A pathway analysis of the current status of shared decision-making and the influen-cing factors among young and middle-aged diabetes patients
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.
young and middle-ageddiabetes mellitusshared decision-makingillness perceptioneHealth literacyper-ceived social supportdecision-making self-efficacy
NETL
NSTL
万方数据
