商丘地区冠心病患者健康饮食行为依从性调查及影响因素分析  

Compliance of healthy dietary behavior and its influencing factors in patients with coronary heart disease in Shangqiu City

作　　者：袁艳华 周红漫 李宏才 闫利琼 周凤丽 刘春霞[3] YUAN Yan-hua;ZHOU Hong-man;LI Hong-cai;YAN Li-qiong;ZHOU Feng-li;LIU Chun-xia(Shangqiu Central Hospital,Shangqiu 476000,China;Shangqiu Hospital of Traditional Chinese Medicine;Shangqiu First People's Hospital)

机构地区：[1]商丘市中心医院,河南商丘476000 [2]商丘市中医院 [3]商丘市第一人民医院

出　　处：《华南预防医学》2022年第12期1460-1463,1469,共5页South China Journal of Preventive Medicine

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20200305)。

摘　　要：目的调查和分析商丘市冠心病患者健康饮食行为依从性及影响因素。方法以2019年6月至2022年5月商丘市明确诊断为冠心病的患者为研究对象,对其进行面对面健康饮食行为依从性及影响因素的问卷调查,采用描述流行病学分析方法对结果进行分析,并采用单、多因素分析方法对健康饮食行为依从性的影响因素进行分析。结果共纳入1384例冠心病患者,健康饮食行为依从性评分为(55.95±11.82)分,其中烹饪及进餐习惯维度评分得分率最高,果蔬类饮食行为维度得分率最低;多重线性回归分析结果显示性别(β'=0.122)、年龄(β'=0.131)、BMI(β'=-0.215)、文化程度(β'=0.073)、在职情况(β'=0.081)、家庭可支配收入(β'=0.072)、病情严重程度(β'=0.055)及合并基础性疾病(β'=0.128)是商丘市冠心病患者健康饮食行为依从性的影响因素。结论商丘市冠心病患者的健康饮食行为依从性较低,受到性别、年龄、BMI等多种因素的影响,冠心病患者要充分认识到健康饮食对自身疾病的影响,自觉学习掌握饮食知识,自觉调整饮食结构,改变不良饮食习惯,提升健康饮食行为依从性。Objective To investigate and analyze the compliance of healthy dietary behavior and its influencing factors in patients with coronary heart disease(CHD)in Shangqiu City.Methods Patients diagnosed with CHD in Shangqiu City from June 2019 to May 2022 were selected for a face-to-face questionnaire survey on compliance of healthy dietary behavior and its influencing factors.The descriptive epidemiological analysis method was used to analyze the results,and univariate and multivariate analysis methods were used to analyze the influencing factors of healthy dietary behavior compliance.Results A total of 1384 CHD patients were enrolled,and the score of healthy dietary behavior compliance was(55.95±11.82),among which the scoring rate of cooking and eating habits was the highest,and the scoring rate of fruit and vegetable eating behavior was the lowest.The results of multiple linear regression analysis showed that gender(β'=0.122),age(β'=0.131),BMI(β'=-0.215),education level(β'=0.073),occupation(β'=0.081),household disposable income(β'=0.072),the severity of disease(β'=0.055),and underlying diseases(β'=0.128)were influencing factors of healthy dietary behavior compliance of CHD patients in Shangqiu City.Conclusions The compliance of healthy dietary behavior of CHD patients in Shangqiu City is low,which is affected by many factors such as gender,age,BMI,etc.CHD patients should be fully aware of the impact of a healthy diet on their diseases,consciously learn the dietary knowledge and adjust the dietary structure,change bad dietary habits,and improve compliance of healthy dietary behavior.

关 键 词：心血管疾病 冠心病 健康饮食 依从性 影响因素 

分 类 号：R153[医药卫生—营养与食品卫生学]