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World J Psychiatry. Apr 19, 2026; 16(4): 115233
Published online Apr 19, 2026. doi: 10.5498/wjp.v16.i4.115233
Published online Apr 19, 2026. doi: 10.5498/wjp.v16.i4.115233
Health ecology-based nursing impact on stigma, anxiety, and depression in young and middle-aged type 2 diabetes patients
Sheng-Ying Cai, Hui-Lan Gu, Department of Endocrinology of Chinese Medicine, Suzhou Ninth People’s Hospital, Suzhou 215200, Jiangsu Province, China
Liu-Hua Zhao, Department of Nursing, Suzhou Ninth People’s Hospital, Suzhou 215200, Jiangsu Province, China
Hui Chen, Sleep Health Management Center, Department of Respiratory and Critical Care Medicine, Suzhou Ninth People’s Hospital, Suzhou 215200, Jiangsu Province, China
Author contributions: Cai SY and Chen H contributed to writing the manuscript and conducted the analysis; Gu HL contributed to conceiving the research and analyzing data; Zhao LH provided guidance for the research; and all authors reviewed and approved the final manuscript.
Supported by 2024 Academy Level Research Start Up Fund, No. YK202432.
Institutional review board statement: This study has been approved by the Ethics Committee of Suzhou Ninth People’s Hospital.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Corresponding author: Hui Chen, Sleep Health Management Center, Department of Respiratory and Critical Care Medicine, Suzhou Ninth People’s Hospital, No. 2666 Ludang Road, Taihu New Town, Wujiang District, Suzhou 215200, Jiangsu Province, China. ch611r@126.com
Received: November 4, 2025
Revised: December 9, 2025
Accepted: January 5, 2026
Published online: April 19, 2026
Processing time: 145 Days and 19.3 Hours
Revised: December 9, 2025
Accepted: January 5, 2026
Published online: April 19, 2026
Processing time: 145 Days and 19.3 Hours
Core Tip
Core Tip: Many young and middle-aged patients with type 2 diabetes experience disruptions in daily life and work due to long-term glucose management, making them vulnerable to anxiety, depression, and stigma stemming from social discrimination. This study shows that nursing intervention based on health ecology theory improves diabetes self-management and glycemic control while reducing stigma and emotional distress, providing a reference for more effective type 2 diabetes management.