To understand the current status and influencing factors of treatment decision-making participation among patients with type 2 diabetes and to explore its correlation with the perception of complications risk.
A convenience sampling method was used to select patients with type 2 diabetes from the endocrinology department of a tertiary hospital in Shanxi Province between March and May 2024. A cross-sectional survey was conducted using a general information questionnaire, a patient participation in treatment decision-making questionnaire, and a diabetes risk perception scale.
A total of 210 valid questionnaires were collected.The overall score for the actual participation level in shared decision-making among patients with type 2 diabetes was (1.68±0.39), and the score for participation attitude was (1.46±0.27). There was significant inconsistency between the actual participation level and the participation attitude (Kappa=0.102, P<0.05). Multiple linear regression analysis revealed that age (B=0.692, 95%CI: 0.065-1.450), educational level (B=0.911, 95%CI: 0.300-1.522), satisfaction with medical services (B=-2.390, 95%CI: -3.726 to -1.053), and perception of complications risk (B=0.070, 95%CI: 0.010-0.129) were the main influencing factors of the actual participation level in decision-making among patients with type 2 diabetes (P<0.05).
The actual participation level in decision-making among patients with type 2 diabetes is relatively low, while their overall attitude towards participation is quite positive, indicating poor consistency between the two.Perception of complications risk is an important influencing factor for actual decision-making participation. Effective risk communication should be conducted to encourage patients to actively engage in decision-making, thereby reducing the occurrence and progression of diabetes complications.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |