Investigation On Knowledge, Attitude, And Behavior On Chronic Disease Nutrition Education Among Community Medical Workers In Fuyang City

Objectives To describe nutrition knowledge level and distributional characteristics on the chronic disease among community medical staffs, to understand the attitude and situation about chronic disease nutrition education, and provide scientific references for enhancing nutrition education for chronic disease among community medical staffs.Methods 6 community health service centers and 12 community health service stations were chosen as investigation spots by cluster sampling in 3 districts of Fuyang. A questionnaire survey on knowledge-attitude-behavior about chronic disease nutrition education was undertakenamong all the mecical workers from the above units in July 2011. A total of 220 valid questionnaires were obtained. The data included information on socio-demographic, chronic disease related knowledge, the opinions and attitude of nutrition education, the situation and effect of chronic disease intervention and the major difficulties which they confronted. Means'comparison was performed by t-test between two groups, and by ANOVA among more than three groups; rate data were treated with chi-square tests, and constituent ratio of some variables was discribed as pie chart.Results We obtained the data of 220 medical workers, including 99 men(45.0%) and 121(55.0%) women. Most subjects were mid-young adults aged under 40 years old, exactly 160 (72.7%).The their major education background were higher secondary specialized degree and college degree, with a total number of 205(93.2%), and the major compose of technical title was elementary titles (205, 68.6%) . Subjects from community health service centers and stations were 177 (80.5%) and 43 (19.5%), respectively. The average scores of chronic disease nutrition knowledge was 63.91±15.27, with a passing rate of 66.4%. The excellent rate was 19.5%. Only 44 subjects(20.0%) were aware of"Dietary Guide for Chinese Residents (2007)", and 94 subjects(42.7%) were aware of"Chinese Balanced diet Guideline". Medical books were the most impotant approach for them to acquire the nutrition knowledge, which was accounted for 168 (76.40%), followed by lectures 122 ( 55.5%).There were significant differences in nutrition knowledge source among different age groups.135(61.4%) of the community medical workers deemed it was very necessary to carry out nutrition education and 81(36.8%) of them deemed necessary. only 4(1.80%) of them deemed it was unnecessary to carry out nutrition education. However, 94 (42.7%)of the community medical workers realized that clinicians, preventive care doctors, community nurses should beared the responsibility of community nutrition education together. In the past year, 148(67.3%) of the community medical worker had participated in the community nutrition health education. Among those participants, 29(19.60%) thought the effect was very well; 43(29.10%)thought the effect was well; 70(47.3%) thought that it had no distinct effect, and 6(4.1%) thought it was relatively poor. More than 50% of the subjects reported that there were major difficulties in all the four domains as nutrition knowledge, skills, organizational capibility and equipments.Conclusion The knowledge level of the community medical workers on chronic disease nutrition is not high generally. The overall awareness rates for"Dietary Guide for Chinese Residents"and"Chinese Balanced diet Guideline"are rather low. They are positive on the attitude of the recognition of the importance of nutrition education, and most of them participate in nutrition education activity, but the effect is not ideal. Nutrition knowledge, skills, organizational capibility and equipments are the main difficulties in develop community nutrition education currently.