Department of Health Information Technology, School of Information technology, Debre Tabor Health Science Collage, Debre tabore, Ethiopia.
Epidemiology and Biostatistics, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.
BMJ Open. 2021 May 5;11(5):e038668. doi: 10.1136/bmjopen-2020-038668.
This study aimed to assess dietary practice and associated factors among patients with diabetes attending the Debre Tabor General Hospital.
Institutional-based cross-sectional study.
Amhara regional state, Debre Tabor General Hospital.
Patients with diabetes attending the diabetics' clinic.
The study was conducted from February to March 2016. Simple random sampling technique was used to select the study participants and data were collected using a pretested structured interviewer administered questionnaire. Patients' dietary practice was assessed using the general advice for diabetic plan containing 11 items. The data were entered using Epi Info V.7 and analysed using SPSS V.20. Binary logistic regressions analysis was used to identify factors associated with poor dietary practice. Adjusted ORs (AORs) with corresponding 95% CI and p˂0.05 were used to identify significant factors affecting poor dietary practice.
A total of 390 patients with diabetes were participated in the study making a response rate of 96.5%. The overall proportion of poor dietary practice was 55.4% (95% CI 50.8% to 60.5%). Respondents of rural residence (AOR 1.99, 95% CI 1.21 to 3.28), Not getting diabetic nutrition education (AOR 3.32, 95% CI 2.02 to 5.44), difficulty to determine what to eat (AOR 5.49, 95% CI 3.34 to 9.02), not having family/friends support (AOR 2.50, 95% CI 1.46 to 4.27), worried about high cost of foods (AOR 2.12, 95% CI 1.29 to 3.49) were significantly associated with poor dietary practice.
More than half of patients with diabetes were had poor dietary practice. Rural dwellers, not getting nutrition education, difficulty of choosing foods, not getting family/friends support and worried about high cost of foods were positively and significantly associated with poor dietary practice. Hence, integration of diabetic based nutrition education with motivation particularly for rural patients is highly recommended.
本研究旨在评估在德布雷塔博尔综合医院就诊的糖尿病患者的饮食实践及其相关因素。
基于机构的横断面研究。
阿姆哈拉州，德布雷塔博尔综合医院。
在糖尿病门诊就诊的糖尿病患者。
研究于 2016 年 2 月至 3 月进行。采用简单随机抽样技术选择研究参与者，使用经过预测试的访谈员管理问卷收集数据。使用包含 11 个项目的一般糖尿病计划建议评估患者的饮食实践。数据使用 Epi Info V.7 输入，并使用 SPSS V.20 进行分析。采用二元逻辑回归分析确定与不良饮食实践相关的因素。使用调整后的 OR（AOR）及其相应的 95%CI 和 p<0.05 来确定影响不良饮食实践的显著因素。
共有 390 名糖尿病患者参加了研究，应答率为 96.5%。不良饮食实践的总体比例为 55.4%（95%CI 50.8%至 60.5%）。农村居民（AOR 1.99，95%CI 1.21 至 3.28）、未接受糖尿病营养教育（AOR 3.32，95%CI 2.02 至 5.44）、难以确定吃什么（AOR 5.49，95%CI 3.34 至 9.02）、没有家人/朋友支持（AOR 2.50，95%CI 1.46 至 4.27）、担心食物费用高（AOR 2.12，95%CI 1.29 至 3.49）与不良饮食实践显著相关。
超过一半的糖尿病患者饮食实践不佳。农村居民、未接受营养教育、选择食物困难、得不到家人/朋友支持和担心食物费用高与不良饮食实践呈正相关且显著相关。因此，强烈建议将基于糖尿病的营养教育与动机相结合，特别是针对农村患者。
