A qualitative research on the behaviors caused by fear of hypoglycemia in type 2 diabetic patients
10.3760/cma.j.issn.1672-7088.2016.31.007
- VernacularTitle:2型糖尿病患者低血糖恐惧行为的质性研究
- Author:
Hongmei XU
;
Weiguang DING
;
Chun MU
;
Di BAO
;
Yuehua ZHANG
;
Qiuling XING
- Keywords:
Diabetes mellitus,type 2;
Hypoglycemia;
Behavior;
Fear of hypoglycemia;
Self-management
- From:
Chinese Journal of Practical Nursing
2016;32(31):2429-2432
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the behaviors caused by fear of hypoglycemia in type 2 diabetic patients, and deeply analyze the causes of these behaviors, providing help for medical staff to fully understand the inner demands of diabetic patients with hypoglycemia, so as to manage the blood glucose effectively, laying the foundation of Hypoglycemia Fear Survey-behavior scale suitable for domestic type 2 diabetic patients. Methods The interpretative phenomenological analysis method was used guided by the knowledge-attitude-belief-practice and social cognitive theory, 33 patients with hypoglycemia from 5 hospitals with different levels were interviewed by semi-structured interview. Results Four themes were extracted, including excess sensitivity, caution, avoidance and compromise. The theme excess sensitivity contained three kinds of behaviors, that were meal with sensitive alertness, drug sensitivity and excessive response to the hypoglycemia, while the theme caution contained two kinds of behaviors, that were strive to blood sugar stable and must prepare food. Conclusions The results show that the fear of hypoglycemia is serious in type 2 diabetic patients, and they make many behavior change to avoid it, affecting their quality of life and glycemic management. Medical staff should attach importance to the inner feelings and behaviors of diabetic patients with hypoglycemia, and provide guidance and support after comprehensive assessment, working together with the patient to realize the effective management of blood glucose.
