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Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban China

To investigate the knowledge-attitude-practice (KAP) score in diabetes patients living in urban China regarding Medical Nutrition Therapy (MNT) and explore the influencing factors, this national survey recruited diabetes and prediabetes patients in 40 hospitals across 26 provinces in China. A self-d...

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Autores principales: Li, Zijian, Jin, Haimin, Chen, Wei, Sun, Zilin, Jing, Lulu, Zhao, Xiaohui, Zhu, Sainan, Guo, Xiaohui, Study Group, China NEEDs
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602617/
https://www.ncbi.nlm.nih.gov/pubmed/28948173
http://dx.doi.org/10.1155/2017/8948452
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author Li, Zijian
Jin, Haimin
Chen, Wei
Sun, Zilin
Jing, Lulu
Zhao, Xiaohui
Zhu, Sainan
Guo, Xiaohui
Study Group, China NEEDs
author_facet Li, Zijian
Jin, Haimin
Chen, Wei
Sun, Zilin
Jing, Lulu
Zhao, Xiaohui
Zhu, Sainan
Guo, Xiaohui
Study Group, China NEEDs
author_sort Li, Zijian
collection PubMed
description To investigate the knowledge-attitude-practice (KAP) score in diabetes patients living in urban China regarding Medical Nutrition Therapy (MNT) and explore the influencing factors, this national survey recruited diabetes and prediabetes patients in 40 hospitals across 26 provinces in China. A self-designed questionnaire was used to collect the data and assess the knowledge, attitude, and practice regarding MNT. Logistic regression was used to explore the factor influencing KAP scores. A total of 6441 diabetes patients (mean age: 60.02 ± 13.14 years) completed this survey. The mean glycosylated hemoglobin (HbA1c) level was 8.12 ± 2.12%, and the control rate of HbA1c (HbA1c < 7.0%) was 38.92%. Of the total, 53.56% had received MNT education. Over half of the patients had a poor total KAP score as well as poor K, A, and P scores. Patients with higher KAP scores had higher control rate of HbA1c (P < 0.05) but lower levels of fasting plasma glucose (FPG) and 2-hour postprandial blood glucose (2h-PG). Gender, occupation, residence, education level, and MNT education could influence the KAP scores (P < 0.05). This study showed that diabetes patients in urban China generally had poor understandings and practices related to MNT. Patients with higher KAP scores exhibited better control of blood glucose.
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spelling pubmed-56026172017-09-25 Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban China Li, Zijian Jin, Haimin Chen, Wei Sun, Zilin Jing, Lulu Zhao, Xiaohui Zhu, Sainan Guo, Xiaohui Study Group, China NEEDs J Diabetes Res Research Article To investigate the knowledge-attitude-practice (KAP) score in diabetes patients living in urban China regarding Medical Nutrition Therapy (MNT) and explore the influencing factors, this national survey recruited diabetes and prediabetes patients in 40 hospitals across 26 provinces in China. A self-designed questionnaire was used to collect the data and assess the knowledge, attitude, and practice regarding MNT. Logistic regression was used to explore the factor influencing KAP scores. A total of 6441 diabetes patients (mean age: 60.02 ± 13.14 years) completed this survey. The mean glycosylated hemoglobin (HbA1c) level was 8.12 ± 2.12%, and the control rate of HbA1c (HbA1c < 7.0%) was 38.92%. Of the total, 53.56% had received MNT education. Over half of the patients had a poor total KAP score as well as poor K, A, and P scores. Patients with higher KAP scores had higher control rate of HbA1c (P < 0.05) but lower levels of fasting plasma glucose (FPG) and 2-hour postprandial blood glucose (2h-PG). Gender, occupation, residence, education level, and MNT education could influence the KAP scores (P < 0.05). This study showed that diabetes patients in urban China generally had poor understandings and practices related to MNT. Patients with higher KAP scores exhibited better control of blood glucose. Hindawi 2017 2017-08-16 /pmc/articles/PMC5602617/ /pubmed/28948173 http://dx.doi.org/10.1155/2017/8948452 Text en Copyright © 2017 Zijian Li et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Li, Zijian
Jin, Haimin
Chen, Wei
Sun, Zilin
Jing, Lulu
Zhao, Xiaohui
Zhu, Sainan
Guo, Xiaohui
Study Group, China NEEDs
Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban China
title Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban China
title_full Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban China
title_fullStr Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban China
title_full_unstemmed Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban China
title_short Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban China
title_sort influencing factors of knowledge, attitude, and practice regarding medical nutrition therapy in patients with diabetes: a national cross-sectional study in urban china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602617/
https://www.ncbi.nlm.nih.gov/pubmed/28948173
http://dx.doi.org/10.1155/2017/8948452
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