Correlation Analysis of Hypoglycemic Fear and Psychological Well-Being and Family Support Function in Older Adults Diabetic Patients.

IF 2.8 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Xia Ren, Zhaoxia Tian, Hongmei Li
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Abstract

Background: Aging diabetic patients have an increased incidence of hypoglycemia due to long disease history, multiple medications, and other factors. The higher the frequency of hypoglycemia, the greater the fear of it, and the heavier the psychological burden. This fear can have a significant negative impact on the patient's personal psychological distress related to the disease, self-care, and the quality of life of other family members. Therefore, analyzing the factors contributing to the fear of hypoglycemia is crucial for finding effective ways to overcome them.

Objective: To analyze the correlation between hypoglycemic fear (FOH), psychological well-being, and family support function in older adults patients with diabetes mellitus (DM).

Methods: Seventy-eight older adults patients with DM were recruited from the community for the study. The Chinese version of the hypoglycemia fear survey scale (CHFSII-WS), WHO-5 happiness index scale and family support function scale were used to analyze the influencing factors of FOH in older adults DM patients to clarify the correlation between FOH, psychological well-being, and family support function.

Results: Low academic qualification, long course of disease, the frequency of hypoglycemia episodes > 2 in the last one year were the risk factor for FOH in older adults DM patients, and hypoglycemia prevention education, psychological well-being and family support function were protective factors. Family support function had a mediating effect.

Conclusion: Older adults patients with DM have higher levels of FOH, which has many influencing factors, and family support function has an obvious mediating effect between FOH and psychological well-being. High-intensity FOH can be improved by actively developing hypoglycemia prevention education for patients and caregivers and improving family support function and psychological well-being.

老年糖尿病患者低血糖恐惧与心理健康及家庭支持功能的相关性分析。
背景:老年糖尿病患者由于病史长、多种药物治疗等因素,低血糖发生率增高。低血糖发生的频率越高,对低血糖的恐惧越大,心理负担也越重。这种恐惧会对患者与疾病相关的个人心理困扰、自我保健和其他家庭成员的生活质量产生重大的负面影响。因此,分析导致低血糖恐惧的因素对于找到克服低血糖恐惧的有效方法至关重要。目的:分析老年糖尿病(DM)患者的低血糖恐惧(FOH)与心理健康、家庭支持功能的相关性。方法:从社区招募78名老年糖尿病患者进行研究。采用中文版低血糖恐惧量表(CHFSII-WS)、WHO-5幸福指数量表和家庭支持功能量表分析老年DM患者FOH的影响因素,阐明FOH与心理健康、家庭支持功能的相关性。结果:学历低、病程长、近一年内低血糖发作频次> 2是老年DM患者发生FOH的危险因素,低血糖预防教育、心理健康和家庭支持功能是保护因素。家庭支持功能具有中介作用。结论:老年DM患者FOH水平较高,其影响因素较多,家庭支持功能在FOH与心理健康之间具有明显的中介作用。通过积极开展对患者和护理人员的低血糖预防教育,改善家庭支持功能和心理健康,可改善高强度FOH。
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来源期刊
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
5.90
自引率
6.10%
发文量
431
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed, open access, online journal. The journal is committed to the rapid publication of the latest laboratory and clinical findings in the fields of diabetes, metabolic syndrome and obesity research. Original research, review, case reports, hypothesis formation, expert opinion and commentaries are all considered for publication.
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