溃疡性结肠炎患者对疾病相关饮食知识、态度、行为及需求调查分析

Diet knowledge, attitude, practice and information needs among attendants of ulcerative colitis

目的了解溃疡性结肠炎患者饮食知识、态度、行为及相关健康需求现况，为实施针对性的饮食指导提供依据。方法采用自行设计的溃疡性结肠炎饮食知信行问卷和饮食教育需求问卷对78例门诊及住院患者进行问卷调查，并对调查结果进行分析。结果溃疡性结肠炎患者饮食知识水平较低，得分为良者仅为11．5％，饮食态度积极，饮食行为有待进一步改善；饮食知识、态度与饮食行为呈显著相关，而饮食知识与饮食态度不相关。性别、年龄、文化程度、疾病严重程度不同的患者饮食知识、态度、行为得分差异无统计学意义；不同职业、病程患者在饮食知识、态度方面差异无统计学意义，在饮食行为方面差异有统计学意义；37．2％的患者表示对现有的饮食知识不满足，79．5％的患者期望医护人员一对一个体化的指导。结论医护人员对溃疡性结肠炎患者进行饮食教育，应评估患者知信行知识水平情况，充分考虑影响因素的作用，并结合患者需求，提供针对性指导。

Objective We tried to investigate the level of diet knowledge,attitude, practice and dietary information needs in patients with ulcerative colitis （UC）. Methods A total of 78 UC patients were investigated with self-designed questionnaires about diet knowledge,attitude, practice and dietary information needs. Results The diet knowledge was poor among the patients, and only 11.5% of them got good score. The attitude was positive but the behavior needed to be further improved. Diet behavior was significantly associated with knowledge, attitude, but the knowledge was not associated with the attitude. Patients with different genders, ages, culture levels, disease severity were not statistically significant in the knowledge, attitude and behavior, and eating behavior in patients with different careers, course of diseases was different, but there was no statistically significant difference in diet knowledge and attitude. 37.2% of patients expressed unsatisfactory feeling about current diet knowledge, 79.5% of the patients expected one-on- one individualized instruction by paramedics. Conclusions The medical staff should assess the level of the diet knowledge, attitude, behavior of the patients in the health education, pay close attention to the influenc-ing factors and patients＇ needs, and provide individualized guidance for patients.