Status and influencing factors of fear of progression in patients with type 2 diabetes mellitus

doi:10.3969/j.issn.1004-583X.2023.12.007

Abstract

Abstract:

Objective To investigate the status and influencing factors of fear of progression(FoP) in patients with type 2 diabetes mellitus (T2DM). Methods The convenience sampling method was performed to enroll 200 patients with T2DM who were hospitalized in a tertiary hospital in Nanning from July 2022 to December 2022 in the research. The general information questionnaire, Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Self-Perceived Burden Scale (SPBS), Perceived Social Support Scale (PSSS) were conducted to investigate. Results The FoP-Q-SF score of patients was (30.4±6.44), and 68 patients (34.0%) had ≥ 34 score; the SPBS score was (23.0±7.91), and the PSSS score was (51.54±9.50). The specificity of decision tree model was significantly better than that of multiple linear regression model. A combination of multiple linear regression with decision tree showed that occupational status, monthly household income per capita, SPBS and PSSS were the influencing factors of FoG in T2DM patients. Conclusion The average status of FoG in T2DM patients is at an intermediate level. Medical staff should pay more attention to the psychological status of in-service T2DM patients, and take relevant measures to improve the social support level of patients and reduce their self-perceived burden level, aiming to reduce FoG level and promote the mental health of patients.

Key words: diabetes mellitus,type 2, fear of progression, self-perceived burden, perceived social support, decision tree

CLC Number:

R587.1

Liao Kunfeng, Yao Yisong, Yang Jinpan, Yang Xining, Li Yaru, Zhou Hongyan, Liang Piao. Status and influencing factors of fear of progression in patients with type 2 diabetes mellitus[J]. Clinical Focus, 2023, 38(12): 1095-1100.

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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2023.12.007

https://huicui.hebmu.edu.cn/EN/Y2023/V38/I12/1095

Figures/Tables 5

Tab.1 FoP-Q-SF, SPBS and PSSS scores in T2DM patients( x -±s, n=200)(points)

项目	得分范围	总分均分	条目均分
FoP-Q-SF	16~48	30.40±6.44	2.53±0.54
生理健康	7~25	14.43±3.58	2.41±0.60
社会家庭	8~24	15.98±3.59	2.66±0.60
SPBS	10~42	23.00±7.91	2.30±0.79
情感负担	6~24	13.06±4.63	2.18±0.77
经济负担	2~10	6.37±2.20	3.19±1.10
身体负担	2~9	3.57±1.83	1.78±0.91
PSSS	12~84	51.54±9.50	4.30±0.79
家庭支持	12~27	20.10±2.67	5.02±0.67
朋友支持	5~24	14.34±4.48	3.59±1.12
其他支持	8~26	17.10±3.90	4.28±0.98

Tab.2 Univariate analysis of FoP in T2DM patients ( n=200)

项目	例数	FoP-Q-SF得分 ( $x -$ ±s)	$t$ / $F$ 值	$P$ 值
性别
男女	114 86	30.40±6.26 30.41±6.71	$t$ =-0.094	0.925
年龄(岁)
≤50	25	31.44±6.60
51~60	69	32.20±6.24	$F$ =4.561	0.004
61~70	71	28.51±5.84
≥71	35	29.97±6.99
受教育程度
小学及以下	40	31.07±5.17
初中	79	31.86±6.70	$F$ =3.710	0.013
高中或中专	51	28.92±6.10
大学及以上	30	28.20 ±6.97
职业状态
农民	46	34.76±6.03
工人	20	30.25±6.54
公务员/事业单位	14	33.93±7.05	$F$ =11.328	<0.001
退休	104	28.30±5.49
其他	16	28.69±5.75
居住地点
农村城镇及以上	58 142	27.29±6.56 30.64±6.39	$t$ =-1.892	0.060
并发症个数(个)
0	30	32.23±7.00
1	68	29.91±6.52	$F$ =0.985	0.401
2	76	30.13±5.87
≥3	26	30.38±7.13
病程(年)
<2	39	30.97±7.83
2	38	32.00±4.82	$F$ =4.901	0.003
5~10	55	31.76±6.26
≥10	68	28.09±5.95
家庭人均月收入(元)
<1000	30	32.43±6.44
1000~3000	72	33.08±5.52	$F$ =12.576	<0.001
3001~5000	62	28.27±6.08
≥5001	36	27.03±6.098
家族史
无有	153 47	30.61±6.41 29.72±6.54	$t$ =0.829	0.408
住院前接受健康教育
无有	147 53	31.02±6.28 28.70±6.62	$t$ =2.274	0.024
婚姻状况
未婚	7	29.29±5.68
已婚	169	30.54±6.63	$F$ =0.246	0.864
离异	3	31.33±2.08
丧偶	21	29.52±5.63

