Illness perceptions among patients with type 2 diabetes mellitus: A cross-sectional study

Int J Nurs Pract. 2020 Oct;26(5):e12801. doi: 10.1111/ijn.12801. Epub 2019 Nov 27.

Abstract

Aims: This study aimed to investigate illness perceptions and their predictors among Chinese patients with type 2 diabetes.

Methods: A descriptive, correlational, and exploratory design was used. The Chinese version of the Revised Illness Perception Questionnaire was modified and used to collect data between September 2016 and February 2017.

Results: On average, patients recognized fewer than five of the 14 common symptoms of type 2 diabetes. Of the six causal factors, "dietary behaviours" had the highest mean score, while "psychological factors" had the lowest score. Most patients lacked understanding of type 2 diabetes mellitus. They perceived it as a chronic and stable illness, without negative affective response, and controllable by themselves and through treatment. Gender, age, marital status, educational level, family income, employment status, diabetes duration, diabetes-related complications, comorbid conditions, number of hospital admissions, and the level of haemoglobin A1c were predictors of illness perceptions.

Conclusions: The findings of the present study suggest that the illness perceptions of Chinese patients with type 2 diabetes should be improved. This evidence may enrich the theoretical understanding of illness perceptions and be used to develop interventions for enhancing illness perceptions in such patients.

Keywords: China; illness perceptions; nursing; type 2 diabetes mellitus.

MeSH terms

  • Adult
  • Asian People
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 / psychology*
  • Female
  • Glycated Hemoglobin / analysis
  • Humans
  • Male
  • Middle Aged
  • Perception*
  • Surveys and Questionnaires

Substances

  • Glycated Hemoglobin A