广州城乡结合部2型糖尿病患者饮食知识现状及其影响因素

Analysis of diet knowledge and its influencing factors in type 2 diabetes patients of urban-rural binding region in Guangzhou

目的了解广州城乡结合部2型糖尿病患者饮食知识现状，探讨其影响因素，为合理的饮食指导提供参考依据。方法采用便利抽样方法，在广州市城乡结合部对2型糖尿病（T2DM）患者进行面对面问卷调查，采用SPSS统计软件进行统计学析。结果发放问卷240份，收回合格问卷238份，合格率为99．17％。本次调查饮食知识合格率比较显示，女性高于男性，文化程度为高中、中专及以上者高于小学及以下者，个人平均月收入1000元及以上者高于1000元以下者，差异均有统计学意义（均P〈0．05）。多因素Logistic分析结果显示，性别（OR=4．042，95％CI：1．215—13．444）、个人平均月收入（OR=6．155，95％CI：1．831～20．690）均与饮食知识呈正相关，是T2DM患者饮食知识是否及格的主要影响因素。结论广州城乡地区T2DM患者饮食知识掌握情况不佳，应在随访关怀过程中重点针对男性、个人平均月收入1000元以下者开展干预。

Objective patients of urban-rural binding To understand the diet knowledge and its influencing factors in type 2 diabetes region in Guangzhou and provide some references for guiding proper diet. Methods Using convenience sampling method, face to face questionnaire survey was conducted in type 2 diabetes mellitus （T2DM） patients in rural-urban binding region of Guangzhou. One way analysis and multiple linear regression analysis were used for the results by SPSS software. Results The actual valid questionnaires were 238 and the valid return rate was 99.17%. This investigation showed that dietary knowledge rate was higher in the females than in the males, in the people whose education level was or higher than high school than in those secondary or lower, and in the people whose average monthly income was or over 1000 yuan than in those lower than 1 000 yuan, with statistical differences （all P 〈 0.05）. Multi-factor logistic analysis results showed that gender （OR=4.042, 95% CI： 1.215-13.444） and average monthly income （OR=6.155, 95% CI： 1.831-20.690） positively correlated with dietary knowledge and were main factors influencing whether the patients with T2DM were qualified in diet knowledge. Conclusions The diet knowledge in patients with type 2 diabetes of urban-rural binding region in Guangzhou is poor. During the course of follow-up and care, intervention should be focus on the male and the people whose monthly income is lower than 1 000 yuan.