Tab.2 Univariate analysis of FoP in T2DM patients ( n=200)

项目	例数	FoP-Q-SF得分 ( $x -$ ±s)	$t$ / $F$ 值	$P$ 值
性别
男女	114 86	30.40±6.26 30.41±6.71	$t$ =-0.094	0.925
年龄(岁)
≤50	25	31.44±6.60
51~60	69	32.20±6.24	$F$ =4.561	0.004
61~70	71	28.51±5.84
≥71	35	29.97±6.99
受教育程度
小学及以下	40	31.07±5.17
初中	79	31.86±6.70	$F$ =3.710	0.013
高中或中专	51	28.92±6.10
大学及以上	30	28.20 ±6.97
职业状态
农民	46	34.76±6.03
工人	20	30.25±6.54
公务员/事业单位	14	33.93±7.05	$F$ =11.328	<0.001
退休	104	28.30±5.49
其他	16	28.69±5.75
居住地点
农村城镇及以上	58 142	27.29±6.56 30.64±6.39	$t$ =-1.892	0.060
并发症个数(个)
0	30	32.23±7.00
1	68	29.91±6.52	$F$ =0.985	0.401
2	76	30.13±5.87
≥3	26	30.38±7.13
病程(年)
<2	39	30.97±7.83
2	38	32.00±4.82	$F$ =4.901	0.003
5~10	55	31.76±6.26
≥10	68	28.09±5.95
家庭人均月收入(元)
<1000	30	32.43±6.44
1000~3000	72	33.08±5.52	$F$ =12.576	<0.001
3001~5000	62	28.27±6.08
≥5001	36	27.03±6.098
家族史
无有	153 47	30.61±6.41 29.72±6.54	$t$ =0.829	0.408
住院前接受健康教育
无有	147 53	31.02±6.28 28.70±6.62	$t$ =2.274	0.024
婚姻状况
未婚	7	29.29±5.68
已婚	169	30.54±6.63	$F$ =0.246	0.864
离异	3	31.33±2.08
丧偶	21	29.52±5.63

Tab.3 Correlation analysis of FoP with self-perceived burden and perceived social support in T2DM patients( n=200)

项目	FoP-Q-SF 总分	生理健康	社会家庭
SPBS总分	0.359^#	0.467^#	0.179^*
情感负担	0.343^#	0.449^#	0.167^*
经济负担	0.490^#	0.543^#	0.338^#
身体负担	0.097	0.230^#	-0.055
PSSS总分	-0.212^#	-0.203^#	-0.177^#
家庭支持	-0.176^*	-0.167^*	-0.150^*
朋友支持	-0.192^#	-0.203^#	-0.142^*
其他支持	-0.174^*	-0.147^*	-0.166^*

Tab.4 A multivariate analysis of factors influencing FoP in T2DM patients

因素	回归系数	标准误	标准化系数	$t$ 值	$P$ 值	95% $C I$
因素	回归系数	标准误	标准化系数	$t$ 值	$P$ 值	下限	上限
常量	27.690	2.355	-	11.756	<0.01	23.044	32.335
职业状态(“以退休”为参照)
农民	5.145	0.944	0.337	5.449	<0.01	3.283	7.007
工人	3.075	1.282	0.144	2.398	0.017	0.546	5.603
公务员/事业单位	7.604	1.504	0.302	5.055	<0.01	4.637	10.570
SPBS得分	0.331	0.049	0.406	6.759	<0.01	0.234	0.427
PSSS得分	-0.134	0.041	-0.198	-3.261	0.001	-0.215	-0.053

Tab.4 A multivariate analysis of factors influencing FoP in T2DM patients

因素	回归系数	标准误	标准化系数	$t$ 值	$P$ 值	95% $C I$
因素	回归系数	标准误	标准化系数	$t$ 值	$P$ 值	下限	上限
常量	27.690	2.355	-	11.756	<0.01	23.044	32.335
职业状态(“以退休”为参照)
农民	5.145	0.944	0.337	5.449	<0.01	3.283	7.007
工人	3.075	1.282	0.144	2.398	0.017	0.546	5.603
公务员/事业单位	7.604	1.504	0.302	5.055	<0.01	4.637	10.570
SPBS得分	0.331	0.049	0.406	6.759	<0.01	0.234	0.427
PSSS得分	-0.134	0.041	-0.198	-3.261	0.001	-0.215	-0.053

Fig.1 Decision tree analysis of factors influencing FoP in T2DM patients

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