| Purpose: This thesis investigates the dietetic nutrition condition of the community type 2 diabetes patients, the status of their dietetic treatment knowledge and nutrition knowledge, and the performances of self-managing on diet, medicine, exercise and blood sugar monitor in their daily life, as well as the factors which influence their self-managing behaviour. As such it provides references for the comprehensive management of community type 2 diabetes. Method: This study was carried out between May and June in 2005 among 205 type 2 diabetes patients who were ransom selected in 10 of 41 communities in Yinchuan city. Food frequency inquiry method is used to understand the dietetic nutrition condition of type 2 diabetes patients. FCBS, FCSES and 2—SCS forms are utilized to evaluate the relationship of dietetic behaviour and dietetic efficiency, and self-managing status. Results: The result shows that the overall amount of calorie supply of the type 2 diabetes patient has met the needs, but the real energy intake of different somatotype group is higher than the theoretical energy intake and the difference has the statistics significance (P<0.05). It is found that among three macronutrients, the proportion of the protein and the carbohydrate intake is appropriate, but the fat intake is higher for all and the obese. 65.4% of the diabetes patients are the obesity and the 55.1% are those whose fat intakes are unusual. With increase of the dietetic treatment knowledge and the number of the course of the disease, the normal rate of the macronutrients rises. When the course of the disease extends, the dietetic treatment knowledge of patients is also broadened. The whole level of self-managing behaviour of community type 2 diabetes patients is bit low with average score of 66.93%. There is significant difference of the execution between different self-managing items. Among 6 self-managing items, the maximum score of dosing according to doctor's advice is 85.67%, then the score of monitoring blood sugar reaches 77.55% and tending feet scores the lowest point with only 51.79%; It has been found that there is significant difference between the blood control and scoring of self-managing behaviour (P<0.05). With the improvement of education level, the average score of self-managing ability of patient increases. Between primary school and secondary school, and between primary school and university, there is significant difference of scoring after using variance analysis (P<0.05). Also with the increase of the course of disease of the patients, the score increases and there exists significant difference after using variance analysis (p<0.05). It is noticed that there is a highly positive correlation between the total self-efficiency and total self-managing behaviour in type 2 diabetes patients (r=0.731, p<0.01). It has a positive correlation between the dietetic control behaviour and self efficiency in type 2 diabetes patients (r=0.630, P<0.001). With the improvement of self efficiency of the dietetic control, the dietetic control level rises as well (r=0.565, P<0.01). There is difference of dietetic control behaviour between illiteracy and junior high school patients (P<0.05) and the difference has no statistic significance between other education levels. There is correlation of the dietetic control behaviour between the employed people and unemployed ones. The level of dietetic control behaviour is affected by the dietetic knowledge. Based on the regression analysis, 5 aspects of knowledge are introduced into the equation. It is found that when patients are hungry the choosing to complement right food affects the most on dietetic control behaviour (standard partial regression coefficient is 0.395). The general exercise level of community type 2 diabetes patients is not high. There is a highly positive correlation between the exercise behaviour and exercise efficiency (r=0.557, P<0.01), and the level of exercise efficiency has a statistic significance after using variance analysis (F=46.521, P<0.01). The patients who have medium...
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