首页|期刊导航|护理研究|中青年2型糖尿病病人并发症风险感知的潜在剖面及其影响因素

中青年2型糖尿病病人并发症风险感知的潜在剖面及其影响因素OA

Latent profile and influencing factors of complication risk perception in young and middle-aged patients with type 2 diabetes

中文摘要英文摘要

目的:探究中青年2型糖尿病病人并发症风险感知的潜在类别及其影响因素.方法:采用便利抽样法,选取2024年2月—8月在河南省2所三级甲等医院就诊的364例中青年2型糖尿病病人为研究对象.采用一般资料调查表、中文版糖尿病并发症风险感知量表(RPS-DM)、糖尿病健康素养量表(HLS)、家庭关怀指数问卷(APGAR)、领悟社会支持量表(PSSS)进行调查,对中青年2型糖尿病病人并发症风险感知进行潜在剖面分析,采用Logistic回归分析探讨病人并发症风险感知潜在类别的影响因素.结果:中青年2型糖尿病病人并发症风险感知可分为低风险感知-高乐观偏差型(40%)、中风险感知-低个人控制型(44%)、高风险感知-综合型(16%)3个类别.Logistic回归分析结果显示,居住地、家庭人均月收入、糖尿病家族史、糖尿病病程、体质指数、糖尿病健康素养、家庭关怀度、领悟社会支持是中青年2型糖尿病病人并发症风险感知潜在类别的影响因素(P<0.05).结论:中青年2型糖尿病病人并发症风险感知特征存在群体异质性,医护人员可根据不同类别病人的特征采取针对性的干预措施,以提高病人并发症风险感知水平.

Objective:To explore the latent categories and influencing factors of complication risk perception in young and middle-aged patients with type 2 diabetes.Methods:A total of 364 young and middle-aged patients with type 2 diabetes who visited two tertiary grade A hospitals in Henan Province were selected as the study subjects by convenience sampling method from February to August 2024.Surveys were conducted using a general information questionnaire,the Chinese version of Risk Perception Survey-Diabetes Mellitus(RPS-DM),Health Literacy Scale(HLS),Family APGAR Index(APGAR),and Perceived Social Support Scale(PSSS).Latent profile analysis was performed to assess complication risk perception.Logistic regression analysis was used to explore the influencing factors of the latent categories.Results:The complication risk perception of the young and middle-aged patients with type 2 diabetes could be classified into three latent categories,namely low risk perception-high optimistic bias(40%),moderate risk perception-low personal control(44%),and high risk perception-comprehensive type(16%).Logistic regression analysis showed that place of residence,per-capita monthly family income,family history of diabetes,duration of diabetes,BMI,diabetes health literacy,family caring,and perceived social support were influencing factors of the latent categories(P<0.05).Conclusions:There is heterogeneity in the characteristics of complication risk perception in young and middle-aged patients with type 2 diabetes.Healthcare providers could implement targeted interventions based on the features of different patient categories to improve their level of complication risk perception.

陈刚;王禹涵;李腾;翟优优;郑鑫;王宇鹰

郑州大学第一附属医院,河南 450052四川大学华西医院郑州大学第一附属医院,河南 450052郑州大学第一附属医院,河南 450052郑州大学第一附属医院,河南 450052郑州大学第一附属医院,河南 450052

中青年2型糖尿病并发症风险感知潜在剖面分析影响因素

young and middle-agedtype 2 diabetes mellituscomplicationsrisk perceptionlatent profile analysisinfluencing factors

《护理研究》 2026 (6)

935-942,8

郑州大学第一附属医院护理科研专项计划项目,编号:HLKY2023011

10.12102/j.issn.1009-6493.2026.06.007

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