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...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2017/8948452 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850168060887957504 |
|---|---|
| author | Zijian Li Haimin Jin Wei Chen Zilin Sun Lulu Jing Xiaohui Zhao Sainan Zhu Xiaohui Guo China NEEDs Study Group |
| author_facet | Zijian Li Haimin Jin Wei Chen Zilin Sun Lulu Jing Xiaohui Zhao Sainan Zhu Xiaohui Guo China NEEDs Study Group |
| author_sort | Zijian Li |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-e5cdf9abfdf74e5ea8223c104089170e |
| institution | OA Journals |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-e5cdf9abfdf74e5ea8223c104089170e2025-08-20T02:21:03ZengWileyJournal of Diabetes Research2314-67452314-67532017-01-01201710.1155/2017/89484528948452Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban ChinaZijian Li0Haimin Jin1Wei Chen2Zilin Sun3Lulu Jing4Xiaohui Zhao5Sainan Zhu6Xiaohui Guo7China NEEDs Study Group8Department of Parenteral and Enteral Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, ChinaDepartment of Clinical Nutrition, Affiliated Hospital of Taishan Medical University, Taian, Shandong, ChinaDepartment of Parenteral and Enteral Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, ChinaDepartment of Endocrinology, Zhongda Hospital, Institute of Diabetes, Medical School, Southeast University, Nanjing, Jiangsu, ChinaDepartment of Clinical Nutrition, Peking University First Hospital, Beijing, ChinaAbbott Nutrition Research & Development, Shanghai, ChinaStatistics Office, Peking University First Hospital, Beijing, ChinaDepartment of Clinical Nutrition, Peking University First Hospital, Beijing, ChinaDiabetes Care and Education Study Group, China Diabetes Society, Beijing, ChinaTo 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.http://dx.doi.org/10.1155/2017/8948452 |
| spellingShingle | Zijian Li Haimin Jin Wei Chen Zilin Sun Lulu Jing Xiaohui Zhao Sainan Zhu Xiaohui Guo China NEEDs Study Group Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban China Journal of Diabetes Research |
| 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 |
| url | http://dx.doi.org/10.1155/2017/8948452 |
| work_keys_str_mv | AT zijianli influencingfactorsofknowledgeattitudeandpracticeregardingmedicalnutritiontherapyinpatientswithdiabetesanationalcrosssectionalstudyinurbanchina AT haiminjin influencingfactorsofknowledgeattitudeandpracticeregardingmedicalnutritiontherapyinpatientswithdiabetesanationalcrosssectionalstudyinurbanchina AT weichen influencingfactorsofknowledgeattitudeandpracticeregardingmedicalnutritiontherapyinpatientswithdiabetesanationalcrosssectionalstudyinurbanchina AT zilinsun influencingfactorsofknowledgeattitudeandpracticeregardingmedicalnutritiontherapyinpatientswithdiabetesanationalcrosssectionalstudyinurbanchina AT lulujing influencingfactorsofknowledgeattitudeandpracticeregardingmedicalnutritiontherapyinpatientswithdiabetesanationalcrosssectionalstudyinurbanchina AT xiaohuizhao influencingfactorsofknowledgeattitudeandpracticeregardingmedicalnutritiontherapyinpatientswithdiabetesanationalcrosssectionalstudyinurbanchina AT sainanzhu influencingfactorsofknowledgeattitudeandpracticeregardingmedicalnutritiontherapyinpatientswithdiabetesanationalcrosssectionalstudyinurbanchina AT xiaohuiguo influencingfactorsofknowledgeattitudeandpracticeregardingmedicalnutritiontherapyinpatientswithdiabetesanationalcrosssectionalstudyinurbanchina AT chinaneedsstudygroup influencingfactorsofknowledgeattitudeandpracticeregardingmedicalnutritiontherapyinpatientswithdiabetesanationalcrosssectionalstudyinurbanchina |