Hypoglycaemia fear, treatment adherence, and the quality of life in patients with type 2 diabetes and its determinants

IF 1.9 4区医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-02-22 DOI:10.1111/ijn.13248

Dilek Yildirim PhD, Cennet Çiriş Yildiz PhD, Emine Ergin PhD, İrem Özbay MSc

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Abstract

Aim

This work aims to evaluate the relationship between the fear of hypoglycaemia, treatment adherence, and the quality of life in patients with type 2 diabetes mellitus (T2DM) and its determinants.

Methods

This descriptive and cross-sectional study sample recruited 1060 T2DM outpatients in a health centre between January and July 2022. The Hypoglycemia Fear Survey (HFS), Type 2 DM Treatment Patient Compliance Scale, and the 5-Level EuroQol 5-Dimension (EQ-5D-5L) were used for data collection.

Results

There was a positive correlation between age, duration of T2DM, and the scores obtained from the HFS and its subscales (p < 0.001). There was a positive, moderate correlation between the total HFS score and the TCS (p < 0.001). There was a negative correlation between the scores obtained from the HFS and the EQ-5D-5L (p < 0.001). The multiple regression analysis showed that the quality of life scores of the patients were significantly predicted by hypoglycaemia fear, duration of T2DM diagnosis, and age. (F = 91.691, p < 0.001). Hypoglycaemia fear, duration of T2DM diagnosis, and age explained 38.1% of the quality of life of patients.

Conclusion

We determined that the increase in hypoglycaemia fear resulted in a decrease in treatment adherence. Besides, hypoglycaemia fear increased with increasing age and duration of T2DM diagnosis.

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2 型糖尿病患者的低血糖恐惧、治疗依从性和生活质量及其决定因素。

目的：本研究旨在评估 2 型糖尿病（T2DM）患者对低血糖的恐惧、治疗依从性和生活质量之间的关系及其决定因素：这项描述性横断面研究于 2022 年 1 月至 7 月间在一家医疗中心招募了 1060 名 2 型糖尿病门诊患者。数据收集采用低血糖恐惧调查（HFS）、2型糖尿病治疗患者依从性量表和5级EQ-5D-5L（EuroQol 5-Dimension）：结果：年龄、T2DM 病程与 HFS 及其分量表的得分之间呈正相关（p 结论：年龄、T2DM 病程与 HFS 及其分量表的得分之间呈正相关（p 结论：年龄、T2DM 病程与 HFS 及其分量表的得分之间呈正相关：我们发现，低血糖恐惧的增加会导致治疗依从性的下降。此外，低血糖恐惧随年龄和 T2DM 诊断持续时间的增加而增加。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.