Predictors of fear of diabetes progression: A multi-center cross-sectional study for patients self-management and healthcare professions education
作者全名："Wang, Yanhao; Yu, Qiuhua; Zeng, Zihuan; Yuan, Ruizhu; Wang, Ruiding; Chen, Jianli; Zhou, Hengyu; Tang, Jiao"
作者地址："[Wang, Yanhao] Xi An Jiao Tong Univ, Coll Stomatol, Key Lab Shaanxi Prov Craniofacial Precis Med Res, Xian, Shaanxi, Peoples R China; [Wang, Yanhao] Chongqing Med Univ, Coll Stomatol, Chongqing Key Lab Oral Dis & Biomed Sci, Chongqing, Peoples R China; [Wang, Yanhao] Xi An Jiao Tong Univ, Sch Stomatol, Dept Orthodont, Xian, Shaanxi, Peoples R China; [Yu, Qiuhua] Peking Union Med Coll Hosp, Dept Breast Surg, Xidan Campus, Beijing, Peoples R China; [Zeng, Zihuan] Army Med Univ, Mil Med Univ 3, Southwest Hosp, Inst Burn Res,State Key Lab Trauma Burn & Combined, Chongqing, Peoples R China; [Zeng, Zihuan] Army Med Univ, Mil Med Univ 3, Southwest Hosp, Dept Plast Surg, Chongqing, Peoples R China; [Yuan, Ruizhu; Zhou, Hengyu; Tang, Jiao] Chongqing Med Univ, Sch Nursing, Chongqing, Peoples R China; [Wang, Ruiding] Shanghai Jiao Tong Univ Affiliated Peoples Hosp 6, Dept Crit Care Med, Shanghai, Peoples R China; [Chen, Jianli] Guangzhou Med Univ, Guangzhou Women & Children Med Ctr, Affiliated Women & Children Med Ctr, Guangzhou, Peoples R China; [Tang, Jiao] Chongqing Med Univ, Dept Nursing, Affiliated Hosp 1, Chongqing, Peoples R China"
通信作者："Zhou, HY; Tang, J (通讯作者)，Chongqing Med Univ, Sch Nursing, Chongqing, Peoples R China.; Tang, J (通讯作者)，Chongqing Med Univ, Dept Nursing, Affiliated Hosp 1, Chongqing, Peoples R China."
来源：FRONTIERS IN PUBLIC HEALTH
ESI学科分类：SOCIAL SCIENCES, GENERAL
关键词：predictors; fear of progression; type 2 diabetes mellitus (T2DM); multi-center; cross-sectional study; healthcare professions education; self-management
摘要："ObjectiveExcessive fear of progression can affect the mental health, social function, and wellbeing of patients with chronic diseases. This study investigated the fear of progression (FoP) and the socio-demographic and clinical predictors among patients with type 2 diabetes mellitus (T2DM). MethodThe present study is a multi-center cross-sectional study. Inpatients with T2DM were recruited by a multi-stage convenience sampling method from the department of endocrinology in 5 tertiary hospitals in Southwest China. 459 T2DM patients were consecutively enrolled. Socio-demographic, clinical data, and answers to the fear of progression questionnaire (FoP-Q) were collected. Results385 patients with complete data were eligible. The average score of FoP-Q-SF was 26.84 and 23.1% of patients reached the dysfunctional fear of progression criterion. The greatest fears were worrying about ""disease progression,"" ""the adverse reactions of medication,"" and ""relying on strangers for activities of daily living."" Health education (P < 0.001), age (P = 0.002), hypoglycemia history (P = 0.006), employment status (P = 0.025) and duration since being diagnosed with type 2 diabetes mellitus (P = 0.032) were the related factors of fear of progression. ConclusionEarly assessment of the fear of progression was imperative to identify dysfunctional fear of progression in patients with type 2 diabetes mellitus. Meanwhile, the meaning of these predictors for strengthening healthcare professions education and patients self-management might help healthcare givers timely perform related interventions and help patients reduce their fear of progression thus actively cooperate with T2DM treatments."