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印度尼西亚巴东公共卫生中心营养师在管理 2 型糖尿病患者中的当前营养实践。

Currents Nutritional Practices of Nutritionists in the Management of Type 2 Diabetes Patients at Public Health Centres in Padang, Indonesia.

机构信息

Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia.

Department of Nutrition, Faculty of Public Health, Andalas University, Padang, West Sumatera 25175, Indonesia.

出版信息

Nutrients. 2021 Jun 8;13(6):1975. doi: 10.3390/nu13061975.

Abstract

(1) Background: The interest in nutrition practices and education is slowly gaining traction among Indonesian nutritionists. However, there is a lack of local studies that evaluate nutritional practices, especially in the management of type 2 diabetes (T2DM). This cross-sectional study aimed to determine the nutritional practices among nutritionists and the adequacy of the current practices in the management of Type 2 Diabetes Mellitus (T2DM) patients at the Public Health Clinic in Padang (PHC), Indonesia. (2) Methods: An online survey form was distributed to all the nutritionists (n = 50) involved in the management of T2DM patients in their daily practices at the PHC. Socio-demographic characteristics, the current practice of T2DM, the need for DM nutrition education, and an evaluation questionnaire on the Indonesian Non-Communicable Diseases guideline and the Public Health Centre guideline were captured in the survey. (3) Result: A total of 48 completed survey forms were received, providing a response rate of 96% from the recruited nutritionists. One-third (37.5%) of the respondents counselled between one and ten patients per day. Nearly half (41.7%) conducted a monthly follow-up session for the patients at their respective PHC in the previous three months. Each nutritionist educated five to ten T2DM patients. The most common nutrition education topics delivered included appropriate menus (89.6%) as well as the etiology and symptoms of T2DM (85.5%). Almost all the nutritionists (93.8%) used leaflets and about 35.4% used poster education. Around 70.8% of counseling sessions lasted 30 min and two-thirds (66.7%) of the sessions included nutrition education. Based on the results, about half (52.1%) of them claimed that T2DM patients were reluctant to attend individual nutrition education. One-fifth of them (20.8%) claimed that it was because the T2DM patients were not interested in the tool kits and materials used. (4) Conclusions: T2DM patients are reluctant to attend individual nutrition education due to uninteresting tool kits and materials.

摘要

(1) 背景:印度尼西亚营养师对营养实践和教育的兴趣正在慢慢增加。然而,缺乏评估营养实践的本地研究,特别是在 2 型糖尿病 (T2DM) 的管理方面。本横断面研究旨在确定营养师的营养实践以及印度尼西亚公共卫生中心指南和公共卫生诊所当前在 2 型糖尿病患者管理中的实践是否充分。(2) 方法:向参与管理公共卫生诊所 T2DM 患者日常实践的所有营养师(n=50)分发在线调查表格。调查中捕获了社会人口统计学特征、当前 T2DM 实践、DM 营养教育需求以及对印度尼西亚非传染性疾病指南和公共卫生中心指南的评估问卷。(3) 结果:共收到 48 份完整的调查问卷,从招募的营养师中获得了 96%的回复率。三分之一(37.5%)的受访者每天为一到十位患者提供咨询。在过去三个月中,近一半(41.7%)的营养师在各自的公共卫生诊所为患者进行了每月一次的随访。每位营养师教育五到十位 T2DM 患者。最常教授的营养教育主题包括适当的菜单(89.6%)以及 T2DM 的病因和症状(85.5%)。几乎所有营养师(93.8%)都使用传单,约 35.4%使用海报教育。大约 70.8%的咨询课程持续 30 分钟,三分之二(66.7%)的课程包括营养教育。根据结果,大约一半(52.1%)的营养师声称 T2DM 患者不愿意参加单独的营养教育。他们中的五分之一(20.8%)表示,这是因为 T2DM 患者对使用的工具包和材料不感兴趣。(4) 结论:由于工具包和材料无趣,T2DM 患者不愿意参加单独的营养教育。

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