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Title :通院中の2型糖尿病外来患者からみた家族支援と栄養素等摂取状況との関連
Title alternative :Relationship between family support and nutrient intake status in type 2 diabetes mellitus patients
Authors :小島, 唯
鶴田, 恵
飯塚, つかさ
山谷, 恵一
金胎, 芳子
Publisher :新潟人間生活学会
Issue Date :Mar-2018
Journal Title :人間生活学研究
Volume :9
Start Page :37
End Page :47
ISSN :1884-8591
Abstract :【目的】通院中の2型糖尿病外来患者を対象に、情動的サポート、行動的サポート、また情報的サポートに着目し、家族による支援の有無別に栄養素等摂取状況の検討を行った。【方法】2016年3月~8月、新潟市B病院の2型糖尿病外来患者42名(年齢中央値68.0歳、男性比率66.7%)を対象に実施した、自記式質問紙調査及び食物摂取頻度調査データを用いた(有効回答率70.0%)。質問紙調査より得た、家族による支援の有無によって対象者を2群に区分した。食物摂取頻度調査より得たデータを用いて、2群のエネルギー及び栄養素等摂取量、食品群別摂取量(密度法によって調整)についてMann-Whitney のU 検定を用いて検討した。【結果】「食事療法を守っていることをほめる」の問いでは、支援あり7名(16.7%)、支援なし35名(83.3%)であった。2群の1000kcal あたりの栄養素等・食品群別摂取量で差がみられた項目はなかった。「同じ時間に食事をする」の問いでは、支援あり32名(76.2%)、支援なし10名(23.8%)であった。支援ありの者で相対的に、たんぱく質(p=0.045)、豆類(p=0.022)摂取量が多く、菓子類(p=0.020)、油脂類(p=0.039)の摂取量が少なかった。「家族の糖尿病の知識の有無」では、知識ありの者で油脂類のみ摂取量が相対的に多かった(p=0.013)。また、「家族の食事療法の知識の有無」では、知識ありの者で嗜好飲料のみ摂取量が相対的に多かった(p=0.028)。【結論】2 型糖尿病外来患者が受ける家族による支援として、「ほめる」という情動的サポートや疾患や食事療法の知識という情報的サポートに比べ、「同じ時間に食事をする」という家族の存在、家族の行動的サポートが栄養素等摂取状況に関連することが示唆された。
Objective: To investigate the relationship between family support, specifically emotional, practical, and informational support, and nutrient intake status in type 2 diabetes mellitus (DM) outpatients. Methods: We distributed a self-report questionnaire and food frequency questionnaire to 42 outpatients with type 2 DM (median age: 68.0 years; men: 66.7%) from a community hospital-based registry in Niigata City between March to August 2016. From the self-report questionnaire, the patients were divided into two groups based on whether they received family support or not. Energy and nutrient intake and intake by food groups were compared using Mann-Whitney U test between the two groups.Results: Regarding the item “Praise for complying with medical nutritional therapy,” 7 patients (16.7%) were praised and 35 patients (83.3%) were not. There was no significant difference in nutrient intake or intake by food group between these two groups. For the item “family eating at the same time,” 32 patients (76.2%) responded that they had family meals together versus 10 patients (23.8%) who did not. Regarding energy and nutrient intake and intake by food group, families who ate together had meals with significantly higher protein (p= 0.045) and beans (p= 0.022) content with less confectionary (p= 0.010) and oil and fat (p= 0.039) content compared with families who did not eat together. Fat and oil intake was significantly higher among families with knowledge of DM and intake of beverage was higher among families with knowledge of dietary treatment than among families without such knowledge. Conclusion: For family support, our findings suggested that practical support such as eating at same time was more strongly related to nutrient intake among type 2 DM patients in comparison with emotional support such as praising patients.
Keywords :2型糖尿病
Type 2 Diabetes Mellitus
Family Support
Energy and Nutrient Intake
Intake by Food Groups
Cross-sectional study
Type Local :Journal Article
Language :jpn
URI :http://hdl.handle.net/10623/74946
Appears in Collections:01 人間生活学研究

Please use this identifier to cite or link to this item: http://hdl.handle.net/10623/74946

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