Influencing factors for dietary behaviors of patients with diabetic nephropathy

Kazuko Sumiyoshi, Chieko Kawata, Kenichi Shikata, Hirofumi Makino

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The aim of this study was to clarify the factors influencing the dietary behavior of patients with diabetic nephropathy. One hundred twenty-two patients with type 2 diabetes were recruited from the outpatients of Okayama University Hospital in Okayama, Japan. We performed a cross-sectional study using a questionnaire including 206 items among 18 categories as follows: background factors, coping behavior (coping scale), degree of uncertainty in illness (uncertainty scale), and dietary behavior. The data were analyzed by correlation analysis, t-test, one-way analysis of variance, Pearson correlation analysis, and multiple regression analysis. We found that those patients with microalbu-minuria alone tended to recognize more mild about their kidney status than those with macroalbu-minuria and chronic renal failure. We also found that common factors influencing the dietary behavior of diabetic patients with and without nephropathy are as follows: 1. coping with the problem (β = 0.342, p < 0.01); 2. anxiety about prognosis (β= 0.344, βO.Ol); 3. sex (β= 0.234, βgt;<0.05); 4. uncertainty regarding treatment (β = 0.377, p < 0.01); 5. negative coping (β= 0.354, βgt;< 0.01); and 6. employment status (β = 0.367, p < 0.01). Coping and uncertainty in illness had a significant relation to positive support and lack of support. To maintain appropriate dietary behavior in diabetic patients, medical staff need to determine what the social supports are important for the patient, and also to ensure good communication among healthcare personnel as well as positive support for patients and families.

Original languageEnglish
Pages (from-to)39-47
Number of pages9
JournalActa medica Okayama
Volume64
Issue number1
Publication statusPublished - 2010

Keywords

  • Coping
  • Diabetic nephropathy
  • Dietary behavior
  • Social support
  • Uncertainty in illness

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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