Influencing factors of healthy dietary behavior stage of young and middle-aged patients with type 2 diabetes mellitus
WU Na
MENG Lianxin
Abstract：Objective:To analyze the influencing factors of healthy dietary behavior stage of young and middle-aged patients with type 2 diabetes mellitus(T2DM)based on structural equation model.Methods:A total of 280 young and middle-aged patients with T2DM were selected as subjects by convenience sampling method from September 2021 to June 2022,who were admitted to the endocrinology department of a tertiary grade A hospital in Baise,Guangxi Zhuang Autonomous Region.General information questionnaire,healthy dietary behavior stage questionnaire,Unsupportive Social Interaction Scale,The Third Version of the Diabetes Attitude Scale and Diabetes Management Self-Efficacy Scale were used to investigate.Then,the Logistic regression and structural equation modeling were used to analyze the influencing factors of healthy dietary behavior stage of young and middle-aged patients with T2DM.Results:Among 280 young and middle-aged patients with T2DM,46(16.4%)were in the pre-intention stage,87(31.1%)were in the intention stage,82(29.3%)were in the preparation stage,46(16.4%)were in the action stage,and 19(6.8%)were in the maintenance stage.Regression analysis results showed that education level,course of disease,complications,diabetes hospitalization history,glycated hemoglobin,diabetes attitude,unsupportive social interaction,and diabetes management self-efficacy had impaction healthy dietary behavior stage of patients(P<0.05).The structural equation modeling showed that diabetes management self-efficacy had direct impact on pre-intention stage,intention stage,preparation stage,and action stage of healthy dietary behavior.And diabetes attitude and unsupportive social interaction had indirect impact on healthy dietary behavior stage through diabetes management self-efficacy.Conclusions:The healthy dietary behavior stage of young and middle-aged patients with T2DM is influenced by multiple factors,and medical staff should intervene in patients based on these influencing factors to improve their healthy dietary behavior.
Keywords：middle-aged and young peopletype 2 diabetes mellitusdietary behaviorinfluencing factorsstructural equation modelingnursing
Publication Date：2024-09-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：9( 3218-3226 )