Research on Cardiovascular Disease in Patients with Diabetes Mellitus Type 2 from the Perspective of Health Belief Theory

Abstract

With the arrival of people's lifestyle and aging process, the prevalence of diabetes in China is increasing rapidly, and there is no radical cure at present. Among the patients with diabetes mellitus type 2, the risk factors associated with cardiovascular disease are an important reason that endangers the health and life of patients with diabetes mellitus type 2. Related studies have shown that the health belief theory model can help reduce the risk of cardiovascular disease in the patients with diabetes mellitus type 2 to a certain extent. In this study, the Chinese version of the Health Beliefs Related to Cardiovascular Disease Scale (HBRCDS) was used to analyze the sample of the patients with diabetes mellitus type 2 to compare with and supplement the existing research. This study collected diabetes data from National Metabolic Management Center (MMC) of the First Affiliated Hospital of Fujian Medical University. 512 samples were collected from patients who were confirmed with diabetes mellitu type 2. Factor analysis and binary logistic regression were used to analyze the Health Beliefs Related to Cardiovascular Disease Scale (HBRCDS). Through the analysis of reducing dimensions, it was appropriate to extract 25 indicators of the scale into five factors. At the same way, using one-way ANOVA to compare the comprehensive score of health belief in preventing cardiovascular disease in patients with diabetes mellitu type 2 under different characteristics, the results showed that only degree was significant in statistics. The lower the education level, the lower the comprehensive score, and the higher the education level, the higher the comprehensive score. Other characteristics were not statistically significant. The results of binary logistic regression analysis showed that the degree of fitting of the model was low, indicating that there was no significant linear relationship between the health belief of preventing cardiovascular disease of the patients with diabetes mellitu type 2 and whether they suffered from cardiovascular disease. The results also showed that there was no significant linear relationship between the patients with diabetes mellitu type 2 who had the Cardiovascular disease and those who did not diagnose with Cardiovascular disease. It is suggested to strengthen the health belief of diabetes patients through online and offline diabetes education, management and other guidance. At the same time, the knowledge of diabetes and its complications for patients with diabetes should be supplemented. It also shows that exercise companion and the convenience of exercise equipment are the key points for diabetes patients to enhance their health belief in preventing cardiovascular disease. Therefore, sports equipment areas should be set up in communities, towns or villages to make exercise feasible everywhere. At the same time, it is necessary to supplement the knowledge of diabetes of family members of patients and accompany patients appropriately.