【原】主题为“低血糖恐惧感”的一篇护理SCI文献

今 日 推 荐

#低血糖恐惧感#

这个主题，其实不是多新颖的主题，存在很久了，但是呢，也一直其实没有特别好的文献出现，所以，能做还是可以继续做。

关键是：①低血糖恐惧感——这个变量是如何认知的？（定义）；②现状是如何的？③干预研究的进展，还可以从哪些方面去做？（着重看一下下面的这个综述） 又或者，这个变量可以导致哪些事情的发生？机制是什么？

注意：上下游。（我们上课的时候提到的）；更多话题可以去社群中讨论~

我们今天给大家分享源自《Journal of Clinical Nursing》上的一篇关于低血糖恐惧主题的文献：Yuksel, M. and Bektas, H. (2021), Compliance with treatment and fear of hypoglycaemia in patients with type 2 diabetes. Journal of Clinical Nursing. Accepted Author Manuscript. 

https:///10.1111/jocn.15736

 2-型糖尿病患者治疗依从性和低血糖恐惧感的研究

ABSTRACT

Aims The aim of this study was to determine the compliance with treatment and fear of hypoglycemia in patients with type 2 diabetes.

研究目的：本研究目的是探讨2-型糖尿病患者治疗依从性与低血糖恐惧感的关系。

Background One of the important problems of patients are the fear of hypoglycemia and compliance with treatment, which impairs general health and quality of life. It is believed that nurses contribute to the improvement of compliance with treatment in patients with type 2 diabetes, a decrease in hypoglycemia rates.

研究背景：对于2-型糖尿病患者来说，比较重要的一个问题就是治疗依从性和对低血糖恐惧感，这都会对患者的生命健康和生活质量造成影响。护士在提高患者治疗依从性和降低低血糖恐惧感中的作用已经被证实。

Design This study was conducted as a descriptive study. The STROBE checklist was used.

研究设计：描述性研究。

Methods The study was carried out with 376 patients with type 2 diabetes between January‐June 2019. The Patient Information Form, Type 2 Diabetes Mellitus Treatment Patient Compliance Scale, and Hypoglycemia Fear Survey applied and SAS 9.4 package program was used for statistical analysis. Data were evaluated using descriptive statistics, t‐test, chi‐square, and variation analysis.

研究方法：在2019年1月-6月共纳入了376名2-型糖尿病患者，应用一般资料调查表、2-型糖尿病患者治疗依从性量表、低血糖恐惧感量表进行调查。使用SAS9.4软件包进行分析（t检验、卡方检验、变异分析等）。

Results It was determined that 58.2% of the participants were female, mean age was 62.19±9.60, 57.7% were primary school graduates, 50.3% were using oral antidiabetic, 34.5% were using oral antidiabetic and insulin. Patients' compliance with treatment was moderate(60.9%). According to the mean score of the Hypoglycemia Fear Survey, the patients had a low level of fear of hypoglycemia(x=1.20). There was a statistically significant difference between compliance and fear of hypoglycemia and education, economic status, self‐monitoring of blood glucose, physical activity, education about diabetes(p<0.05). Patients with type 2 diabetes had decreased compliance with treatment with increased fear of hypoglycemia(p <0.05).

研究结果：（1）其中，58.2%为女性；平均年龄为（ 62.19 ± 9.60）岁；57.7%为小学毕业，50.3%为口服降糖药，34.5%为口服降糖药和胰岛素。（2）2-型糖尿病患者的治疗依从性为中等(60.9%)；低血糖恐惧水平较低 (x=1.20)。（3）不同的低血糖恐惧水平、教育程度、经济状况、血糖自我监测、体能活动、教育程度等特征的患者之间，其治疗依从性存在差异，有统计学意义（P＜0.05）。（4）2-型糖尿病患者的治疗依从性越差，其低血糖恐惧感越高。

Conclusion The participants' compliance with the treatment was moderate and the fear of hypoglycemia mean score was low. Nursing interventions should be planned to increase compliance with treatment and reduce the fear of hypoglycemia in patients with type 2 diabetes.

研究结论：在调查的研究对象中，2-型糖尿病患者的治疗依从性呈中度水平，但是低血糖恐惧感得分较低。提示我们应该实施相应的护理干预，以增加其治疗依从性，减少2-型糖尿病患者对低血糖的恐惧。

Relevance to clinical practice Assessing the fear of hypoglycemia and the level of compliance with treatment by healthcare professionals, especially nurses, in patients with type 2 diabetes, and providing education on this subject can be helpful in reducing the fear of hypoglycemia, increasing treatment compliance and providing optimal glycemic control.

对临床实践的提示：以上研究结果和结论提示我们，应该增加医护人员(特别是护士)对2型糖尿病患者的低血糖恐惧和治疗依从性的评估；并应该设置相应的健康教育等以减少对低血糖恐惧感，增加治疗依从性，提供最佳的血糖控制。

—— #以上的内容还是比较简单的，相信看完应该会有个感触：这个能发SCI？那，我们也可以！