The Impact Of Disease Perception And Shared Decision-making On Quality Of Life In Middle-Aged And Elderly Diabetic Patients

Objective:To understand the status of social demographic characteristics,disease perception,shared decision making and quality of life of middle-aged and elderly patients with type 2 diabetes mellitus;Analyze the difference of middle-aged and elderly patients with type 2 diabetes mellitus’ disease perception,shared decision making and quality of life in general demographic characteristics;Examine the relationships among disease perception,shared decision making and quality of life;Explore the influence of disease perception and shared decision making on quality of life of middle-aged and elderly patients with type 2 diabetes mellitus.Methods:This study belongs to a cross-sectional cross-sectional cross-sectional survey of non-experimental studies,and convenience sampling method was used to select a tertiary care hospital and community health service institution in Yanbian Korean Autonomous Prefecture,Jilin Province as the study site.The survey was conducted using a general data questionnaire,brief illness perception questionnaire,facilitation of patient involvement scale and diabetes specific quality of life questionnaire with middle-aged and elderly patients with type 2 diabetes mellitus.In this paper,SPSS 20.0 statistical software was used for entry,and percentage,mean,standard deviation,and t-test,AVOVA,Pearson correlation analysis and multiple regression analysis to analyze the data,and the test level was set to α=0.05.Results:(1)Among the middle-aged and elderly diabetic patients,the proportion of males was 48.4%,and the mean age was 62.57±8.91;the Chao population accounted for 30.0%;retirees accounted for 51.9%;the number of patients with low per capita family income accounted for 34.1%;and patients who were not living alone accounted for 85.3%.Regular exercise accounted for 44.7%;frequent diet control accounted for 27.5%;the use of basic medical insurance for urban employees accounted for 56.3%;the duration of more than 10 years accounted for 39.4%;regular diabetes education accounted for only 20.9%;among the conditions with diabetic complications,40.9%had one type;among the conditions with other chronic diseases,30.3%had two types;among the treatment types,38.1%had only insulin injection.(2)The disease perception score of middle-aged and elderly diabetic patients 54.12± 6.53,Disease perception scores differed by age,education level,occupational situation,diet control,medical cost payment,and having diabetes complications,The difference was statistically significant(P<0.05).(3)The score of shared decision-making in middle-aged and elderly diabetic patients was 3.30±0.75,and the score of shared decision-making was significantly different in different education levels,living conditions,family history,receiving diabetes education,combined with other chronic diseases,and treatment types(P<0.05).(4)The quality of life score of middle-aged and elderly diabetic patients was 118.86±19.36,and the quality of life score was significantly different in terms of gender,age,education level,occupation,per capita family income,smoking status,living status,exercise status,disease duration,having diabetic complications,and type of treatment(P<0.05).(5)Correlation analysis display,Disease perception scores were positively correlated with shared decision-making scores in middle-aged and elderly diabetic patients(r=0.505,P<0.05).,Quality of life is negatively associated with shared decision-making(r=0.474,P<0.05).,Illness perception is inversely related to quality of life(r=0.468,P<0.05).(6)Multiple linear regression analysis showed that gender,age,education level,occupation,per capita family income,smoking,exercise,living,disease duration,having diabetic complications,treatment type,cognitive representation,emotional representation,disease comprehension,and shared decision-making were factors affecting quality of life in middle-aged and elderly diabetic patients,with a common explained variation of 40.6%.Conclusion:(1)Middle-aged and elderly patients with diabetes had intermediate disease perception scores,and patients who were female,had a college degree or above,divorced or widowed,employed,not living alone,and had three other chronic diseases had higher disease perception scores.(2)Middle-aged and elderly diabetic patients had an overall low score for shared decision-making,and those who were married,retired,not living alone,without other chronic diseases,and only oral hypoglycemic agents had a higher score for shared decision-making.(3)The quality of life score of middle-aged and elderly patients with diabetes was lower,and the quality of life was the lowest in women,patients with primary school education or less,unemployed,living alone,basically not exercising,and patients with more than three complications.(4)The greater the perception of disease,the better the patient is involved in shared decision-making;the better the quality of life.