老年2型糖尿病患者低血糖恐惧感现状及相关因素调查分析

Investigation and Analysis the Current Situation of Hypoglycemia Fear and Related Factors in Elderly Patients with Type 2 Diabetes Mellitus

目的:分析老年2型糖尿病患者低血糖恐惧感现状及其产生恐惧感的影响因素。方法:选取2021年1—12月在漳州市医院内分泌科住院的200例老年2型糖尿病患者作为研究对象,通过问卷调查的方式对其基本情况及对低血糖的恐惧感现状进行调查,并分析其影响因素。结果:200例老年2型糖尿病患者的中文版低血糖恐惧感调查量表(CHFSⅡ-WS)评分为(27.21±9.03)分。对患者的CHFSⅡ-WS得分情况进行分析,发现患者对低血糖最为担心的前3个指标依次为:独自一人时发生低血糖、发生低血糖时周围没人帮忙、低血糖发生在夜间。单因素分析显示,糖尿病病程>20年、独居、自费医疗、近1个月无运动、近6个月低血糖发生次数≥5次、近6个月发生重度低血糖是老年2型糖尿病患者产生低血糖恐惧感的影响因素,差异有统计学意义(P<0.05)。多重线性回归分析显示,糖尿病病程>20年、独居、自费医疗、近1个月无运动、近6个月低血糖发生次数≥5次、近6个月发生重度低血糖是影响老年2型糖尿病患者低血糖恐惧感的危险因素(P<0.05)。结论:老年2型糖尿病患者对低血糖均存在恐惧心理,糖尿病病程>20年、独居、自费医疗、近1个月无运动、近6个月低血糖发生次数≥5次、近6个月发生重度低血糖是导致老年2型糖尿病患者低血糖恐惧感的危险因素;应提高重视程度,加强健康宣教,制定适宜的干预措施,以缓解其低血糖恐惧感,改善预后。

Objective:To analyze the current situation of hypoglycemic fear in elderly patients with type 2 diabetes mellitus and its influencing factors.Method:A total of 200 elderly patients with type 2 diabetes mellitus who were hospitalized in the Department of Endocrinology of Zhangzhou Municipal Hospital from January to December 2021 were selected as the study objects.By means of questionnaire survey,the basic situation and the current situation of hypoglycemic fear were investigated,and the influencing factors were analyzed.Result:The average score of the Chinese version hypoglycemia fear surveyⅡ-worry scale(CHFSⅡ-WS)in 200 elderly patients with type 2 diabetes mellitus was(27.21±9.03)points.After analyzing the CHFSⅡ-WS scores of patients,it was found that the top three indicators that patients most worried about hypoglycemia were hypoglycemia occurred when they were alone,hypoglycemia occurred when there was no one around to help,and hypoglycemia occurred at night.Univariate analysis showed that the diabetes course>20 years,living alone,self-funded medical treatment,no exercise in the past 1 month,occurrence of hypoglycemia≥5 times in the past 6 months,and severe hypoglycemia in the past 6 months were the influencing factors of hypoglycemia fear in elderly patients with type 2 diabetes mellitus,and the differences were statistically significant(P<0.05).Multiple linear regression analysis showed that diabetes course>20 years,living alone,self-funded medical treatment,no exercise in the past 1 month,occurrence of hypoglycemia≥5 times in the past 6 months,and severe hypoglycemia in the past 6 months were risk factors affecting hypoglycemia fear in elderly patients with type 2 diabetes mellitus(P<0.05).Conclusion:Elderly patients with type 2 diabetes mellitus all have fear of hypoglycemia.The diabetes course>20 years,living alone,self-funded medical treatment,no exercise in the past 1 month,occurrence of hypoglycemia≥5 times in the past 6 months,and severe hypoglycemia in the past 6 months are risk factors leading to hypoglycemia fear in elderly patients with type 2 diabetes mellitus.To alleviate the fear of hypoglycemia and improve prognosis,we should pay more attention,strengthen health education and formulate appropriate intervention measures.