The correlation between attitudes towards insulin therapy and risk perception of diabetic complications in type 2 diabetes mellitus
10.3760/cma.j.cn211501-20231129-01154
- VernacularTitle:2型糖尿病患者胰岛素治疗态度和并发症风险感知的相关研究
- Author:
Lixia LI
1
;
Xiaoyun WANG
;
Xuxia LI
Author Information
1. 山西中医药大学护理学院，晋中 030619
- Keywords:
Diabetes mellitus, type 2;
Insulin;
Risk perception;
Diabetic complications
- From:
Chinese Journal of Practical Nursing
2024;40(21):1635-1644
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status and influencing factors of risk perception regarding complications in patients with type 2 diabetes, and exploring its correlation with attitudes towards insulin therapy.Methods:A convenience sampling method was used to select 290 patients with type 2 diabetes admitted to the Endocrinology Department of Shanxi Provincial People′s Hospital from March to August 2023. A cross-sectional study was conducted using general information questionnaire, Attitudes Towards Insulin Therapy Scale, and a Diabetes Complications Risk Perception Scale.Results:The 270 valid questionnaires were collected. There were 126 males and 144 females in 270 patients.The total score for attitudes towards insulin therapy among patients with type 2 diabetes was 67.08 ± 7.42, while the total score for the perception of diabetic complications risk was 2.39 ± 0.49. There was a negative correlation between the total score and dimensions of attitudes towards insulin therapy and the total score of risk perception in patients with type 2 diabetes ( r values were -0.73--0.20, all P<0.05). Multiple stepwise linear regression analysis showed that body mass index, smoking status, duration of diabetes, coexistence of other chronic diseases, receipt of diabetes-related health education, glycated hemoglobin reaching the target level (<7.0% as the target), and attitudes towards insulin therapy were influencing factors for the risk perception of complications in patients with type 2 diabetes ( t values were -15.12-8.69, all P<0.01). Conclusions:Patients with type 2 diabetes had cognitive barriers towards insulin therapy and held negative attitudes towards it. Their risk perception of complications was at a low level, and there was a negative correlation between the two. Throughout the process of insulin treatment, adequate communication was conducted by healthcare professionals with the patients to establish a positive doctor-patient relationship. Patients′ doubts and concerns about the treatment were addressed, necessary health education and psychological support were provided, and efforts were made to help patients develop a correct treatment attitude and enhance their risk perception of diabetic complications.
