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目的:探讨肥胖和糖尿病患者在摄食方面的认知行为差异,为认知行为治疗的介入提供依据。方法:采用日本摄食行为量表对23例超重和肥胖者(肥胖组)、42例2型糖尿病(糖尿病组)和33例正常体质量者(对照组)进行问卷调查,进行信度分析、方差和相关分析等统计学处理。结果:在体质认识和饮食方法上,肥胖组积分(0.80±0.14)明显高于糖尿病组(0.62±0.24)和对照组(0.58±0.20)(F=9.829,P<0.05),饮食内容与肥胖度呈正相关(r=0.498,P<0.016);在摄食规律上,糖尿病组积分(0.54±0.19)明显高于肥胖组(0.46±0.11)和对照组(0.46±0.10)(F=3.709,P<0.05),体质认识与肥胖度成正相关(r=0.0473,P<0.002)。结论:纠正肥胖者在体质认识和摄食行为上的错误认知,调整饮食内容有助于减轻体重;矫正适应不良性行为,学习摄食规律化,是预防糖尿病的发生及巩固疗效的重要措施之一。
OBJECTIVE: To investigate the differences in cognitive behaviors between obese and diabetic patients in ingestion and to provide basis for the intervention of cognitive behavioral therapy. Methods: Twenty-three subjects with overweight and obesity (obesity group), 42 with type 2 diabetes mellitus (DM) and 33 with normal body mass (control group) were surveyed by Japanese ingestion behavioral questionnaire. Reliability analysis, variance And related analysis such as statistical processing. Results: The score of obesity group (0.80 ± 0.14) was significantly higher than that of diabetic group (0.62 ± 0.24) and control group (0.58 ± 0.20) (F = 9.829, P <0.05) (R = 0.498, P <0.016). The score of feeding group (0.54 ± 0.19) was significantly higher than that of obesity group (0.46 ± 0.11) and control group (0.46 ± 0.10) <0.05). There was a positive correlation between physique and obesity (r = 0.0473, P <0.002). Conclusion: It is one of the most important measures to prevent the occurrence of diabetes mellitus and to consolidate the curative effect by correcting the erroneous cognition of obese people on physique understanding and feeding behavior and adjusting the dietary content to reduce body weight. .