摘要
目的了解国内外糖尿病患者低血糖恐惧的研究现况,为后续相关研究提供参考。方法计算机检索PubMed、Embase、The Cochrane Library、CINAHL、中国生物医学文献数据库、中国知网、维普中文科技期刊数据库、万方数据库中相关文献,检索时限为建库至2022年12月,并进行文献筛选和数据提取。结果共纳入28篇文献,分析结果显示国内外研究者界定的糖尿病患者低血糖恐惧概念不同,糖尿病患者低血糖恐惧的影响因素包括一般人口学特征、低血糖因素、治疗因素、心理因素及其他因素等。研究中糖尿病患者应对低血糖恐惧的干预策略主要包括基于理论的护理干预(IMB模型、BCW理论、聚焦解决模式)、针对性护理、中医情志护理、压力接种训练等。结论糖尿病患者低血糖恐惧的概念尚未统一,多种因素对糖尿病患者的低血糖恐惧产生影响,需采取多种形式相结合且适合国情与文化的干预策略。
Objective To understand the research status of fear of hypoglycemia in diabetic patients at home and abroad,so as to provide reference for follow-up related research.Methods PubMed,Embase,The Cochrane Library,CINAHL,China Biology Medicine Disc,China National Knowledge Infrastructure(CNKI),VIP Chinese Science and Technology Journal Database,and Wanfang Database were searched by computer,and the retrieval time was from the establishment of the database to December 2022.Literature screening and data extraction were performed..Results A total of 28 articles were included.The results showed that the concepts of hypoglycemia fear in diabetic patients defined by domestic and foreign researchers were different.The influencing factors of hypoglycemia fear in diabetic patients included general demographic characteristics,hypoglycemia factors,treatment factors,psychological factors and other factors.The intervention strategies for diabetic patients to deal with fear of hypoglycemia in this study mainly included theory-based nursing intervention(IMB model,BCW theory,solution-focused approach),targeted nursing,TCM emotional nursing,stress vaccination training,etc.Conclusion The concept of fear of hypoglycemia in diabetic patients has not been unified.Many factors affect the fear of hypoglycemia in diabetic patients,and it is necessary to adopt a variety of forms of intervention strategies that are suitable for national conditions and culture.
作者
何梦丽
姬卫云
李敏嘉
段宝凤
HE Mengli;JI Weiyun;LI Minjia;DUAN Baofeng(School of Nursing,Yunnan University of Chinese Medicine,Kunming 650500;School of Nursing,Dali University Dali 671000;Department of Nursing,Affiliated Hospital of Yunnan University,Kunming 650032,China)
出处
《中国老年保健医学》
2023年第3期107-112,共6页
Chinese Journal of Geriatric Care
基金
云南省教育厅科学研究基金项目(项目编号:2022Y872)。
关键词
低血糖恐惧
糖尿病
护理
范围综述
Fear of hypoglycemia
Diabetes mellitus
Nursing care
A scoping review
