Development and Validation of the Scale of Hypoglycemia Self-Care Behavior in Type 2 Diabetes.

IF 2.2 4区 医学 Q1 NURSING
Nursing Research Pub Date : 2025-05-01 Epub Date: 2025-01-24 DOI:10.1097/NNR.0000000000000808
Mei-Chuan Huang, Ya-Ping Yang, Hua-Tsen Hsiao, Mei-Yueh Lee
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引用次数: 0

Abstract

Background: Inappropriate dietary, exercise, and medication self-care behaviors among persons with diabetes can easily trigger hypoglycemia. Clinically, it is necessary to quickly identify high-risk groups for hypoglycemic events to provide targeted hypoglycemia education. However, there is currently a lack of precise tools to assess self-care behaviors related to hypoglycemia.

Objectives: The aim of the study was to develop and validate a hypoglycemia self-care behavior scale for evaluating the behaviors of persons with diabetes in handling and preventing hypoglycemic events.

Methods: A cross-sectional study with purposive sampling was conducted to recruit 300 persons with Type 2 diabetes who had experienced hypoglycemic events from a medical center and a primary care clinic in southern Taiwan. Data were collected using a structured questionnaire from December 2021 to September 2023.

Results: The original Hypoglycemia Self-Care Behavior Scale, comprising 26 items, was reduced to 17 items, measuring six factors after exploratory factor analysis. Subsequently, the scale was further refined to 10 items covering four factors through structural equation modeling. Validity and reliability were assessed during this process, and the developed scale was subsequently verified for both. Factor loadings ranged from .50-.97, explaining 76% of the total variance. The four factors included "hypoglycemia recognition and carbohydrate supplementation," "prevention of hypoglycemia during exercise," "carbohydrate assessment," and "seeking medical assistance." The Hypoglycemia Self-Care Behavior Scale-developed and validated through structural equation modeling-demonstrates satisfactory model fit, convergent validity, and discriminant validity. Internal consistency was within the range of .73-.94, indicating strong reliability.

Discussion: The Hypoglycemia Self-Care Behavior Scale not only functions as a tool for the rapid assessment of self-care behaviors during hypoglycemic events by clinical healthcare professionals but can also serve as reference for hypoglycemia-related health education.

2型糖尿病低血糖自我护理行为量表的编制与验证。
背景:糖尿病患者不适当的饮食、运动和药物自理行为容易引发低血糖。在临床上,有必要快速识别低血糖事件的高危人群,提供有针对性的低血糖教育。然而,目前缺乏精确的工具来评估与低血糖相关的自我保健行为。目的:开发并验证一种低血糖自我护理行为量表,用于评估糖尿病患者在处理和预防低血糖事件方面的行为。方法:本研究采用横断面研究,目的取样,从台湾南部一所医疗中心及一所初级保健诊所招募300名曾发生过低血糖事件的2型糖尿病患者。从2021年12月到2023年9月,使用结构化问卷收集数据。结果:原低血糖自我护理行为量表由26个题项组成,经探索性因素分析后缩减为17个题项,测量6个因素。随后,通过结构方程模型将量表进一步细化为10项,涵盖4个因素。在此过程中进行了效度和信度评估,并对编制的量表进行了验证。因子负荷范围为。50-。97,解释总方差的76%这四个因素包括“低血糖识别和碳水化合物补充”、“运动期间预防低血糖”、“碳水化合物评估”和“寻求医疗援助”。低血糖自我照顾行为量表经结构方程模型开发和验证,具有良好的模型拟合、收敛效度和判别效度。内部一致性在0.73 -范围内。94,可靠性强。讨论:低血糖自我保健行为量表不仅可以作为临床医护人员快速评估低血糖事件中自我保健行为的工具,还可以作为低血糖相关健康教育的参考。
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来源期刊
Nursing Research
Nursing Research 医学-护理
CiteScore
3.60
自引率
4.00%
发文量
102
审稿时长
6-12 weeks
期刊介绍: Nursing Research is a peer-reviewed journal celebrating over 60 years as the most sought-after nursing resource; it offers more depth, more detail, and more of what today''s nurses demand. Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies. Each issue highlights the latest research techniques, quantitative and qualitative studies, and new state-of-the-art methodological strategies, including information not yet found in textbooks. Expert commentaries and briefs are also included. In addition to 6 issues per year, Nursing Research from time to time publishes supplemental content not found anywhere else.
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