Cluster analysis of self-management behavior in diabetic retinopathy patients and its influencing factors
10.3760/cma.j.cn115682-20221012-04980
- VernacularTitle:糖尿病视网膜病变患者自我管理行为聚类分析及影响因素研究
- Author:
Can ZHANG
1
;
Jinghua SHI
;
Yaqin LI
;
Lixia GUO
;
Tingting JIA
;
Qingqing ZHAO
Author Information
1. 山西医科大学护理学院，太原 030001
- Keywords:
Diabetic retinopathy;
Self-management;
Cluster analysis;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2023;29(28):3877-3883
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the characteristics and categories of self-management behavior of patients with diabetic retinopathy (DR) and analyze its influencing factors.Methods:Using the convenient sampling method, a total of 200 patients who visited Diabetes Fundus Department of Shanxi Eye Hospital from October 2021 to June 2022 were selected as the research objects. The General Information Questionnaire, General Self-Efficacy Scale, Social Support Rating Scale, Chinese version of Mishel Uncertainty in Illness Scale-Adult and Diabetes Retinopathy Self-management Scale were used to investigate. Cluster analysis method was used to classify subgroups, and univariate analysis and ordered Logistic regression analysis were used to identify the influencing factors.Results:A total of 200 questionnaires were sent out in this survey, and 195 valid questionnaires were finally recovered, with an effective recovery rate of 97.5%. The self-management behaviors of DR Patients were divided into three categories, such as active practice type (19.5%, 38/195) , passive obedience type (33.8%, 66/195) and passive inaction type (46.7%, 91/195) . Logistic regression analysis showed that the duration of diabetes, degree of DR, self-efficacy, social support and disease uncertainty were the influencing factors of patients' self-management behavior ( P<0.05) . Conclusions:The self-management behavior of diabetic retinopathy patients is heterogeneous, which can be divided into three categories, such as active practice type, passive obedience type and passive inaction type. There are differences in the characteristics of patients in different categories. Clinical medical staffs should take targeted intervention measures according to different patient types to improve the self-management ability of patients.
