Potential Categories and Influencing Factors of Self-management Behavior in Patients with Type 2 Diabetes Mellitus

LIU Yue; YANG Yuqin

doi:10.3969/j.issn.1004-437X.2025.09.010

Abstract：Objective To explore the potential categories of self-management behavior in type 2 diabetes mellitus patients and analyze the main influencing factors.Methods By convenience sampling method,266 patients with type 2 diabetes treated in Department of Endocrinology and Metabolism of the First Affiliated Hospital of Zhengzhou University were selected as the research objects.General data questionnaire,self-management behavior scale,chronic disease resource questionnaire and multi-dimensional fatigue scale were used to investigate them.Potential category analysis was used to identify potential categories of self-management characteristics in patients with type 2 diabetes,and multiple logistic regression analysis was used to explore the influencing factors of different categories.Results The self-management behavior score of 266 patients with type 2 diabetes was(42.48±10.8)points.The self-management behavior of type 2 diabetes patients could be divided into low diet and exercise management group(31.2％),low monitoring foot care management group(36.5％)and high behavior management group(32.3％).The results of disordered multiple logistic regression analysis showed that gender,complications,multi-dimensional fatigue score and chronic disease resource utilization were the influencing factors of potential categories of self-management behavior in type 2 diabetes patients(P＜0.05).Conclusion The self-management behavior of type 2 diabetes patients has obvious heterogeneity.It is recommended that medical staff implement targeted intervention measures for patients of different self-management categories,in order to improve the level of self-management behavior of patients.