Trajectory and influencing factors of dietary adherence in patients with newly diagnosed type 2 diabetes mellitus: a longitudinal study
10.3760/cma.j.cn115682-20241026-05850
- VernacularTitle:初诊2型糖尿病患者饮食依从性变化趋势及其影响因素的纵向研究
- Author:
Na DU
1
;
Jing HOU
;
Wenxiang WANG
;
Ying WANG
;
Yiran LI
Author Information
1. 新乡市中心医院东院区健康管理部，新乡 453000
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Dietary adherence;
Influencing factors;
Longitudinal studies;
Decision-making balance;
Diabetes distress;
Family care
- From:
Chinese Journal of Modern Nursing
2025;31(25):3437-3444
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the trajectory and influencing factors of dietary adherence at different periods in patients with newly diagnosed type 2 diabetes mellitus (T2DM), so as to provide a reference for dietary management at different periods in patients with newly diagnosed T2DM.Methods:Convenience sampling was used to select 180 patients with newly diagnosed T2DM who attended Diabetes Clinics in three ClassⅢ Grade A hospitals in Henan Province from May 2021 to May 2023 for the study. Patients were surveyed on the day of diagnosis (T1) and at 3 months (T2), 6 months (T3), and 12 months (T4) after diagnosis using General Information Questionnaire, Decisional Balance Scale for Diabetes Diet, Diabetes Distress Scale, Family APGAR Index, and Influence Factors of Dietary Behavior Compliance Scale for Patients with T2DM (T2DM-CFIDBS), respectively. Pearson correlation was used to test the correlation between dietary adherence, diabetes diet decisional balance, diabetes distress, and family care in patients with newly diagnosed T2DM. Multiple linear regression was used to analyze the factors influencing dietary adherence at each time point in patients with newly diagnosed T2DM. A total of 180 questionnaires were distributed, and 162 valid questionnaires were recovered, with a valid recovery rate of 90.00% (162/180) .Results:CFIDBS scores of patients with newly diagnosed T2DM at the four time points were (69.14±9.97), (61.98±8.82), (60.09±8.97), and (63.29±9.98), respectively. Body mass index and diabetes distress had an impact on patients' dietary adherence at T1, T2, T3, and T4 ( P<0.05). Perceptual deficits had an impact on dietary adherence at T1, T2, and T3 ( P<0.05). Family care had an impact on dietary adherence at T1 and T2 ( P<0.05). Perceived benefit had an impact on dietary adherence only at the T3 ( P<0.05). Education level and work status only had an impact on dietary adherence at the T4 ( P<0.05). All of these differences were statistically significant. Conclusions:Dietary adherence in patients with newly diagnosed T2DM shows a trend of decreasing and then increasing over time, and there are differences in the influencing factors at different times. Healthcare professionals should pay attention to the trajectory and influencing factors of dietary adherence in patients with newly diagnosed T2DM, and develop targeted interventions to improve patients' dietary adherence and diabetes prognosis.
