2型糖尿病患者饮食行为改变特征的研究

摘要

目的 探索2型糖尿病患者饮食行为改变的特征,旨在为糖尿病患者饮食管理提供更好的指导.方法 对19例2型糖尿病患者进行访谈、录音,同时对录音资料进行转录,采用Strass和Corbin的扎根理论分析资料的方法进行开放式编码、轴心式编码和选择式编码,形成类属和核心类属.结果 2型糖尿病患者饮食行为改变特征包括糖尿痛饮食信息资源获取、糖尿病饮食调整的4种类型、在糖尿病饮食中享受乐趣.结论 糖尿病患者应注意饮食信息获取的来源,不可盲目尝试;获取饮食信息后的患者在饮食控制与放弃间抉择;能够在糖尿痛饮食中享受自由的饮食喜好,将有助于提高其遵医饮食行为.医护人员应了解患者饮食行为改变的特征,为患者提供正确的指导.%Objective To investigate characteristics of eating behavior change in patients with type 2 diabetes.Methods The grounded theory methodology was used.Nineteen patients with type 2 diabetes mellitus were interviewed.Then the records were transcribed and analyzed with open coding,axial coding and selective coding according to the grounded theory put forward by Strass and Corbin,to identify the categories and core category.Results The characteristics of eating behavior change in patients with type 2 diabetes included:searching information for diabetes diet,four types of diabetes diet,finding pleasure in a diabetes diet.Conclusion Patients with diabetes should pay attention to the source of dietary information and should not blindly try;patients who obtained the diet information had a choice between diet control and abandonment;the ability to enjoy a free diet in a diabetic diet will help improve patients' compliance with the diet.Medical staff should understand the characteristics of eating behavior change to promote early identification of behavior and the correct guidance for patients with diabetes.