摘要
目的 探究中青年糖尿病患者共享决策现状、影响因素及作用路径,为患者共享决策研究和干预提供参考.方法 采用一般资料调查表、领悟社会支持量表、决策自我效能量表、电子健康素养量表、简易版疾病感知问卷及共享决策问卷对215例中青年糖尿病患者进行调查.利用结构方程模型分析共享决策影响因素及作用路径.结果 中青年糖尿病患者共享决策得分为85.36±13.23,疾病感知、电子健康素养、领悟社会支持、决策自我效能是患者共享决策的影响因素,直接效应分别为-0.345、0.280、0.274、0.163(均P＜0.05).疾病感知、电子健康素养、领悟社会支持分别通过决策自我效能间接影响共享决策(均P＜0.05).结论 中青年糖尿病患者共享决策水平处于中等偏上水平,患者决策自我效能可直接影响共享决策,也可发挥间接效应影响共享决策水平.降低患者负性疾病感知,提高其电子健康素养、领悟社会支持、决策自我效能水平能提高患者共享决策参与度.
Abstract
Objective To explore the current status,influencing factors and the role pathways of young and middle-aged diabetic pa-tients'shared decision-making,to providing a reference for patient shared decision-making research and intervention.Methods A general information questionnaire,the Perceived Social Support Scale,the Decision Making Self-Efficacy Scale,the eHealth Literacy Scale,the Brief Illness Perception Questionnaire,and the 9-item Shared Decision Making Questionnaire were used to in-vestigate 215 young and middle-aged diabetic patients.Structural equation modeling was used to analyze the influencing factors and the pathways of shared decision-making.Results The shared decision-making score of young and middle-aged diabetic patients was 85.36±13.23.Illness perception,eHealth literacy,perceived social support,and decision-making self-efficacy were influencing factor of patients'shared decision-making,with total effects of-0.345,0.280,0.274,and 0.163,respectively(all P＜0.05).Illness perception,eHealth literacy,and perceived social support indirectly influenced shared decision-making through decision-making self-efficacy(all P＜0.05).Conclusion The level of shared decision-making among young and middle-aged diabetic pa-tients is in the middle to high range,and patients'decision-making self-efficacy can positively influence shared decision-making and also can exert an indirect effect on the level of shared decision-making.Ruducing patients'negative illness perception,improving eHealth literacy,perceived social support,and decision-making self-efficacy can increase patients'participation in shared decision-making.
基金项目
河北省医学科学研究课题(2024)(20242114)
NETL
NSTL
万方数据