Dehghankar Leila, Namdar Peyman, Yekefallah Leili, Hosseini Narges, Moradi Mahnaz
Department of Nursing, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
Department of Emergency Medicine, Metabolic, Disease Research Center, Qazvin, University of Medical Science, Qazvin, Iran.
Iran J Nurs Midwifery Res. 2021 Mar 5;26(2):162-167. doi: 10.4103/ijnmr.IJNMR_277_19. eCollection 2021 Mar-Apr.
Fear of hypoglycemia is a medical emergency which leads to disrupt individuals' normal lives. Peers support is a hopeful approach to improve diabetes self-care behaviors. This study was conducted to assess the effect of peers support on the fear of hypoglycemia in patients with type 1 diabetes.
This randomized clinical trial study was performed among 60 patients with type 1 diabetes in Qazvin city from September 2019 to October 2020. Patients were assigned to control and intervention groups using a random method. The data collection tools included demographic characteristics and a standard questionnaire for Hypoglycemia Fear Survey (HFS). Patients in the intervention group were trained by skilled peers for 2 months, but those of the control group only received routine hospital training. The data were analyzed by SPSS version 16 and paired and independent -test.
The scores of the fear of hypoglycemia in diabetic patients in the two groups had no significant statistical difference before intervention (t = 0.93, = 0.94). But after the intervention, the independent -test showed that there was a significant difference between the scores of the fear of hypoglycemia in both groups (t = -2.13, = 0.03).
Considering the results of the current study, peer support for diabetic patients is an effective way to reduce the fear of hypoglycemia. Therefore, it is recommended using this training method to train diabetic patients.
低血糖恐惧是一种导致个人正常生活紊乱的医疗紧急情况。同伴支持是改善糖尿病自我护理行为的一种有希望的方法。本研究旨在评估同伴支持对1型糖尿病患者低血糖恐惧的影响。
本随机临床试验研究于2019年9月至2020年10月在加兹温市的60例1型糖尿病患者中进行。采用随机方法将患者分为对照组和干预组。数据收集工具包括人口统计学特征和低血糖恐惧调查（HFS）标准问卷。干预组患者由熟练的同伴进行为期2个月的培训，而对照组患者仅接受常规医院培训。数据采用SPSS 16版进行分析，并进行配对和独立检验。
两组糖尿病患者干预前低血糖恐惧得分无显著统计学差异（t = 0.93，P = 0.94）。但干预后，独立检验显示两组低血糖恐惧得分存在显著差异（t = -2.13，P = 0.03）。
考虑到本研究结果，同伴对糖尿病患者的支持是降低低血糖恐惧的有效方法。因此，建议采用这种培训方法对糖尿病患者进行培训。
