Latent profile analysis of self-acceptance in newly diagnosed young and middle-aged patients with type 2 diabetes mellitus
10.3760/cma.j.cn115682-20241125-06470
- VernacularTitle:初诊2型糖尿病中青年患者自我接纳的潜在剖面分析
- Author:
Wenxi GE
1
;
Shumin AN
1
;
Haohao ZHANG
1
;
Gaofei REN
1
;
Lingjiao MENG
1
;
Yueqiao GAO
1
Author Information
1. 郑州大学第一附属医院内分泌及代谢病科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Young and middle-aged adults;
Self-acceptance;
Latent profile analysis;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2025;31(23):3142-3148
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify latent profile types of self-acceptance among newly diagnosed young and middle-aged patients with type 2 diabetes mellitus (T2DM), and to analyze the influencing factors.Methods:A convenience sampling method was used to recruit 162 patients with T2DM who visited the Department of Endocrinology at the First Affiliated Hospital of Zhengzhou University between March 2023 and August 2024. A general information questionnaire was used to collect demographic and clinical data. The Acceptance and Action Diabetes Questionnaire (AADQ), Type 2 Diabetes Stigma Assessment Scale (DSAS-2), Diabetes Knowledge Test 2 (DKT2), and e-Health Literacy Scale (eHEALS) were used to assess self-acceptance, diabetes-related stigma, diabetes knowledge, and electronic health literacy, respectively. Latent profile analysis (LPA) was performed to identify categories of self-acceptance based on AADQ scores. Logistic regression analysis was conducted to examine the influencing factors of self-acceptance profiles in young and middle-aged patients with T2DM. A total of 162 questionnaires were distributed, and 157 valid responses were collected, with an effective response rate of 96.91% (157/162) .Results:The mean AADQ score of the 157 patients was (46.64±10.34), ranging from 20 to 63, with a mean item score of (4.24±1.16). Three latent profile categories of self-acceptance were identified: the "high avoidance-low self-acceptance group" (28.66%, 45/157), the "moderate self-acceptance group" (47.13%, 74/157), and the "low avoidance-high self-acceptance group" (24.20%, 38/157). Logistic regression analysis showed that age, body mass index (BMI), diabetes-related stigma, diabetes knowledge, and electronic health literacy were significant influencing factors of self-acceptance profiles in young and middle-aged patients with T2DM ( P<0.05) . Conclusions:The level of self-acceptance in newly diagnosed young and middle-aged patients with type 2 diabetes mellitus remains suboptimal. Particular attention should be paid to patients who are younger, have a BMI below 24.0 kg/m 2, experience high levels of diabetes-related stigma, and have low levels of diabetes knowledge and electronic health literacy. Targeted education and management should be implemented based on patient characteristics.
