Research On The Current Situation Of Fear Of Hypoglycemia And Influential Factors Of Type 2 Diabetes Mellitus In Liling Area Of Hunan Province

Objective:To investigate the status of fear of hypoglycemia(FoH)in patients with type 2 diabetes,to explore the influencing factors of FoH in patients with type 2 diabetes.To provide a reference program for reducing the FoH in patients.Methods:The method used was cluster sampling.From May to December2018,209 patients with T2DM in a diabetes clinic and who admitted to the hospital on the first day of endocrinology at a tertiary hospital in Hunan Province were selected and met the survey criteria.The patients were surveyed using the General Information Questionnaire,the Chinese version of Hypoglycemia Fear SurveyⅡ-Worry Scale,The Summary of Diabetes Self-Care Activities,Connor Davidson Resilience Scale.The datawereinputtedintoExcelandanalyzedbySPSS18.0package.Statistical methods include descriptive statistics,t-test,one-way ANOVA,nonparametric test,Spearman correlation analysis,and multiple linear stepwise regression analysis.Results:1.The total score of CHFSII-WS in 209 patients with type 2 diabetes mellitus in this study ranged from 1 to 41 points,with a median of 10points(interquartile range of 6 to 18 points).The top three indicators of T2DM patients were:Hypoglycemia occurs when a person is in a situation;when no blood sugar occurs,no one around helps;permanent damage to his body or health.2.singlefactoranalysis:theresultsshowthatdifferent gender,age,marital status,education level,professional status,personal monthly income,duration of diabetes,degree of hypoglycemia and the presence or absence of complications have an impact on the fear of hypoglycemia,the difference statistically significant(P<0.05).3.Correlation analysis showed that the total score of FoH in type 2diabetes mellitus patients was positively correlated with the total score of The Summary of Diabetes Self-Care Activities,and exercise,blood glucose test and foot care,which was statistically significant(p<0.05);There were negative correlations with the total score of Connor Davidson Resilience Scale and its four dimensions:strength and optimism,perseverance and control,calmness and transcendence,persistence and decisiveness,which were statistically significant(p<0.01).4.A total of 6 variables entered the regression model.The results showed that F=21.602,P<0.001,indicating that the fitted equation is statistically significant,adjusting R~2=0.373,indicating that the independent variable can explain the 37.3%variation of FoH.According to the impact on the FoH(that is,the size of the standardized regression coefficient)from large to small are:resilience,self-management level,the degree of hypoglycemia,duration of diabetes,personal monthly income,widowed.Conclusions:1.Patients with type 2 diabetes have a certain fear of hypoglycemia,and health care workers should pay attention to health education about hypoglycemia.2.resilience,self-management level,the degree of hypoglycemia,duration of diabetes,personal monthly income,marital status are the main influencing factors of FoH in patients with type 2 diabetes.