Department of Internal Medicine Nursing, Akdeniz University Faculty of Nursing, Antalya, Turkey.
J Clin Nurs. 2021 Jun;30(11-12):1773-1786. doi: 10.1111/jocn.15736. Epub 2021 Mar 17.
The aim of this study was to determine the compliance with treatment and fear of hypoglycaemia in patients with type 2 diabetes.
One of the important problems of patients is the fear of hypoglycaemia and compliance with treatment, which impairs general health and quality of life. It is believed that nurses contribute to the improvement of compliance with treatment in patients with type 2 diabetes, a decrease in hypoglycaemia rates.
This study was conducted as a descriptive study. The STROBE checklist was used.
The study was carried out with 376 patients with type 2 diabetes between January and June 2019. The Patient Information Form, Type 2 Diabetes Mellitus Treatment Patient Compliance Scale and Hypoglycemia Fear Survey applied and SAS 9.4 package program was used for statistical analysis. Data were evaluated using descriptive statistics, t test, chi-square and variation analysis.
It was determined that 58.2% of the participants were female, mean age was 62.19 ± 9.60, 57.7% were primary school graduates, 50.3% were using oral antidiabetic, and 34.5% were using oral antidiabetic and insulin. Patients' compliance with treatment was moderate (60.9%). According to the mean score of the Hypoglycemia Fear Survey, the patients had a low level of fear of hypoglycaemia ( = 1.20). There was a statistically significant difference between compliance and fear of hypoglycaemia and education, economic status, self-monitoring of blood glucose, physical activity and education about diabetes (p < .05). Patients with type 2 diabetes had decreased compliance with treatment with increased fear of hypoglycaemia (p < .05).
The participants' compliance with the treatment was moderate, and the fear of hypoglycaemia mean score was low. Nursing interventions should be planned to increase compliance with treatment and reduce the fear of hypoglycaemia in patients with type 2 diabetes.
Assessing the fear of hypoglycaemia and the level of compliance with treatment by healthcare professionals, especially nurses, in patients with type 2 diabetes and providing education on this subject can be helpful in reducing the fear of hypoglycaemia, increasing treatment compliance and providing optimal glycaemic control.
本研究旨在确定 2 型糖尿病患者的治疗依从性和对低血糖的恐惧程度。
患者的一个重要问题是对低血糖的恐惧和对治疗的依从性，这会损害整体健康和生活质量。人们认为，护士有助于提高 2 型糖尿病患者的治疗依从性，降低低血糖发生率。
本研究为描述性研究。使用 STROBE 清单。
本研究于 2019 年 1 月至 6 月期间对 376 例 2 型糖尿病患者进行了研究。应用患者信息表、2 型糖尿病患者治疗依从性量表和低血糖恐惧调查量表，并使用 SAS 9.4 软件包程序进行统计分析。数据采用描述性统计、t 检验、卡方检验和方差分析进行评估。
研究对象中 58.2%为女性，平均年龄为 62.19±9.60 岁，57.7%为小学及以下学历，50.3%使用口服降糖药，34.5%使用口服降糖药和胰岛素。患者的治疗依从性为中等水平（60.9%）。根据低血糖恐惧调查量表的平均分，患者对低血糖的恐惧程度较低（ = 1.20）。治疗依从性和对低血糖的恐惧程度与教育程度、经济状况、自我血糖监测、体力活动和糖尿病教育等因素存在统计学差异（p <.05）。2 型糖尿病患者随着对低血糖的恐惧程度增加，治疗依从性降低（p <.05）。
参与者的治疗依从性中等，对低血糖的恐惧平均得分较低。应计划护理干预措施，以提高 2 型糖尿病患者的治疗依从性，降低对低血糖的恐惧。
医护人员（特别是护士）评估 2 型糖尿病患者对低血糖的恐惧程度和治疗依从性，并就这一主题提供教育，有助于降低对低血糖的恐惧，提高治疗依从性，实现最佳血糖控制。
