Factors affecting benefit finding among young and middle-aged patients with type 2 diabetes mellitus
WU Chenghui1, PENG Yanhong2, ZHANG Ke3, ZHU Weiye3, DENG Liang2, TAN Lingling2, QU Dandan1, MI Qiuxiang1
1. Changsha Central Hospital, Changsha, Hunan 410028, China; 2. The Second Affiliated Hospital of University of South China, Hengyang, Hunan 421001, China; 3. School of Nursing, University of South China, Hengyang, Hunan 421001, China
Abstract:Objective To investigate the current status of benefit finding among young and middle-aged patients with type 2 diabetes mellitus (T2DM) and analyze its influencing factors, so as to provide a reference for improving the level of benefit finding in this population. Methods From November 2022 to May 2023, young and middle-aged patients with T2DM aged 18-59 years hospitalized in the endocrinology departments of 2 tertiary hospitals in Hengyang City, Hunan Province were selected as survey subjects by a convenience sampling method. Basic demographic information was collected using a general questionnaire survey. Benefit finding, resourcefulness, and stigma were evaluated using the Benefit Finding Scale, the Chinese Version of the Resourcefulness Scale, and the Type 2 Diabetes Stigma Assessment Scale, respectively. A multiple linear regression model was used to analyze the influencing factors of benefit finding among young and middle-aged patients with T2DM. Results A total of 305 young and middle-aged patients with T2DM were investigated, including 222 males (72.79%) and 83 females (27.21%). There were 231 cases aged 45-59 years, accounting for 75.74%. The scores for benefit finding, resourcefulness, and stigma were (42.86±6.06), (75.12±11.30), and (41.20±10.10), respectively. Multiple linear regression analysis showed that young and middle-aged patients with T2DM who were male (β′=0.088), aged 18-<45 years (β′=0.083), absence of diabetes complications (β′=0.124), and had higher resourcefulness scores (β′=0.679) had higher levels of benefit finding, while patients with higher stigma scores (β′=-0.097) had lower levels of benefit finding. Conclusion The level of benefit finding among young and middle-aged patients with T2DM was moderate, and was related to gender, age, diabetes complications, resourcefulness, and stigma.
[1] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)(上)[J].中国实用内科杂志,2021,41(8):668-695. [2] ZHANG Y,LUK A O Y,CHOW E,et al.High risk of conversion to diabetes in first-degree relatives of individuals with young-onsettype 2 diabetes:a 12-year follow-up analysis[J].Diabet Med,2017,34(12):1701-1709. [3] DIBATO J,MONTVIDA O,LING J,et al.Temporal trends in the prevalence and incidence of depression and the interplay of comorbidities in patients with young-and usual-onset type 2 diabetes from the USA and the UK[J].Diabetologia,2022,65(12):2066-2077. [4] VON REZORI R E,BUCHALLIK F,WARSCHBURGER P.Validation of the German Benefit Finding Scale for youth with chronic conditions[J].Child Adolesc Psychiatry Ment Health,2022,16(1):1-8. [5] 孙彩云,林征,周美景,等.炎症性肠病患者疾病获益感现状及影响因素分析[J].护理学报,2022,29(6):1-6. [6] 黄丽芳. 智谋训练在鼻咽癌患者放疗期间疾病获益感和症状困扰中的应用[D].衡阳:南华大学,2017. [7] 胡晔. 益处发现评定量表在乳腺癌患者中的本土化研究[D].合肥:安徽医科大学,2014. [8] 柯熹,吴美华,刘雅清,等.中文版智谋量表信效度分析[J].中华现代护理杂志,2015,21(15):1737-1740. [9] 李玉峰,宏文,侯若楠,等.2型糖尿病病耻感评估量表的汉化及信效度研究[J].中国实用护理杂志,2017,33(30):2343-2347. [10] 桑明,冷雅楠,雷梦杰,等.2型糖尿病患者益处发现的现状及其影响因素[J].解放军护理杂志,2019,36(7):6-10. [11] 杜伟,高俊香,王磊磊,等.二元应对和益处发现在糖尿病患者痛苦与睡眠质量间的链式中介作用[J].护理学杂志,2024,39(17):50-54. [12] NOORIAN K,ABDOLAZIMI-NAJAF-ABADI A,TAGHIPOOR M,et al.Two distinct psychological concepts:Diabetes depression and diabetes burnout profiles[J/OL].J Educ Health Promot,2024,13[2025-12-21].http://doi.org/10.4103/jehp.jehp_1671_23. [13] Jafari A,Moshki M,Naddafi F,et al.Application of the path analysis model to evaluate the role of distress, mental health literacy and burnout in predicting self-care behaviors among patients with type 2 diabetes[J/OL].Diabetol Metab Syndr,2024,16(1)[2025-12-21].http://doi.org/10.1186/s13098-024-01375-z. [14] 于成丽,肖凌凤,王萍萍,等.反复住院2型糖尿病患者健康素养现状及影响因素分析[J].现代预防医学,2021,48(7):1335-1339. [15] LIOU C F,HUANG S T.Family caregivers' burden,patients' resourcefulness,and health-related quality of life in patients with colorectal cancer[J].Oncol Nurs Forum,2023,51(1):39-48. [16] PUHL R M,HIMMELSTEIN M S,HATELEY-BROWNE J L,et al.Weight stigma and diabetes stigma in U.S. adults with type 2 diabetes:a ssociations with diabetes self-care behaviors and perceptions of health care[J/OL].Diabetes Res Clin Pract,2020[2025-12-21].https://doi.org/10.1016/j.diabres.2020.108387.