炎症性肠病患者乳制品摄入认知态度和行为的质性研究

Knowledge, Attitude and Practice of Dairy Intake in Patients with Inflammatory Bowel Disease: A Qualitative Study

目的深入探讨炎症性肠病患者对乳制品的认知、态度及相应摄入行为。方法采用质性研究中的描述性质性研究方法,于2015年12月—2016年3月对21例炎症性肠病患者进行半结构式访谈,应用内容分析法并借助Nvivo 10.0软件对资料进行整理分析。结果经分析提炼,乳制品摄入认知包括乳制品概念认知模糊、乳制品作用认知片面2个亚主题;乳制品摄入态度包括积极尝试、尽量避免和顺其自然3个亚主题;乳制品摄入行为包括个体化摄入和摄入行为改变2个亚主题。结论炎症性肠病患者的乳制品摄入态度呈现个体化,需强化积极摄入态度,但乳制品认知水平有待提高。在掌握炎症性肠病患者毫无依据禁忌乳制品原因的基础上,加强乳制品相关知识教育,根据不同患者特征给予针对性的乳制品指导,从而建立科学的乳制品摄入习惯,推动自我饮食管理的进步与发展。

Objective To explore the knowledge, attitude and practice（KAP） of dairy intake in patients with inflammatory bowel disease（IBD）. Methods With descriptive qualitative research, we conducted a self-structured interview in 21 patients with IBD from December 2015 to March 2016 and the data were analyzed with content analysis method and the software Nvivo 10.0.Results The knowledge of dairy intake covered 2 sub-themes including fuzzy and partial cognition on dairy products; the attitude of that 3 sub-themes including positive, negative and free attitude toward dairy intake and the practice of dairy intake covered 2 subthemes including individualized intake and shift in intake behavior. Conclusion Patients with IBD present diverse attitude toward dairy intake and it is necessary to improve their cognition on and their positive attitude toward dairy intake. Dairy intake promotion and targeted guidance on dairy intake are beneficial to developing scientific dairy intake habit and promoting the development of self diet management.