Latent profiles of health problem solving in type 2 diabetes patients with comorbid metabolic syndrome
Objective To identify profiles of health problem solving in type 2 diabetes patients with comorbid metabolic syndrome,to analyze the influencing factors and compare self-management behavior,blood glucose and lipid parameters between different pro-files,so as to provide reference for enhancing their health problem solving and outcomes.Methods A convenience sample of 225 pa-tients were surveyed using a general information questionnaire,the Health Problem Solving Scale,the Self-management Know-ledge,Attitude and Practice Scale for Metabolic Syndrome,the Short-form Chronic Disease Self-Efficacy Scale,the Connor-David-son Resilience Scale and the Health Information Literacy Self-rating Scale.Latent profile analysis was performed to identify sub-groups of health problem solving,and logistic regression was used to analyze the influencing factors of different subgroups.Self-management behavior,blood glucose and lipid parameters were compared between different subgroups.Results Two profiles were found:effective health problem solving(72.0％)and ineffective health problem solving(28.0％).Self-efficacy,resilience and health information literacy were factors affecting profiles of health problem solving(all P＜0.05).Patients with effective health problem solving had better self-management behaviors,fasting blood glucose,glycosylated hemoglobin A1c,and high-density lipo-protein cholesterol compared to those with ineffective health problem solving(all P＜0.05).Conclusion Type 2 diabetes patients with comorbid metabolic syndrome display distinct patterns of health problem solving.Interventions on improving self-efficacy,re-silience,and health information literacy could be conducted to cultivate effective health problem solving,thus to enhance patients'self-management behaviors and achieve glycemic and lipid control.
type 2 diabetesmetabolic syndromehealth problem solvingself-efficacyresiliencehealth information lite-racyself-managementglucose management
万方数据
维普
