Summary: | 碩士 === 輔仁大學 === 營養科學系 === 95 === The purposes of the study were to understand the correlations between stages of dietary fiber intakes and nutritional knowledge, attitudes and dietary behaviors, and the effect of dietary counseling on stages of change, knowledge, attitude and behavior among type 2 diabetes mellitus (DM) patients. Two hundreds and eighty-seven type 2 DM patients were recruited from a regional hospital in Miaoli County, Taiwan. A validated questionnaire was used to evaluate the stages of dietary fiber intake, nutritional knowledge, attitudes and dietary behaviors. Patients’ nutritional knowledge, attitudes and dietary behaviors were highly correlated with stages of change on dietary fiber intakes. Type 2 DM patients at action or maintenance stages had better diabetic nutritional knowledge, attitudes, dietary behavior scores and serum high density lipoprotein-cholesterol concentration than those who at precontemplation or contemplation stages. Patients received more dietary counseltations tended to be at action and maintenance stages of dietary fiber intakes. Dietary counseltation was required to significantly improve patients’ DM nutritional knowledge, attitudes and dietary behaviors. In conclusion, dietary counseling was to be effective on dietary changes of fiber intakes and control of DM-related biochemical indexes.
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