Current status and influencing factors of resourcefulness in young and middle-aged adults with type 2 diabetes mellitus
Objective To investigate the current status and influencing factors of resourcefulness in young and middle-aged patients with type 2 diabetes mellitus,and to provide references for the formulation of resourcefulness intervention program.Methods The convenience sampling method was used to select 272 young and middle-aged adults with type 2 diabetes mellitus treated in the endocrinology departments of two grade A hospitals in Hunan Province from November 2022 to April 2023,including 198 males and 74 females who were(49.36±8.89)years old.They were surveyed using the general information questionnaire,Resourcefulness Scale(RS),and Type 2 Diabetes Stigma Assessment Scale(DSAS-2).t test,ANOVA,correlation analysis,and multiple linear regression analysis were applied.Results The overall score of RS in the patients was(75.53±11.42),which was at a medium level;the score of personal resourcefulness was(45.26± 7.51);the score of social resourcefulness was(30.26±5.60).Except between the patients with different courses of disease,numbers of comorbidities,treatment methods,and body mass indexes(BMI),there were statistical differences in the resourcefulness level between the patients with different ages,genders,educational levels,occupations,personal monthly incomes,medical insurance types,and numbers of complications(t=3.890 and 2.099;F=45.556,18.883,40.970,21.060,and 3.306;all P<0.05).The Pearson correlation analysis showed that resourcefulness was negatively correlated with stigma(r=-0.396,P<0.001).The multiple linear regression analysis showed that gender(t=-2.915,P=0.004),age(t=-3.004,P=0.003),education level(t=4.714,P<0.001),personal monthly income(t=5.066,P<0.001),and stigma(t=-6.270,P<0.001)were important factors influencing the resourcefulness of the patients,accounting for 45.8%of the total resourcefulness variation in the patients.Conclusions The resourcefulness of young and middle-aged patients with type 2 diabetes mellitus is at a medium level.Clinicians should pay more attention to female,older,less educated,low income,and stigma-existed middle-aged and young people with type 2 diabetes mellitus,and carry out specific interventions according to their conditions to further improve their resourcefulness.
Type 2 diabetes mellitusYoung and middle-agedResourcefulnessStigmaInfluencing factors