Cross-sectional Study On Nutrition Therapy For Type2Diabetic Patients In Community

Objective:To investigate the dietary status, the nutrition therapy knowledge, attitude and behaviors of type2diabetic patients in community, effectively providing guidance to medical nutrition therapy.Methods:Self-designed KAP questionnaire was used to investigate of nutrition therapy knowledge, attitude and behavior of type2diabetic patients in community. Using24h recall method to conduct the survey for3-day individual food intake in patients with type2diabetes and to investigate dietary status and the nutrient intake.Results:The levels of daily intake in cereals, fruit, milk and dairy products, beans and soy products, as well as fish and shrimp are lower than that of the Chinese pagoda recommended dietary intake(P<0.01); to the contrary, high intake of poultry meat, fats and oils (P<0.01). There is no difference between intake of the eggs and egg products, vegetables and the recommended intake of pagoda (P>0.05). Patients with type2diabetes proficient in nutritional knowledge in community are about50%or less than50%. There is significant difference in the awareness of basic nutritional knowledge between diabetic patients received nutrition therapy and those non-received nutrition therapy (P<0.05). Diabetic patients have a positive attitude to nutrition therapy,88.0%of them want to get nutrition therapy, and92.7%of them want to learn the relative knowledge to guide their daily diet.56.6%of diabetic patients surveyed have received nutritional therapy,26.5%of them have not received diabetes nutrition therapy, and16.9%of them are unclear.96.91%of194diabetic patients receive nutrition therapy under the guidance of the doctor and nurse; there are significant differences between the fact and the hope of the main body of nutrition therapy (P<0.01). More patients want to receive nutrition therapy from the dietitian, its ratio rise from1.03%to30.61%and the ratio of the doctor and nurse decrease from73.20%and23.71%to58.60%and7.29%respectively. The hospital is mainly place for nutrition therapy, accounting for78.87%; the community and family only17.01%and0.52%respectively. There are significant differences between the actual and the hope place (P<0.01). More patients with diabetes want to receive nutrition therapy in community and family. Currently, only6.7%of patients with diabetes are able to be proficient in nutrition therapy in family life,18.0%of them basically applying nutrition therapy, and45.9%of them in family life are unable to practise nutrition therapy, and29.4%of them feel confused on the application of nutrition therapy.Conclusions:①It still exists that diabetic patients in community have irrational diet structure and imbalance intake of3energy-produced nutrients.②Proficiency in nutritional knowledge for patients with type2diabetes in community is not high. There is higher awareness of basic nutritional knowledge for diabetic patients received nutrition therapy than those non-received nutrition therapy.③Diabetic patients in community have a positive attitude to nutrition therapy.④Patients with diabetes are difficult to be proficient in nutrition therapy in family life.⑤At present, diabetic patients receive nutritional therapy mainly under the guidance of the doctor and nurse, and the hospital is mainly place for nutrition therapy. More patients with diabetes want to receive nutrition therapy provided by doctor-nurse-dietitian in hospital-community and family.