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2 型糖尿病中青年患者并发症风险感知的预测因素及其对自我管理行为的影响:潜在剖面分析

 

Authors Zhang Y, Jin X

Received 3 October 2025

Accepted for publication 18 November 2025

Published 2 December 2025 Volume 2025:18 Pages 4399—4410

DOI https://doi.org/10.2147/DMSO.S570673

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Prof. Dr. Ernesto Maddaloni

Yuting Zhang,1 Xueqin Jin2 

1School of Medicine, Jiangsu University, Zhenjiang, Jiangsu Province, People’s Republic of China; 2Department of Nursing, Kunshan Hospital Affiliated to Jiangsu University, Suzhou, Jiangsu Province, People’s Republic of China

Correspondence: Xueqin Jin, Department of Nursing, Kunshan Hospital Affiliated to Jiangsu University, Suzhou, Jiangsu Province, People’s Republic of China, Email jinxueqin2168@163.com

Aim: To explore latent categories of complication risk perception in young and middle-aged patients with T2DM, and to examine their relationship with self-management behavior.
Methods: A cross-sectional study was conducted between September 2024 and March 2025, involving 316 young and middle-aged patients with type 2 diabetes mellitus from the endocrinology department of a tertiary hospital in Jiangsu Province, China. Data were collected via a general information questionnaire, the Diabetes Risk Perception Scale, and the Diabetes Self-Management Behavior Scale. Latent profile analysis identified distinct complication risk perception groups, while logistic regression was performed to identify factors influencing different categories. Self-management Behavior scores were compared across subgroups.
Results: Complication risk perception in young and middle-aged patients with T2DM was divided into three latent categories: the Low Risk Perception-Optimism Bias Group (43.7%, n=138), the Overall Medium Risk Perception Group (42.1%, n=133), and the High Risk Perception-Worry Group (14.2%, n=45). Logistic regression indicated that education level, employment status, disease duration, complications, and the occurrence of hypoglycemia within a week were all significantly associated with the risk perception categories (p < 0.05). Significant differences in self-management behavior scores were observed among the different risk perception categories (p < 0.05). Specifically, patients in the High Risk Perception-Worry Group attained the highest total score (M = 2.54, SD = 0.56), while those in the Low Risk Perception-Optimism Bias Group scored the lowest (M = 2.02, SD = 1.12).
Conclusion: Three latent categories of complication risk perception were identified in young and middle-aged patients with T2DM, and their self-management behaviors differed significantly across these categories. Clinicians should provide targeted interventions based on the risk characteristics of each category to improve self-management behaviors.

Keywords: young and middle‐aged, type 2 diabetes, risk perception, self-management behavior, latent profile analysis