Prevalence and factors of fear of hypoglycemia among Chinese older adults with type 2 diabetes mellitus: A cross-sectional study

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-03-12 DOI:10.1016/j.gerinurse.2025.02.015

Qi Tang RN , Jialin Wang MSN, RN , Sihui Su MSN,RN , Ying Xia RN , Shiya Yu RN , Qianqian Ren RN , Meng Yu RN , Shuangshuang Feng RN

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引用次数: 0

Abstract

The fear of hypoglycemia (FOH) in older adults with type 2 diabetes mellitus (T2DM) has seriously affected their glycemic control and quality of life. This was a cross-sectional study to identify the disease-related characteristics, psychological and social factors of FOH in older persons with T2DM, and to explore the relationship between these factors. A total of 332 older Chinese adults diagnosed with T2DM completed the survey. Results: The mean FOH score was 33.14 ± 11.273, which was associated with age, education, frequency of hypoglycemic episodes and types of hypoglycemia. Social support and psychological resilience were negatively correlated with FOH, and the association between social support and FOH in the participants was partially mediated by psychological resilience. Conclusions: Our study highlight that medical staff should pay more attention to the mental health status of older adults with T2DM, improving mental resilience and strengthening social support can help reduce their FOH level, and thereby help them control blood glucose scientifically and improve their quality of life.

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中国老年2型糖尿病患者低血糖恐惧的患病率及影响因素：一项横断面研究

老年2型糖尿病（T2DM）患者对低血糖（FOH）的恐惧严重影响了他们的血糖控制和生活质量。这是一项横断面研究，旨在确定老年T2DM患者FOH的疾病相关特征、心理和社会因素，并探讨这些因素之间的关系。共有332名诊断为2型糖尿病的中国老年人完成了这项调查。结果：FOH平均得分为33.14±11.273分，与年龄、受教育程度、低血糖发作次数及低血糖类型有关。社会支持和心理弹性与FOH呈负相关，社会支持与FOH之间的关系部分受心理弹性的中介作用。结论：本研究提示医护人员应重视老年2型糖尿病患者的心理健康状况，提高心理弹性，加强社会支持有助于降低老年2型糖尿病患者的FOH水平，从而帮助老年2型糖尿病患者科学控制血糖，提高生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.