Abstract:Objective To investigate the status quo of empowerment ability and hypoglycemia fear behavior in patients with type 2 diabetes, and to analyze the effect of empowerment on hypoglycemia fear behavior in type 2 diabetic patients, so as to provide theoretical basis for the formulation of intervention measures.Methods The convenience sampling method was used to select 284 patients with type 2 diabetes admitted to our hospital from January 2020 to June 2021 as the research objects. The general data questionnaire, Diabetes Empowerment Scaleshort Form and Hypoglycemia Fear Survey-Behaviour Scale were used for questionnaire investigation.Results The scores of empowerment ability and hypoglycemia fear behavior were 30.72±5.84 and 46.15±8.42 respectively in type 2 diabetic patients. There were statistically significant differences in the scores of hypoglycemic fear behavior among type 2 diabetes patients with different genders, educational levels, marital status, family per capita monthly income, complications, diabetes-related education, and the frequency of hypoglycemia in recent half year (P<0.05). Pearson correlation analysis showed that the empowerment score of type 2 diabetes patients was negatively correlated with the total score of hypoglycemic fear behavior and the scores of all dimensions (P<0.01). The results of multiple linear regression analysis showed that gender, diabetes-related education, and empowerment ability were the main influencing factors of fear behavior of hypoglycemia in type 2 diabetes patients (P<0.01), which could explain 41.8% of the total variation.Conclusion The fear behavior of hypoglycemia in patients with type 2 diabetes is affected by their gender, diabetesrelated education and empowerment ability. Therefore, targeted intervention measures should be taken according to the different conditions of patients to improve their empowerment ability and reduce their fear behavior of hypoglycemia.
诸葛小和,陈如,伊爱珍. 授权能力对2型糖尿病患者低血糖恐惧行为的影响[J]. 中国医院统计, 2022, 29(4): 257-261.
Zhuge Xiaohe, Chen Ru, Yi Aizhen. Effect of empowerment ability on hypoglycemia fear behavior in type 2 diabetic patients. journal1, 2022, 29(4): 257-261.
[1]赵雪,黄金,杨玲凤,等.2型糖尿病患者授权能力与医疗支持的相关性研究[J].中华护理杂志,2018,53(3):299-304.DOI:10.3761/j.issn.0254-1769.2018.03.010.
[2]王萱萱,郭海健,詹祥,等.授权能力在2型糖尿病病人医护支持与生命质量间的中介效应研究[J].循证护理,2020,6(11):1193-1200.DOI:10.12102/j.issn.2095-8668.2020.11.010.
[3]于成丽,王萍萍,王洁,等.糖尿病患者授权能力与健康素养的相关性研究[J].齐鲁护理杂志,2021,27(5):9-13.DOI:10.3969/j.issn.1006-7256.2021.05.003.
[4]GRAMMES J, SCHFER M, BENECKE A, et al. Fear of hypoglycemia in patients with type 2 diabetes: The role of interoceptive accuracy and prior episodes of hypoglycemia[J]. J Psychosom Res, 2018, 105:58-63. DOI:10.1016/j.jpsychores.2017.12.010.
[5]GRAMMES J, STOCK W, MANN C G, et al. Focus group study to identify the central facets of fear of hypoglycaemia in people with Type 2 diabetes mellitus[J]. Diabet Med, 2017, 34(12):1765-1772. DOI:10.1111/dme.13506.
[6]许洪梅,穆纯,包頔,等.2型糖尿病低血糖经历患者生活质量现状及影响因素研究[J].中华护理教育,2018,15(7):530-535.DOI:10.3761/j.issn.1672-9234.2018.07.012.
[7]胡贝贝.糖尿病授权中文简化量表的修订及初步应用研究[D].杭州:浙江大学,2010.
[8]许洪梅,宋洪娜,穆纯,等.2型糖尿病患者低血糖恐惧行为量表的研制及信效度分析[J].天津护理,2019,27(4):385-388.DOI:10.3969/j.issn.1006-9143.2019.04.002.
[9]许洪梅.2型糖尿病患者低血糖恐惧:行为测评工具的研制及临床应用[D].天津:天津医科大学,2017.
[10]邱良枝,麦梨芳,欧阳娜,等.2型糖尿病患者授权能力与疾病感知状况及其相关性[J].现代临床护理,2016,15(1):23-28.DOI:10.3969/j.issn.1671-8283.2016.01.006.
[11]金珠,陈鸣明,沈凤萍,等.糖尿病患者心理痛苦与应对方式及授权能力的相关性研究[J].护理管理杂志,2016,16(3):166-168.
[12]张丹丹,崔慧敏,李胜玲,等.授权能力与社区老年糖尿病患者家庭功能的相关性研究[J].中国临床护理,2017,9(6):461-464.DOI:10.3969/j.issn.1674-3768.2017.06.001.
[13]沈二兰.授权教育对糖尿病患者授权能力、生存质量和自我管理能力影响[J].护理实践与研究,2017,14(18):1-3.DOI:10.3969/j.issn.1672-9676.2017.18.001.
[14]方婷婷,黄雪芬,刘素芳.授权教育对空巢老年糖尿病患者授权能力及主观幸福感的影响[J].临床护理杂志,2017,16(1):2-4.DOI:10.3969/j.issn.1671-8933.2017.01.001.
[15]胡钰,贺丽芳,邓海艳,等.糖尿病胰岛素治疗病人低血糖恐惧及其应对方式的相关性研究[J].全科护理,2019,17(7):769-771.DOI:10.12104/j.issn.1674-4748.2019.07.001.
[16]杨艳,杨莉琴.糖尿病胰岛素治疗病人低血糖恐惧的调查及护理对策[J].全科护理,2016,14(28):2920-2922.DOI:10.3969/j.issn.1674-4748.2016.28.02.