Nursing Department, Air Force Medical University, No.169 Changle West Road, Xi'an, Shaanxi, 710032, China.
Department of Medical Statistics, School of Preventive Medicine, Air Force Medical University, Xi'an, China.
BMC Psychiatry. 2023 Mar 28;23(1):204. doi: 10.1186/s12888-023-04698-9.
The fear of hypoglycemia in type 2 diabetes mellitus (T2DM) patients with hypoglycemia has seriously affected their quality of life. They are always afraid of hypoglycemia and often take excessive action to avoid it. Yet, researchers have investigated the relationship between hypoglycemia worries and excessive avoiding hypoglycemia behavior using total scores on self-report measures. However, network analysis studies of hypoglycemia worries and excessive avoiding hypoglycemia behavior in T2DM patients with hypoglycemia are lacking.
The present study investigated the network structure of hypoglycemia worries and avoiding hypoglycemia behavior in T2DM patients with hypoglycemia and aimed to identify bridge items to help them correctly treat hypoglycemia and properly deal with hypoglycemia fear.
A total of 283 T2DM patients with hypoglycemia were enrolled in our study. Hypoglycemia worries and avoiding hypoglycemia behavior were evaluated with the Hypoglycemia Fear Scale. Network analyses were used for the statistical analysis.
B9 "Had to stay at home for fear of hypoglycemia" and W12 "I am worried that hypoglycemia will affect my judgment" have the highest expected influences in the present network. In the community of hypoglycemia worries, W17 "I worry about hypoglycemia during sleep" has the highest bridge expected influence. And in the community of avoiding hypoglycemia behavior, B9 "Had to stay at home for fear of hypoglycemia" has the highest bridge expected influence.
Complex patterns of associations existed in the relationship between hypoglycemia worries and avoiding hypoglycemia behavior in T2DM patients with hypoglycemia. From the perspective of network analysis, B9 "Had to stay at home for fear of hypoglycemia" and W12 "I am worried that hypoglycemia will affect my judgment" have the highest expected influence, indicating their highest importance in the network. W17 "I worry about hypoglycemia during sleep" aspect of hypoglycemia worries and B9 "Had to stay at home for fear of hypoglycemia" aspect of avoiding hypoglycemia behavior have the highest bridge expected influence, indicating they have the strongest connections with each community. These results have important implications for clinical practice, which provided potential targets for interventions to reduce hypoglycemia fear and improve the quality of life in T2DM patients with hypoglycemia.
2 型糖尿病（T2DM）患者对低血糖的恐惧严重影响了他们的生活质量。他们总是担心低血糖，并经常采取过度的行动来避免低血糖。然而，研究人员使用自我报告措施的总分研究了低血糖担忧与过度避免低血糖行为之间的关系。但是，缺乏 T2DM 伴低血糖患者低血糖担忧与过度避免低血糖行为的网络分析研究。
本研究旨在探讨 T2DM 伴低血糖患者低血糖担忧和避免低血糖行为的网络结构，以确定有助于他们正确治疗低血糖和正确处理低血糖恐惧的桥梁项目。
共纳入 283 例 T2DM 伴低血糖患者。采用低血糖恐惧量表评估低血糖担忧和避免低血糖行为。采用网络分析进行统计分析。
在当前网络中，B9“因害怕低血糖而不得不呆在家里”和 W12“我担心低血糖会影响我的判断力”具有最高的预期影响。在低血糖担忧社区中，W17“我担心夜间低血糖”具有最高的桥梁预期影响。而在避免低血糖行为社区中，B9“因害怕低血糖而不得不呆在家里”具有最高的桥梁预期影响。
T2DM 伴低血糖患者低血糖担忧和避免低血糖行为之间存在复杂的关联模式。从网络分析的角度来看，B9“因害怕低血糖而不得不呆在家里”和 W12“我担心低血糖会影响我的判断力”具有最高的预期影响，表明它们在网络中具有最高的重要性。W17“我担心夜间低血糖”方面的低血糖担忧和 B9“因害怕低血糖而不得不呆在家里”方面的避免低血糖行为具有最高的桥梁预期影响，表明它们与每个社区的联系最强。这些结果对临床实践具有重要意义，为减少 T2DM 伴低血糖患者的低血糖恐惧和提高生活质量提供了潜在的干预目标。
