[1]史一,徒文静,张萍,等.基于综合转变模型的炎症性肠病患者饮食管理行为阶段现状及其影响因素研究[J].军事护理,2022,39(01):25-29.[doi:10.3969/j.issn.1008-9993.2022.01.007]
　SHI Yi,TU Wenjing,ZHANG Ping,et al.Investigation on Current Situation of Dietary Behavior and Its Influencing Factors among Patients with Inflammatory Bowel Disease Based on Integrated Change Model[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(01):25-29.[doi:10.3969/j.issn.1008-9993.2022.01.007]
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基于综合转变模型的炎症性肠病患者饮食管理行为阶段现状及其影响因素研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年01期
页码:
25-29
栏目:
论著
出版日期:
2022-01-15

文章信息/Info

Title:
Investigation on Current Situation of Dietary Behavior and Its Influencing Factors among Patients with Inflammatory Bowel Disease Based on Integrated Change Model
文章编号:
1008-9993(2022)01-0025-05
作者:
史一1; 徒文静1; 张萍2; 方健3; 王昱1; 金泓丞1
(1.南京中医药大学 护理学院,江苏 南京 210023; 2.江苏省中医院 南京中医药大学附属医院 消化科,江苏 南京 210029; 3.南京中医药大学附属南京中医院 肛肠科,江苏 南京 210022)
Author(s):
SHI Yi1; TU Wenjing1; ZHANG Ping2; FANG Jian3; WANG Yu1; JIN Hongcheng1
(1.School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu Province,China; 2.Department of Gastroenterology,Jiangsu Province Hospital of Chinese Medicine [Affiliated Hospital of Nanjing University of Chinese Medicine],Nanjing 210029,Jiangsu Province,China; 3.Department of Anus & Intestine Surgery,Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210022,Jiangsu Province,China)
关键词:
炎症性肠病;  饮食管理;  综合转变模型;  社会认知因素
Keywords:
Inflammatory bowel disease;  diet management;  integrated change model;  social cognitive variables
分类号:
R473.57
DOI:
10.3969/j.issn.1008-9993.2022.01.007
文献标志码:
A
摘要:
目的 基于综合转变模型,分析炎症性肠病患者饮食管理阶段分布现况及其影响因素。方法 2020年1-11月便利抽样选取南京市4家综合性医院门诊炎症性肠病患者608例,采用基于综合转变模型设计的调查问卷收集患者的饮食行为阶段、心理弹性、饮食管理自我效能和意愿等。结果 46例(7.57%)处于无意图阶段,290例(47.70%)处于意图阶段,272例(44.74%)处于行动阶段。回归分析显示,饮食管理意愿、行动的自我效能、自我管理和病友支持是炎症性肠病患者行为阶段转变的保护因素,积极认知是影响无意图阶段向行动阶段转变的危险因素(均P<0.05)。结论 炎症性肠病患者的饮食管理行为仍有待改善,需依据不同行为阶段的关键社会认知特征,为患者设计精准、高效的饮食管理支持方案,从而促进其饮食行为向高阶段转变。
Abstract:
Objective Based on integrated change model(ICM),to investigate the current distribution of stages of dietary behavior among patients with inflammatory bowel disease(IBD)and its related influencing factors.Methods From January to November 2020,convenience sampling method was used to recruit 608 IBD patients from four tertiary hospitals in Nanjing.ICM-based questionnaire was used to collect information on the stage of dietary behavior,resilience,self-efficacy and willingness.Results About 46 patients(7.57%)were in pre-intention stage,290 patients(47.70%)were in intention stage,and 272 patients(44.74%)were in action stage.By multivariate logistic regression analysis,willingness,action self-efficacy,self-management and peer support were protective factors affecting the distribution of stages of dietary behavior,while positive cognition was a risk factor(all P<0.05).Conclusions The dietary behavior of patients with IBD needs to be improved. More attention should be paid to developing accurate and efficient measures of dietary management tailored to patients' behavior stages to promote change of dietary behavior effectively.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-09-08 【 修回日期 】 2021-12-03
【 基金项目 】 教育部人文社会科学青年项目(19YJCZH147); 南京中医药大学护理学优势学科开放课题(2019YSHL010)
【 作者简介 】 史一,护理本科在读
【 通信作者 】 徒文静,电话:025-85811877
更新日期/Last Update: 2022-01-15