糖尿病患者低血糖恐惧感影响因素分析及聚焦解决干预模式的应用  

Influencing Factors of Hypoglycemia Fear in Diabetic Patients and Application of Focused Solution Intervention Mode

作　　者：俞朝亭 王惠珠 林贵钗 YU Chaoting;WANG Huizhu;LIN Guichai(Department of Critical Care Medicine,the Second General Hospital of Fuzhou,Fuzhou 350007,Fujian,China)

机构地区：[1]福州市第二总医院重症医学科,福建福州350007

出　　处：《糖尿病新世界》2025年第1期23-26,共4页Diabetes New World

基　　金：福建省创伤骨科急救与康复临床医学研究中心(2020Y2014)。

摘　　要：目的分析糖尿病患者低血糖恐惧感的影响因素,并结合影响因素结果讨论聚焦解决干预模式的方法。方法选取2023年1—12月福州市第二总医院收治的120例出现低血糖的糖尿病患者,应用中文版低血糖恐惧感调查-忧虑量表(Chinese Version Hypoglycemia Fear SurveyⅡ-Worry Scale,CHFSⅡ-WS)评估,分析糖尿病患者低血糖恐惧感影响因素。结果经单因素分析发现,不同糖尿病患者年龄、糖尿病病程、半年内低血糖发生次数、低血糖严重程度、自我管理能力的糖尿病患者的CHFSⅡ-WS评分比较,差异均有统计学意义(P均<0.05)。多元线性回归分析结果显示:年龄>60岁、糖尿病病程≥10年、半年内低血糖发生>6次、重度低血糖是低血糖恐惧感的危险因素,糖尿病自我管理行为量表评估结果好为低血糖恐惧感的保护因素(P均<0.05)。结论年龄、糖尿病病程、半年内低血糖发生次数、低血糖严重程度、自我管理能力是糖尿病患者低血糖恐惧的影响因素,针对存在危险因素的糖尿病患者采取聚焦解决干预模式,以降低患者低血糖恐惧感。Objective To analyze the influencing factors of hypoglycemia fear in diabetic patients,and to discuss the focused solution intervention mode method based on the results of influencing factors.Methods A total of 120 diabetic patients with hypoglycemia admitted to the Second General Hospital of Fuzhou from January to December 2023 were selected.The Chinese Version Hypoglycemia Fear SurveyⅡ-Worry Scale(CHFSⅡ-WS)was used to evaluate and analyze the influencing factors of hypoglycemia fear in diabetic patients.Results Univariate analysis showed that there were statistically significant differences in CHFSⅡ-WS scores among diabetic patients with different ages,duration of diabetes,frequency of hypoglycemia within half a year,severity of hypoglycemia,and self-management ability of patients(all P<0.05).The results of multivariate linear regression analysis showed that age>60 years old,duration of diabetes≥10 years,hypoglycemia>6 times in half a year,severe hypoglycemia were risk factors for hypoglycemia fear,and good evaluation results of the Summary of Diabetes Self Care Activities were protective factors for hypoglycemia fear(all P<0.05).Conclusion Age,duration of diabetes,occurrence times of hypoglycemia within half a year,severity of hypoglycemia,and self-management ability are influencing factors of the fear of hypoglycemia in diabetic patients.For diabetic patients with risk factors,focused solution intervention mode is adopted to reduce the fear of hypoglycemia in patients.

关 键 词：糖尿病 低血糖恐惧感 聚焦解决干预模式 

分 类 号：R47[医药卫生—护理学]