Fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes: a cross-sectional study

作者全名："Huang, Jing; Peng, Wei; Ding, Shenglan; Xiong, Shuyuan; Liu, Zhiping"

作者地址："[Huang, Jing; Peng, Wei; Xiong, Shuyuan; Liu, Zhiping] Chongqing Med Univ, Dept Endocrinol, Affiliated Hosp 1, 1st YouYi Rd, Chongqing 400016, Peoples R China; [Ding, Shenglan] Univ Elect Sci & Technol China, Chengdu Womens & Childrens Cent Hosp, Sch Med, Dept Nursing, Chengdu 610091, Peoples R China; [Huang, Jing] Peking Univ, Sch Nursing, Beijing, Peoples R China"

通信作者："Liu, ZP (通讯作者)，Chongqing Med Univ, Dept Endocrinol, Affiliated Hosp 1, 1st YouYi Rd, Chongqing 400016, Peoples R China."

来源：SCIENTIFIC REPORTS

ESI学科分类：Multidisciplinary

WOS号：WOS:000972404000020

JCR分区：Q1

影响因子：4.6

年份：2022

卷号：12

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：　

摘要："The present cross-sectional survey was performed to assess the prevalence and factors associated with fear of hypoglycemia (FoH) in hospitalized patients with type 2 diabetes (T2D). Between July and December 2020, 494 patients with T2D were evaluated via structured questionnaires containing sociodemographic information, clinical information, and the Fear of Hypoglycemia-15 scale (FH-15). Patients were divided into the FoH and non-FoH groups according to the FH-15 score. Univariate and multivariate logistic regression analyses were performed to determine factors associated with FoH. Variables with P values<0.1 in the univariate model were included in the multivariate model. In this study, the prevalence of FoH was 17.4% (86/494). 247 (50.0%) patients experienced hypoglycemic episodes in the past year, and 15 (3.0%) patients experienced severe hypoglycemic episodes in the past year. The mean age was 60.04 +/- 11.71 years old, and female patients accounted for 39.9% of the sample. The item with the highest average FH-15 scores was: how often are you afraid of having hypoglycemia while alone? Multivariate logistic regression analysis indicated that living alone (OR 2.48; 95% CI 1.20-5.14; P=0.015), number of hypoglycemic episodes in the past year (OR 1.06; 95% CI 1.03-1.10; P<0.001), number of severe hypoglycemic episodes in the past year (OR 2.61; 95% CI 1.20-5.69; P=0.016), and duration of insulin use (OR 1.06; 95% CI 1.02-1.10; P=0.006) were associated with FoH. The prevalence of FoH in hospitalized patients with T2D was high. FoH was associated with living alone, number of hypoglycemic episodes in the past year, number of severe hypoglycemic episodes in the past year, and duration of insulin use. These findings can contribute to early decision-making for preventing, identifying, and improving FoH in patients with T2D. In the future, interventions aimed at reducing FoH to improve the harmful effects of FoH are necessary, such as increasing diabetes-related knowledge and skills, increasing social support, reducing psychological fear, and minimizing risks for hypoglycemic episodes."

基金机构：Nursing Research Fund of Chongqing Medical University [2019hlxk07]

基金资助正文：This work was supported by the Nursing Research Fund of Chongqing Medical University (2019hlxk07). We thank Dr. Wang for his statistical guidance on this study and all the doctors and nurses of the Endocrinology Department of the First Affiliated Hospital of Chongqing Medical University for their help in the data collection of this study.