| Objective: Based on the model and the transtheoretical model five personality factors,on the basis of predecessors’ research,fill in the questionnaire survey in patients with type 2 diabetes by eating behavior phase distribution,as well as the relationship between personality traits and eating behavior stage,and discuss a decision balance diet(perceived benefits,perceived barriers),dietary self-efficacy,social support between personality traits and eating behavior stage presence of intermediary role,the role of path and characteristics,in order to nursing intervention for patients with type 2 diabetes diet provides theoretical reference on positive psychology.Methods:(1)Using questionnaire survey method,convenient selection in 3 first-class ternary hospitals in chongqing endocrinology of320 cases of hospitalized patients with type 2 diabetes as the research object,through questionnaire investigation for patients into standard,investigation content involves the patient’s general information,the big five personality traits,dietary decisions balance(perceived benefits,perceived barriers),dietary self-efficacy,social support,eating behavior phase six parts.(2)SPSS 21.0 software and PROCESS plug-in were used to conduct statistics and analysis of the research data,and the interaction paths and characteristics of each research variable were determined.Results:(1)This study included 320 patients with type 2 diabetes in eating behavior,distribution ratio from high to low are: preparation stage,79 cases(24.7%),the intention stage in 69 cases(21.6%),former intention stage in 62 cases(19.4%),57 cases(17.8%),action phase maintain 53cases(16.6%),in which the proportion is as high as 65.7% of patients with early action,eating behavior of patients with type 2 diabetes,phase current situation needs to be improved.Univariate analysis was conducted on the distribution of dietary behaviors in patients with type 2 diabetes with different demographic characteristics and disease characteristics.The results showed that there were statistically significant differences in the distribution of dietary behaviors in patients with different age,BMI,Hb A1 c,and whether they had received diabetes health education(P<0.05).(2)Non-parametric test results showed that patients at different behavioral stages had statistical differences in big Five personality,perceived benefits,perceived impairment,self-efficacy and social support scores(P<0.05).Postmortem comparisons showed that patients in the pre-action stage had significantly lower scores in perceived benefits,self-efficacy,and social support than those in the action and maintenance stages(P<0.05);Neuroticism scores were significantly higher in patients in the pre-intentionality and intentionality stages than in patients in the action and maintenance stages(P<0.05);Patients in the action and maintenance stages had higher scores for agreeableness and conscientiousness than those in the pre-action stage(P<0.05).(3)Spearman correlation analysis results showed that there were significant correlations among eating behavior stage,Big Five personality,perceived benefits,perceived impairment,self-efficacy,and social support score(P<0.05).(4)Intermediary effect analysis showed: the big five personality(neuroticism,agreeableness and conscientiousness)can pass the perceived benefits of mediation,the mediation role of consciousness disorder and social support to interests/consciousness disorder,social support,self-efficacy,interest/consciousness disorder,self-efficacy and social support to benefit/consciousness obstacle,self-efficacy of chain intermediary role influence eating behavior stage of T2 DM patients.Conclusion :(1)The status quo of the stage of eating behavior in patients with type 2 diabetes is not optimistic.Perceived benefit,perceived disorder,self-efficacy and social support play a completely mediating role between personality traits(neuroticism,agreeableness and conscientiousness)and the stage of eating behavior.(2)The nursing staff can make a diet plan according to the patient’s personality characteristics,explore the patient’s own potential,help the patient develop good psychological quality,so as to achieve scientific and reasonable diet management. |
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