糖尿病患者饮食治疗依从性及影响因素分析

Compliance of diet therapy and its influence factors among patients with diabetes mellitus

目的了解糖尿病患者饮食治疗依从现状及影响因素,为糖尿病综合防治提供依据和科学指导。方法以270例糖尿病患者为调查对象,采用自行设计的调查表对糖尿病患者饮食治疗依从情况进行调查。结果 270例患者中依从性好的有24例,占8.89%,中等的有49例,占18.11%,差的有197例,占73.00%;糖尿病饮食治疗相关知识调查中掌握程度好的有76例,占28.10%,中等的有102例,占37.83%,差的有92例,占34.07%;糖尿病患者依从性单因素及多因素分析结果显示,年龄、职业、文化程度、经济收入是依从性的影响因素(P<0.05)。结论糖尿病患者饮食治疗依从现状及饮食治疗知识掌握情况不容乐观,需进行广泛、深入、有效的糖尿病健康教育。

Objective To understand the status of diet therapy compliance and its influential factors among patients with diabetes mellitus for improving integrated control of diabetes mellitus.Methods Totally 270 patients with diabetes mellitus were investigated with a self-made questionnaire.Results Among the patients,there were 24（8.89%） with good compliance of diet therapy,49（18.11%） with moderate compliance,and 197（73.00%） with low compliance.There were 76（28.10%） patients with good knowledge about diet therapy for diabetes mellitus,102（37.83%） with moderate knowledge,and 92（34.07%） with little knowledge.Single factor analysis and multivariate logistic analysis showed that age,occupation,education level,and income were influential factors for compliance of diet therapy（P0.05）.Conclusion The total level of diet therapy compliance was not well among patients with diabetes mellitus in the study and influced by many factors.An effective individual target education is needed.