基于潜在剖面分析的新诊断2型糖尿病患者健康信息获取行为分型及其影响因素研究  

Latent profile analysis of health information acquisition behaviors in patients with newly diagnosed Type 2 Diabetes Mellitus and its influencing factors

作　　者：吴燕 黄晴茵[2] WU Yan;HUANG Qingyin(School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou,510006,China)

机构地区：[1]广州中医药大学护理学院,广州市510006 [2]广州中医药大学第一附属医院内分泌科

出　　处：《中国护理管理》2022年第12期1782-1786,共5页Chinese Nursing Management

基　　金：广东省哲学社会科学“十三五”规划2020年度学科共建项目(GD20XGL01);广州中医药大学2021年度人文社会科学项目一般培育项目(2021SKYB09)。

摘　　要：目的:分析新诊断2型糖尿病患者健康信息获取行为的潜在分类,探讨其群体异质性及影响因素。方法:采用便利抽样法,于2021年3月—9月,采用一般资料调查问卷、健康信息获取行为量表、健康素养量表对广东省内4所三级甲等医院内分泌科383例新诊断2型糖尿病患者进行问卷调查。采用潜在剖面分析确定患者健康信息获取行为的潜在分类,采用Logistic回归分析探讨不同潜在剖面的影响因素。结果:新诊断2型糖尿病患者健康信息获取行为存在2个潜在剖面:C1“低需求-少渠道-高障碍组”和(77.5%)C2“高需求-多渠道-高障碍组”(22.5%),两组人群间具有群体异质性。参加过糖尿病健康教育讲座(P<0.05)和评判性健康素养(P<0.05)是新诊断2型糖尿病患者的健康信息获取行为的预测因素。结论:新诊断2型糖尿病患者健康信息获取行为有2个潜在类别,临床医护人员应根据不同患者健康信息获取行为特点,开展合适的健康教育项目以促进患者健康信息的获取。Objective:To explore the potential categorization of health information acquisition behaviors in patients with newly diagnosed Type 2 Diabetes Mellitus(T2DM),the population-level heterogeneities and influencing factors of different underlying profiles.Methods:We conducted a survey study from March to September 2021 with 383 newly diagnosed T2DM patients from the endocrinology department of four tertiary hospitals in Guangdong province using a convenience sampling method.We collected data using the general information questionnaire,health information acquisition behavior scale,and health literacy scale.Latent profile analysis was used to explore the potential categorizations;binary logistic regression analysis was used to analyze the influencing factors of different latent profiles.Results:Two potential profiles were identified:low needs-limited sources-high barriers(77.5%)and high needs-multiple sources-high barriers(22.5%),with heterogeneities existing between the two groups.Participation in health education lectures(P<0.05)and critical health literacy(P<0.05)were predictors of health information acquisition behaviors in patients with newly diagnosed T2DM.Conclusion:There are two heterogeneous categories of health information acquisition behaviors in patients with newly diagnosed T2DM.To promote patients to actively acquire health information,healthcare professionals should initiate health education programs based on patients’health information acquisition characteristics.

关 键 词：新诊断 2型糖尿病 健康信息获取行为 潜在剖面分析 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]