Qualitative study on influencing factors of compliance with low-carbohydrate diet management in patientswith type 2 diabetes
2 型糖尿病患者低碳水化合物饮食管理依从性影响因素的质性研究

摘要

目的 研究采用低碳水化合物饮食生活对 2 型糖尿病患者的依从性影响因素及依据。方法 随 机选择 2022 年 1 月至 2022 年 6 月在我院治疗的 2 型糖尿病患者 10 名作为研究对象，采用半结构式方式进 行访谈，对访谈结果加以分析整理。结果 通过对参与研究的 10 名患者访谈结果可知，采用低碳水化合物 饮食管理主要有两大因素。一是发展因素：有助于 2 型糖尿病患者降低血糖，促进身体恢复、对患者心理 健康也起到了正面影响。二是阻碍因素：2 型糖尿病患者对新的饮食习惯无法迅速适应，患者及家属对低碳 水化合物饮食知识储备不足，难以达到预想的发展效果、社会压力增大、饮食方案不便实施等。结论 低碳 水化合物饮食管理依从性在帮助 2 型糖尿病患者恢复身体健康中受到多种因素的影响，结合实际情况应考 虑让患者本人、患者家属及护理人员一起参与到低碳水化合物饮食管理中来，以提高患者的治疗依从性。

Abstract

Objective To study the influencing factors and evidence of compliance of patients with type 2 diabetes mellitus with low carbohydrate diet.
Methods Ten patients with type 2 diabetes who were treated in our hospital from January 2022 to June 2022 were randomly selected as research objects. Semi-structured interviews were conducted, and the interview results were analyzed and sorted out.
Results According to the interviews of 10 patients with type 2 diabetes mellitus, there are two main factors in the implementation of low carbohydrate diet management. The first is developmental factors: it can help patients with type 2 diabetes to lower blood sugar, promote physical recovery, and also have a positive impact on patients' mental health. Second, hindrance factors: patients with type 2 diabetes cannot quickly adapt to the new dietary habits, patients and their families have insufficient knowledge reserve of low-carbohydrate diet, it is difficult to achieve the expected development effect, social pressure increases, and the implementation of dietary programs is inconvenient.
Conclusion  s The compliance of low carbohydrate diet management is affected by many factors in helping patients with type 2 diabetes recover their health. Considering the actual situation, patients, their families and medical staff should be considered to be included in the comprehensive management of low carbohydrate diet for patients with type 2 diabetes.