Research on the correlation between shared decision-making and risk perception in patients with type 2 diabetes
Objective To understand the current status and influencing factors of treatment decision-making participation a-mong patients with type 2 diabetes and to explore its correlation with the perception of complications risk.Methods A conve-nience sampling method was used to select patients with type 2 diabetes from the endocrinology department of a tertiary hos-pital in Shanxi Province between March and May 2024.A cross-sectional survey was conducted using a general information questionnaire,a patient participation in treatment decision-making questionnaire,and a diabetes risk perception scale.Re-sults A total of 210 valid questionnaires were collected.The overall score for the actual participation level in shared deci-sion-making among patients with type 2 diabetes was(1.68±0.39),and the score for participation attitude was(1.46±0.27).There was significant inconsistency between the actual participation level and the participation attitude(Kappa=0.102,P＜0.05).Multiple linear regression analysis revealed that age(B=0.692,95％CI:0.065-1.450),educational level(B=0.911,95％CI:0.300-1.522),satisfaction with medical services(B=-2.390,95％CI:-3.726 to-1.053),and perception of complications risk(B=0.070,95％CI:0.010-0.129)were the main influencing factors of the actual participation level in decision-making a-mong patients with type 2 diabetes(P＜0.05).Conclusion The actual participation level in decision-making among patients with type 2 diabetes is relatively low,while their overall attitude towards participation is quite positive,indicating poor con-sistency between the two.Perception of complications risk is an important influencing factor for actual decision-making par-ticipation.Effective risk communication should be conducted to encourage patients to actively engage in decision-making,thereby reducing the occurrence and progression of diabetes complications.
Type 2 diabetesShared decision-makingRisk perception
NETL
NSTL
万方数据
