School of Public Health, Nanjing Medical University, Nanjing, China.
School of Nursing, Nanjing Medical University, Nanjing, China.
Front Public Health. 2023 Jan 25;10:1084946. doi: 10.3389/fpubh.2022.1084946. eCollection 2022.
The purpose of this study was to describe behavioral characteristics of type 2 diabetes mellitus (T2DM) patients, identify homogeneous clusters, and explore factors affecting behaviors associated with integrated treatment and prevention (ITP) services for T2DM in community health centers in China.
A convenient sampling method was employed at a community health center between January and July 2022 in Nanjing. A total of 354 patients completed the self-reported questionnaires. After performing a Cluster Analysis to create a profile of participants' behaviors, a multiple linear regression analysis was conducted to explore the correlations between T2DM patients' characteristics and their behaviors associated with ITP services.
316 T2DM patients with a mean age of 72.09 years (SD = 5.96) were included. The behavior profiles of patients associated with ITP services were clustered into "Lower" ( = 198) and "Higher" ( = 118) groups, with average scores of 54.41 and 71.46, respectively. Of all the behaviors, complication examination and public health utilization scored the lowest. Health insurance, duration of disease, and treatment modality were independent predictors on the patients' behaviors associated with ITP services for T2DM.
Patients' behaviors associated with ITP services for T2DM were moderately good (the score rate was 63.98%). Of all the behaviors, complication examination and public health service utilization scored the lowest and, as such, may warrant further research. The clustering of patients' behaviors tends to be polarization, distributed at the upper and lower ends of the behavior spectrum. It is necessary to develop and implement targeted interventions for different groups to improve T2DM patients' behaviors associated with ITP services.
本研究旨在描述 2 型糖尿病（T2DM）患者的行为特征，识别同质聚类，并探讨影响社区卫生服务中心 T2DM 综合治疗和预防（ITP）服务相关行为的因素。
2022 年 1 月至 7 月，采用便利抽样法在南京某社区卫生服务中心选取 354 例患者完成自报问卷。采用聚类分析创建参与者行为特征图后，采用多元线性回归分析探讨 T2DM 患者特征与其与 ITP 服务相关行为之间的相关性。
共纳入 316 例 T2DM 患者，平均年龄为 72.09 岁（SD=5.96）。与 ITP 服务相关的患者行为特征聚类为“低”（n=198）和“高”（n=118）组，平均得分分别为 54.41 和 71.46。在所有行为中，并发症检查和公共卫生利用得分最低。医疗保险、疾病持续时间和治疗方式是 T2DM 患者与 ITP 服务相关行为的独立预测因素。
T2DM 患者与 ITP 服务相关的行为中等良好（得分率为 63.98%）。在所有行为中，并发症检查和公共卫生服务利用得分最低，因此可能需要进一步研究。患者行为聚类呈两极化趋势，分布在行为谱的上下两端。有必要针对不同群体制定和实施有针对性的干预措施，以改善 T2DM 患者与 ITP 服务相关的行为。
