居民中医食养食疗知信行对功能性胃肠病的影响  

Knowledge,Attitude and Practice Study on the Effects of Residents′Dietary Nutrition and Dietary Therapy of TCM on Functional Gastrointestinal Disorders

作　　者：周漫钰 韩悦 张烯 高鑫 林殷 张聪 廖艳 ZHOU Manyu;HAN Yue;ZHANG Xi;GAO Xin;LIN Yin;ZHANG Cong;LIAO Yan(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102446,China)

机构地区：[1]北京中医药大学中医学院,北京102446

出　　处：《西部中医药》2024年第6期38-42,共5页Western Journal of Traditional Chinese Medicine

基　　金：北京市社会科学基金(19JYB004);中国食品科学技术学会食品科技基金(2019-03)。

摘　　要：目的:了解功能性胃肠病(functional gastrointestinal disorders,FGIDs)居民中中医食养食疗知信行情况,并分析相关因素。方法:采用《罗马Ⅳ诊断性问卷》和自行设计的《中医食养食疗与胃肠健康素养问卷》进行网络问卷调查,应用二元Logistic回归分析有无FGIDs症状及与中医食养食疗知信行之间的关系。结果:通过网络共收集344份有效问卷,被调查居民FGIDs有症状者占比70.35%(242/344),对于便秘、慢性腹泻的饮食禁忌以及胃酸过少的食养食疗认知正确率最低(均<50%)。有症状者中医食疗认可度高于无症状者(χ^(2)=7.53,P=0.023),食疗产品服用时间长于无症状者(χ^(2)=8.327,P=0.016)。有症状者多选用补虚类食疗产品,消食类、理气类次之(χ^(2)=8.782,P=0.032)。Logistic回归分析显示,胃酸过少的食养食疗认知、消化溃疡的饮食禁忌、应用中医知识指导饮食的态度以及喜食生冷、刺激性食物是有FGIDs症状的重要影响因素(P<0.05)。结论:有FGIDs症状者中医食养食疗认知水平较差,态度积极,饮食健康行为有待改善。而加强中医食养食疗宣传和指导对居民防治FGIDs具有积极作用。Objective:To investigate the knowledge,attitude and practice(KAP)of TCM dietary nutrition and dietary therapy among residents with functional gastrointestinal disorders(FGIDs),and to analyze the related factors.Methods:A web-based questionnaire survey was conducted using the Rome IV Diagnostic Questionnaire and the self-designed Questionnaire on Traditional Chinese Medicine(TCM)Food Nutrition and Food Therapy and Gastrointestinal Health Literacy,and binary logistic regression was applied to analyze the relationship between the presence of symptoms of FGIDs and the KAP of TCM food nourishment and food therapy.Results:A total of 344 valid questionnaires were collected through the Internet,and the proportion of the surveyed residents with symptoms of FGIDs was 70.35%(242/344),and the correct rate of knowledge of dietary contraindications for constipa-tion,chronic diarrhea,and dietary nourishment and food therapy for low gastric acid was the lowest(all<50%).Symptomatic people have higher recognition of traditional Chinese medicine dietary therapy than asymptomatic people(χ^(2)=7.53,PP=0.023),and the duration of taking dietary therapy products is longer than that of asymptomatic people(χ^(2)=8.327,P=0.016).Symptomatic people mostly used therapeutic products for tonifying,followed by the ones of digestion-promoting and regulating-Qi(χ^(2)=8.782,P=0.032).Logistic regression analysis displayed that the cognition of food nourishment and food therapy for low gastric acid,dietary contraindications of peptic ulcer,the attitude of applying the knowledge of traditional Chinese medicine to guide the diet,and the preference for cold,raw,and irritating foods were the important influencing factors for having symptoms of FGIDs(P<0.05).Conclusion:People with FGIDs symptoms have poor cognitive level of TCM food nutrition and food therapy,their positive attitude and dietary health behaviors need to be improved.While strengthening the publicity and guidance of TCM dietary nutrition and food therapy has a positive effect on the preve

关 键 词：胃肠病 功能性 中医食养食疗 知信行 

分 类 号：R247.1[医药卫生—中医临床基础]