Heterogeneity and influencing factors of discharge readiness in first-time insulin-treated patients with type 2 diabetes mellitus
10.3760/cma.j.cn115682-20240928-05367
- VernacularTitle:首次胰岛素治疗的2型糖尿病患者出院准备度的异质性及影响因素研究
- Author:
Shengli WANG
1
;
Min FAN
;
Xinqiong ZHANG
;
Miaomiao WANG
Author Information
1. 安徽医科大学护理学院，合肥 230032
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Readiness for discharge;
Insulin;
Psychological insulin resistance;
Influencing factors;
Latent class analysis
- From:
Chinese Journal of Modern Nursing
2025;31(17):2282-2288
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the population heterogeneity of discharge readiness of patients with type 2 diabetes mellitus (T2DM) treated with insulin for the first time, and to analyze its population characteristics and influencing factors.Methods:From January to May 2024, 240 patients with T2DM admitted to the Department of Endocrinology of the First Affiliated Hospital and the Second Affiliated Hospital of Anhui Medical University for their first insulin treatment were selected for the study by convenience sampling method. Patients were surveyed using the General Information Questionnaire, Discharge Readiness Assessment Scale of Adult Patients with Type 2 Diabetes, Insulin Use Knowledge-Behavior Questionnaire, Readiness for Hospital Discharge Scale, Attitudes toward Insulin Scale, and Family Adaptation, Partnership, Growth, Affection, Resolve (APGAR) Questionnaire. Heterogeneity was tested using latent class analysis to explore the latent class of the discharge readiness. Factors influencing the latent classes were analyzed using unordered multinomial Logistic regression.Results:A total of 240 questionnaires were distributed, 15 questionnaires with regular answers or logical errors were excluded, 225 valid questionnaires were recovered, and the valid recovery rate was 93.75% (225/240) . Three latent classes of discharge readiness existed in 225 first-time insulin-treated T2DM patients, including negative discharge readiness, ordinary discharge readiness, and active discharge readiness. Unordered multinomial Logistic regression analysis showed that work status, whether or not it was the first hospitalization, insulin use knowledge-behavior, and psychological insulin resistance were influencing factors of discharge readiness in first-time insulin-treated patients with T2DM ( P<0.05) . Conclusions:Three latent classes of discharge readiness exist in first-time insulin-treated T2DM patients, with differences in discharge readiness between classes. Nurses should focus on patients with negative discharge readiness and develop targeted interventions to improve their readiness for discharge and reduce readmission rates and the risk of adverse events.
