Peter Paul I, Steinberg Wilhelm J, van Rooyen Cornel, Botes Johan
Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
Department of Biostatistics, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
Health SA. 2022 Oct 21;27:1921. doi: 10.4102/hsag.v27i0.1921. eCollection 2022.
Type 2 diabetes mellitus (T2DM) is a significant health burden globally, with uncontrolled DM often resulting in short- and long-term complications. Unfortunately, healthcare providers have little control over patients' necessary lifestyle modification practices outside the consultation room.
To determine the level of knowledge, attitude and practice (KAP) of lifestyle modifications among patients with T2DM attending the National District Hospital Outpatient Department, Bloemfontein, and identify possible barriers to lifestyle modifications experienced by patients.
Outpatient Department at a Free State hospital.
Using a cross-sectional study, patients with previously diagnosed T2DM were invited to participate. Respondents completed a structured questionnaire to assess their KAP regarding lifestyle modifications.
Of the 149 respondents, 64.4% ( = 94) were obese and 24.0% ( = 35) overweight despite good knowledge of lifestyle modifications. Respondents displayed a positive attitude toward physical exercise but less so to adjusting their diets. In practice, 63.4% ( = 83) claimed to exercise regularly, but two-thirds irregularly monitored their weight. The practice of a controlled and planned diet was poor. Perceived barriers to lifestyle modifications included being too busy to engage in physical exercise, bad weather and financial constraints.
Despite displaying good knowledge regarding lifestyle modifications, the attitude and practice thereof remain poor. It is essential to re-emphasise to patients why it is crucial to engage in lifestyle modification practices and assess whether they are doing so correctly.
It highlights the importance of lifestyle considerations of T2DM patients in the clinical context.
2型糖尿病（T2DM）是全球一项重大的健康负担，糖尿病控制不佳常常导致短期和长期并发症。不幸的是，医疗保健提供者对患者在诊疗室之外必要的生活方式改变措施几乎无法施加控制。
确定在布隆方丹国家地区医院门诊部就诊的2型糖尿病患者对生活方式改变的知识、态度和实践（KAP）水平，并识别患者在生活方式改变方面遇到的可能障碍。
自由邦一家医院的门诊部。
采用横断面研究，邀请先前诊断为2型糖尿病的患者参与。受访者完成一份结构化问卷，以评估他们对生活方式改变的KAP。
在149名受访者中，尽管对生活方式改变有充分了解，但64.4%（n = 94）肥胖，24.0%（n = 35）超重。受访者对体育锻炼持积极态度，但对调整饮食的态度则没那么积极。在实践中，63.4%（n = 83）声称经常锻炼，但三分之二的人不定期监测体重。控制和计划饮食的实践情况较差。生活方式改变的感知障碍包括太忙而无法进行体育锻炼、天气不好和经济限制。
尽管对生活方式改变有充分了解，但患者在这方面的态度和实践仍然较差。必须再次向患者强调进行生活方式改变措施的重要性，并评估他们是否正确实施。
它突出了在临床背景下考虑2型糖尿病患者生活方式的重要性。
