老年糖尿病肾病维持性血液透析病人低血糖恐惧感现状及影响因素分析

Status and influencing factors of fear of hypoglycemia in elderly patients with diabetic nephropathy undergoing maintenance hemodialysis

目的 探究老年糖尿病肾病维持性血液透析病人低血糖恐惧感现状及影响因素。方法 选取2020年5~12月在四川大学华西医院进行维持性血液透析治疗的97例老年糖尿病病人为研究对象,使用一般资料问卷和低血糖恐惧感量表进行问卷调查分析。以低血糖恐惧感评分为因变量进行多元线性回归分析确定糖尿病维持性血液透析病人低血糖恐惧感的独立影响因素。结果 纳入研究的97例病人平均年龄为(68.61±7.70)岁,低血糖恐惧感量表得分为(40.02±15.00)分。多元线性回归分析显示,近1个月发生过低血糖、血液透析年限长是老年糖尿病肾病维持性血液透析病人低血糖恐惧感的独立影响因素(P<0.05)。结论 医务人员应关注老年糖尿病肾病维持性血液透析病人的低血糖恐惧感,尤其是近1个月发生过低血糖、血液透析年限长的病人,早期识别、早期干预,并制定个性化血糖管理和心理护理方案,避免低血糖恐惧发生。

Objective To explore the status and the influencing factors of fear of hypoglycemia in the elderly patients with diabetic nephropathy undergoing maintenance hemodialysis.Methods A total of 97 elderly patients with diabetic nephropathy receiving maintenance hemodialysis in West China Hospital from May to December 2020 were enrolled in this study.A survey was carried out using general information questionnaire and Hypoglycemia Fear Scale-Ⅱ.Multiple linear regression analysis was performed to investigate the influencing factors of fear of hypoglycemia in the elderly patients with diabetic nephropathy undergoing maintenance hemodialysis.Results The average age of the patients was(68.61±7.70)years old,and the score of Hypoglycemia Fear Scale-Ⅱwas 40.02±15.00.Multiple linear regression analysis showed that hypoglycemia occurring in the last 1 month and long dialysis time were the major influencing factors of fear of hypoglycemia(P<0.05).Conclusions Medical personnel should pay attention to the fear of hypoglycemia in the elderly patients with diabetic nephropathy who underwent maintenance hemodialysis,especially in the patients suffering from hypoglycemia in recent one month or suffering from hemodialysis for a long time.It is important to identify early and intervene early,and to develop personalized blood glucose management and psychological nursing plan to avoid the fear of hypoglycemia.