨论:研究表明,在为T2DM患者提供护理时,以未来为导向的时间观可以促进更健康的饮食行为。作为一个理论框架,TST为研究人员和临床医生在制定改善饮食行为的干预方案时考虑患者的时间观、意图和自我控制能力提供了参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Time Perspective, Dietary Behavior, and Glycemic Control in Patients With Type 2 Diabetes.

Background: Dietary behavior is a key component in the self-management of patients with Type 2 diabetes (T2DM), as it is essential for glycemic control and preventing diabetic complications. However, it is challenging for patients with diabetes to make sustainable dietary behavior changes and achieve long-term optimal glycemic control.

Objectives: Dietary behavior changes involve present efforts to achieve future benefits. The primary aim of this study was to investigate the relationships among time perspective, dietary behaviors, and health outcomes in patients with T2DM. Based on the temporal self-regulation theory and previous research, the secondary aim of the study was to explore how time perspective influences dietary behaviors.

Methods: Following convenient sampling ( N = 329), a cross-sectional study was conducted in patients with T2DM between November 2021 and October 2022. Data were collected using self-reported questionnaires and the retrieval of clinical information from medical records. Hierarchical regression and path analysis were used to explore the relationships among study variables.

Results: Our analyses showed that a future-oriented time perspective was associated with better dietary behavior but was not significantly related to hemoglobin A1c. Hierarchical regression analysis also demonstrated that having a more future-oriented time perspective was associated with healthier dietary behavior after controlling covariates. Based on the theory and path analysis, there was an indirect effect of future time perspective on dietary behavior through self-control capacity and intention.

Discussion: The study reveals that a future-oriented time perspective can promote healthier dietary behavior when providing care for patients with T2DM. As a theoretical framework, the temporal self-regulation theory offers references for researchers and clinicians to take into consideration patients' time perspectives and their intentions and self-control capacity when developing interventional programs to improve dietary behaviors.

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来源期刊
Nursing Research
Nursing Research 医学-护理
CiteScore
3.60
自引率
4.00%
发文量
102
审稿时长
6-12 weeks
期刊介绍: Nursing Research is a peer-reviewed journal celebrating over 60 years as the most sought-after nursing resource; it offers more depth, more detail, and more of what today''s nurses demand. Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies. Each issue highlights the latest research techniques, quantitative and qualitative studies, and new state-of-the-art methodological strategies, including information not yet found in textbooks. Expert commentaries and briefs are also included. In addition to 6 issues per year, Nursing Research from time to time publishes supplemental content not found anywhere else.
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