摘要
目的 调查2型糖尿病(T2DM)患者低血糖恐惧行为现状并探索其影响因素,为开展临床糖尿病教育工作提供依据.方法 以多中心便利抽样法,于2016年10月至2017年1月选取天津市7所医院门诊及住院部就诊的,半年内有过低血糖经历的T2DM患者392例[男性176例(44.9%),女性216例(55.1%)]进行低血糖恐惧行为问卷调查.对二分类变量间的比较采用独立样本t检验,多分类变量间的比较采用单因素方差分析,对低血糖恐惧行为影响因素分析采用多元线性回归进行统计分析.结果 研究对象的低血糖恐惧-行为量表得分在20~91分之间,平均(47.65±13.02)分,3个维度根据平均得分由高到低排列依次为:谨慎、回避、维持高血糖.单因素分析结果显示,不同性别、病程、居住方式、居住地、医疗费用、接受糖尿病教育情况、饮食控制情况、每周运动时间、每日胰岛素注射次数、吸烟状况、饮酒状况、夜间低血糖经历以及无症状性低血糖经历的患者,其低血糖恐惧-行为量表的得分差异有统计学意义(t=-5.760~2.029,F=4.029~6.872,均P<0.05).多元线性回归分析结果显示,饮食控制情况、接受糖尿病教育情况、无症状性低血糖经历、医疗费用、性别为T2DM患者低血糖恐惧行为得分的影响因素(β=6.279、6.343、8.237、2.775、2.652,均P<0.05).结论 T2DM患者的低血糖恐惧行为与其饮食控制情况、接受糖尿病教育情况、无症状性低血糖经历、医疗费用和性别密切相关,临床医护人员应重视低血糖患者的内心感受及行为改变方式,全面评估患者后进行个体化指导.
Objective To evaluate current status and influencing factors of hypoglycemia fear in patients with type 2 diabetes mellitus(T2DM). Methods The multi-centers convenience sampling method was used to enroll 392 patients with T2DM [176 males (44.9%), 216 females (55.1%)] who had experienced hypoglycemia within 6 months from outpatient and inpatient in 7 hospitals to complete Hypoglycemia Fear-Behavior Scale from October 2016 to January 2017. The t test and one-way AVOVA and multiple linear regression analysis were used to analyze the data. Results The scores of the Hypoglycemia Fear-Behavior Scale were between 20 and 91 points, with an average of (47.65±13.02) points. The three dimensions ranking from high to low based on average score were cautious, avoidance, and maintain high blood glucose. Single factor analysis showed that the scores of Hypoglycemia Fear-Behavior Scale was significantly associated with gender, duration, living style, place of residence, medical expenses, diabetes education, diet control, weekly exercise time, daily insulin injections, smoking, drinking, nocturnal hypoglycemia and asymptomatic hypoglycemia (t=-5.760-2.029, F=4.029-6.872, all P<0.05). Multiple linear regression analysis showed that diet control, diabetes education, asymptomatic hypoglycemia, medical expenses and gender were the influencing factors of hypoglycemia fear behavior (β=6.279, 6.343, 8.237, 2.775, 2.652, all P<0.05). Conclusion Diet control, diabetes education, asymptomatic hypoglycemia, medical expenses and gender are the influencing factors of hypoglycemia fear behavior. Health professionals should pay attention to the feelings and behaviors of diabetes patients with hypoglycemia, and implement individualized education.
作者
许洪梅
穆纯
包頔
邢秋玲
Xu Hongmei;Mu Chun;Bao Di;Xing Qiuling(Department of Nursing,Tianjin Medical University Metabolic Disease Hospital,Key Laboratory of Hormones and Development,Tianjin 300070,China)
出处
《中华糖尿病杂志》
CAS
CSCD
北大核心
2018年第11期735-739,共5页
CHINESE JOURNAL OF DIABETES MELLITUS
基金
天津医科大学代谢病医院重点实验室开放课题(2016DX06)
天津市科技计划项目(15ZXHLSY00460).
关键词
糖尿病
2型
低血糖症
低血糖恐瞑
行为
Diabetes mellitus,type 2
Hypoglycemia
Fear of hypoglycemia
Behavior
