文章摘要

中青年糖尿病患者低血糖恐惧发生现状及影响因素

作者: 1郑鑫, 1郝莉, 1李明, 1符博, 1王看看, 1赵迪
1 郑州大学第一附属医院内分泌及代谢病科/河南省内分泌及代谢性疾病诊疗中心，郑州 450000
通讯: 郝莉 Email: felody1991@126.com
DOI: 10.3978/j.issn.2095-6959.2022.11.005
基金: 河南省医学科技攻关计划项目(LHGJ20190249)。

摘要

目的：调查中青年糖尿病患者低血糖恐惧发生情况及影响因素，为开展临床糖尿病教育工作提供依据。方法：采用便利抽样法，选取2021年6月至2022年2月在郑州大学第一附属医院内分泌科住院的中青年糖尿病患者228例作为研究对象，使用一般资料调查表、低血糖恐惧量表-15、糖尿病患者自我管理活动问卷进行调查，分析其低血糖恐惧发生情况，采用非条件二分类logistic回归分析低血糖恐惧发生的影响因素。结果：228例中青年糖尿病患者中，低血糖恐惧发生率为40.4%。Logistic回归分析显示：大专及以上学历(OR=7.635，95%CI：1.916~30.425)、入院前1周使用胰岛素(OR=5.934，95%CI：2.541~13.860)、入院前1周应用口服降糖药(OR=4.708，95%CI：2.234~9.902)是中青年糖尿病患者低血糖恐惧发生的影响因素。结论：中青年糖尿病患者低血糖恐惧处于中等水平，医护人员应加强评估并制定有针对性的健康教育策略，以期改善其健康状况和临床预后。
关键词： 中青年；糖尿病；低血糖恐惧；影响因素

Current status and influencing factors of fear of hypoglycemia in young and middle-aged patients with diabetes mellitus

Authors: 1ZHENG Xin, 1HAO Li, 1LI Ming, 1FU Bo, 1WANG Kankan, 1ZHAO Di
1 Department of Endocrinology and Metabolic Diseases, First Affiliated Hospital of Zhengzhou University, Henan Endocrine and Metabolic Diseases Diagnosis and Treatment Center, Zhengzhou 450000, China

CorrespondingAuthor: HAO Li Email: felody1991@126.com

DOI: 10.3978/j.issn.2095-6959.2022.11.005

Foundation: This work was supported by the Medical Science and Technology Project of Henan Province, China (LHGJ20190249).

Abstract

Objective: To explore the status and influencing factors of fear of hypoglycemia (FOH) in young and middle-aged patients with diabetes mellitus. Methods: A total of 228 diabetic patients were investigated with the general information questionnaire, Fear of Hypoglycemia Scale-15 and the Summary of Diabetes Self-Care Activities Questionnaire from the Department of Endocrinology of the First Affiliated Hospital of Zhengzhou University from June 2021 to February 2022. Univariate analysis and binary logistic regression were performed to analyze the influencing factors. Results: Of the 228 respondents, the incidence of FOH was 40.4%. Logistic regression analysis showed that college degree or above (OR=7.635, 95%CI 1.916 to 30.425), insulin administration 1 week before hospitalization (OR=5.934, 95%CI 2.541 to 13.860), use of oral hypoglycemic agents 1 week before hospitalization (OR=4.708, 95%CI 2.234 to 9.902) were influencing factors of FOH. Conclusion: The incidence of FOH is at an intermediate level in young and middle-aged patients with diabetes. Medical personnel should strengthen the evaluation and formulate targeted health education strategies to improve their health status and clinical prognosis.

Keywords： young and middle-aged people; diabetes; hypoglycemia fear; influencing factor

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