School of Nursing, National Tainan Junior College of Nursing, Tainan City, Taiwan.
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Clin Nurs. 2020 May;29(9-10):1704-1711. doi: 10.1111/jocn.15183. Epub 2020 Feb 11.
To identify determinants of quality of life among patients who had experienced hypoglycaemia and who were undergoing insulin treatment.
Patients with diabetes receiving insulin treatment are at high risk for hypoglycaemia, which tends to affect their quality of life.
With a cross-sectional and observational study design (see the STROBE checklist and Appendix S1).
One hundred and fifty patients with type 2 diabetes who had received insulin treatment and had experienced hypoglycaemia (<70 mg/dl) in the last 6 months were recruited. Data were collected from May 2016-February 2018 using the Knowledge of Hypoglycaemia Scale, Fear of Hypoglycaemia Scale, Social Support Scale and the simplified Taiwanese version of the Quality of Life Scale developed by the World Health Organization.
Factors found to be associated with quality of life in patients with hypoglycaemia included having an educational level of senior high school or above, being on an insulin regimen only, engaging in regular exercise, diabetes complications, fear of hypoglycaemia and greater social support, which accounted for 28.5% of the total variance.
During the process of glycaemic control, patients inevitably experience hypoglycaemic episodes. Therefore, healthcare providers should assist patients with disease management to improve their quality of life. Future studies should also recruit patients who claim to have experienced hypoglycaemic symptoms, rather than considering only those with blood glucose levels below 70 mg/dl, to expand the generalisability of the findings. Future studies may also focus on the management of hypoglycaemia in patients on an insulin regimen, and on examining the effect of health education programmes on prevention of hypoglycaemia.
The present findings could provide a reference for healthcare providers to consolidate nursing care guidelines and to improve such patients' quality of life.
确定经历过低血糖并正在接受胰岛素治疗的患者生活质量的决定因素。
接受胰岛素治疗的糖尿病患者发生低血糖的风险较高，这往往会影响他们的生活质量。
采用横断面和观察性研究设计（请参阅 STROBE 清单和附录 S1）。
招募了 150 名患有 2 型糖尿病且在过去 6 个月内经历过低血糖（<70mg/dl）并接受胰岛素治疗的患者。数据于 2016 年 5 月至 2018 年 2 月期间通过低血糖知识量表、低血糖恐惧量表、社会支持量表和世界卫生组织开发的简化台湾版生活质量量表收集。
与低血糖患者生活质量相关的因素包括具有高中以上学历、仅接受胰岛素治疗、定期运动、糖尿病并发症、低血糖恐惧和更多的社会支持，这些因素占总方差的 28.5%。
在血糖控制过程中，患者不可避免地会经历低血糖发作。因此，医护人员应协助患者进行疾病管理，以提高其生活质量。未来的研究还应招募自称经历过低血糖症状的患者，而不仅仅是考虑血糖水平低于 70mg/dl 的患者，以扩大研究结果的普遍性。未来的研究也可以专注于胰岛素治疗患者的低血糖管理，并研究健康教育计划对预防低血糖的影响。
本研究结果可为医护人员提供参考，以巩固护理指南，并提高此类患者的生活质量。
