Status quo investigation of health management behaviors in elderly patients with T2DM complicating chronic complications under health ecology theory and influencing factors analysis
10.3969/j.issn.1671-8348.2025.01.036
- VernacularTitle:健康生态学理论下老年T2DM合并慢性并发症患者健康管理行为现状调查及影响因素分析
- Author:
Lyuping REN
1
;
Xiao SUN
;
Tingting CHEN
;
Rongrong ZHOU
;
Xue WANG
;
Wei DENG
;
Peipei ZHANG
Author Information
1. 同济大学医学院,上海 200092;上海市嘉定区南翔医院内分泌科,上海 201802
- Keywords:
type 2 diabetes;
old age;
chronic complications;
health ecology model
- From:
Chongqing Medicine
2025;54(1):195-201
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the status quo of health management behaviors in elderly patients with type 2 diabetes mellitus(T2DM)complicating chronic complications and the influencing factors based on health ecology theory.Methods The convenience sampling method was used to select elderly patients with T2DM complicating chronic complications in the Shanghai City from January to July 2022 as the respondents.Based on the health ecology theory,the five aspects of personality traits,psychological and behavioral traits,family and community interpersonal networks,living and working conditions and policy environment were in-vestigated.The Pearson correlation coefficient was used to analyze the correlation of various variables.The hi-erarchical linear regression was used to analyze the influencing factors of health management behaviors in eld-erly patients with T2DM complicating chronic complications.Results A total of 272 questionnaires were dis-tributed and 264 valid questionnaires were recovered,with an effective recovery rate of 97.06％(264/272).There were statistically significant differences in DSMB-Oscores among the patients with different chronic complications number,sleep quality,per capita monthly household income and medical payment methods(P＜0.05).The DSMB-Oscore in elderly patients with T2DM complicating chronic complications was positively correlated with HLSCP,DES,PACIC and CIRS scores(P＜0.05),and negatively correlated with the PAID-5 score(P＜0.05).Conclusion The health management behaviors of elderly patients with T2DM complicating chronic complications is jointly affected and acted by many factors,and it is necessary to identify and manage the related influencing factors from different aspects and different levels.
