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[2型糖尿病患者的知识、态度和饮食习惯]

[Knowledge, attitudes and dietary practices in patients with diabetes mellitus type II].

作者信息

Cabrera Pivaral C E, Novoa Menchaca A, Centeno López N M

机构信息

Universidad de Guadalajara.

出版信息

Salud Publica Mex. 1991 Mar-Apr;33(2):166-72.

PMID:2053020
Abstract

The profile of type-II non-insulin dependent diabetic patients is characterized by overweight; exogenous obesity originates from inadequate nourishment habits and, among other things, educational, cultural, and psychological conditions. With regard to metabolic deficiency control, the explanation is centered fundamentally on the patient's not getting a complete diet. This could be due to a lack of information about their illness, thus becoming a determining factor in their treatment. The purpose of this study was to analyze the level of knowledge, attitudes, and dietary education practices by means of a survey using the likert scale. This was applied by means of a direct and codified interview directed to patients in a Primary Care Health Unit from the Mexican Social Security Institute (IMSS) in Guadalajara, Jalisco, Mexico. 201 Type II diabetic patients, selected from a systematic sample, were studied. The average age was 54 and predominantly female (a ratio of 1.7 to 1). The sample had an academic background not surpassing the elementary school level, and their occupation was that of housewife. Their central glycemia level was, on the average, 191 mg/dl with a standard deviation of 120. The average number of years of having suffered from the illness was 5.5 with a standard deviation of 5. Ninety per cent of the diabetic patients take oral hypoglucemiants. Although there does exist a high level of knowledge and attitudes about dietary education, there exists a low level of educational practices. We observed that only 10 per cent of the diabetic patients have both an acceptable metabolic control (CMA) and a high value in knowledge, attitudes, and practices (CAP).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

II型非胰岛素依赖型糖尿病患者的特征是超重;外源性肥胖源于不良的营养习惯以及教育、文化和心理状况等因素。关于代谢缺陷控制,根本原因在于患者饮食不全面。这可能是由于他们对自身疾病缺乏了解,从而成为治疗中的一个决定性因素。本研究的目的是通过使用李克特量表进行调查,分析患者的知识水平、态度和饮食教育实践情况。通过对墨西哥哈利斯科州瓜达拉哈拉市墨西哥社会保障局(IMSS)初级保健健康单位的患者进行直接编码访谈来应用该量表。研究了从系统抽样中选取的201名II型糖尿病患者。平均年龄为54岁,女性占主导(男女比例为1.7比1)。样本的学历背景不超过小学水平,职业为家庭主妇。他们的平均中心血糖水平为191毫克/分升,标准差为120。患病平均年限为5.5年,标准差为5。90%的糖尿病患者服用口服降糖药。尽管患者对饮食教育有较高的知识水平和态度,但饮食教育实践水平较低。我们观察到,只有10%的糖尿病患者具有可接受的代谢控制(CMA)以及在知识、态度和实践方面具有较高水平(CAP)。(摘要截短为250字)

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