PMID- 37380727
OWN - NLM
STAT- MEDLINE
DCOM- 20230823
LR  - 20230823
IS  - 1432-5233 (Electronic)
IS  - 0940-5429 (Linking)
VI  - 60
IP  - 10
DP  - 2023 Oct
TI  - Identification of factors associated with fear of hypoglycemia using the 
      capability, opportunity, motivation and behavior model in people with type 2 
      diabetes mellitus: a cross-sectional study.
PG  - 1405-1415
LID - 10.1007/s00592-023-02132-w [doi]
AB  - AIMS: To examined the relationship between fear of hypoglycemia and certain 
      variables in people with type 2 diabetes mellitus (T2DM) based on the Capability, 
      Opportunity, Motivation, and Behavior model, combined with the context unique to 
      people with diabetes to provide a basis for developing targeted nursing 
      interventions. METHODS: In this cross-sectional study, 212 people with T2DM were 
      recruited from February 2021 to July 2021. Data were collected using the 
      Hypoglycaemia Fear Survey, Gold score, Patient Assessment of Chronic Illness Care 
      (PACIC) scale and Diabetic Self-Management Attitudes Scale. Multiple linear 
      regression analysis was performed to determine the predictors of fear of 
      hypoglycemia using SPSS 26.0. RESULTS: The mean fear of hypoglycemia score was 
      74.88 +/- 18.28 (range: 37.00-132.00). In people with T2DM, the frequency of blood 
      glucose monitoring, the frequency of hypoglycemia in the past half-year, degree 
      of understanding of hypoglycemia, impaired awareness of hypoglycemia, PACIC, and 
      self-management attitude of diabetes were the influencing factors of fear of 
      hypoglycemia (adjusted R(2) = 0.560, F([21,190]) = 13.800, P < 0.001). These 
      variables explained 56.0% of the variance in the fear of hypoglycemia. 
      CONCLUSIONS: The level of fear of hypoglycemia in people with T2DM was relatively 
      high. In addition to paying attention to the disease characteristics of people 
      with T2DM, medical staff should also pay attention to patients' own perception 
      and handling ability of disease and hypoglycemia, attitude toward self-management 
      behavior and external environment support, all of which have a positive effect on 
      improving the fear of hypoglycemia in people with T2DM, optimizing the 
      self-management level and improving quality of life.
CI  - (c) 2023. Springer-Verlag Italia S.r.l., part of Springer Nature.
FAU - Pang, Juan
AU  - Pang J
AD  - School of Nursing School of Public Health, Yangzhou University, 136 Jiangyang 
      Middle Road, Yangzhou, 225009, Jiangsu Province, China.
FAU - Zhang, Lu
AU  - Zhang L
AD  - School of Nursing School of Public Health, Yangzhou University, 136 Jiangyang 
      Middle Road, Yangzhou, 225009, Jiangsu Province, China.
FAU - Li, Xiangning
AU  - Li X
AD  - School of Nursing School of Public Health, Yangzhou University, 136 Jiangyang 
      Middle Road, Yangzhou, 225009, Jiangsu Province, China.
FAU - Sun, Fenfen
AU  - Sun F
AD  - School of Nursing School of Public Health, Yangzhou University, 136 Jiangyang 
      Middle Road, Yangzhou, 225009, Jiangsu Province, China.
FAU - Qiu, Jiahui
AU  - Qiu J
AD  - School of Nursing School of Public Health, Yangzhou University, 136 Jiangyang 
      Middle Road, Yangzhou, 225009, Jiangsu Province, China.
FAU - Zhao, Yueqi
AU  - Zhao Y
AD  - School of Nursing School of Public Health, Yangzhou University, 136 Jiangyang 
      Middle Road, Yangzhou, 225009, Jiangsu Province, China.
FAU - Wang, Jinping
AU  - Wang J
AD  - Yangzhou University Affiliated Northern Jiangsu People's Hospital, Yangzhou, 
      China.
FAU - Liu, Lin
AU  - Liu L
AD  - School of Nursing School of Public Health, Yangzhou University, 136 Jiangyang 
      Middle Road, Yangzhou, 225009, Jiangsu Province, China.
FAU - Wan, Xiaojuan
AU  - Wan X
AD  - School of Nursing School of Public Health, Yangzhou University, 136 Jiangyang 
      Middle Road, Yangzhou, 225009, Jiangsu Province, China.
FAU - Zhang, Yu
AU  - Zhang Y
AUID- ORCID: 0000-0002-4976-9158
AD  - School of Nursing School of Public Health, Yangzhou University, 136 Jiangyang 
      Middle Road, Yangzhou, 225009, Jiangsu Province, China. yizhangyu@yzu.edu.cn.
LA  - eng
GR  - No. 82100870/National Outstanding Youth Science Fund Project of National Natural 
      Science Foundation of China/
GR  - KYCX22_3574/Graduate Research and Innovation Projects of Jiangsu Province/
PT  - Journal Article
DEP - 20230629
PL  - Germany
TA  - Acta Diabetol
JT  - Acta diabetologica
JID - 9200299
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Humans
MH  - *Diabetes Mellitus, Type 2/complications/therapy
MH  - Cross-Sectional Studies
MH  - Quality of Life
MH  - Motivation
MH  - Blood Glucose Self-Monitoring
MH  - Blood Glucose
MH  - *Hypoglycemia
MH  - Fear
OTO - NOTNLM
OT  - Capability, opportunity, motivation and behavior model
OT  - Fear of hypoglycemia
OT  - Impaired awareness of hypoglycemia
OT  - Medical support
OT  - Self-management attitude
OT  - Type 2 diabetes mellitus
EDAT- 2023/06/29 01:08
MHDA- 2023/08/23 06:42
CRDT- 2023/06/28 23:21
PHST- 2023/03/29 00:00 [received]
PHST- 2023/06/09 00:00 [accepted]
PHST- 2023/08/23 06:42 [medline]
PHST- 2023/06/29 01:08 [pubmed]
PHST- 2023/06/28 23:21 [entrez]
AID - 10.1007/s00592-023-02132-w [pii]
AID - 10.1007/s00592-023-02132-w [doi]
PST - ppublish
SO  - Acta Diabetol. 2023 Oct;60(10):1405-1415. doi: 10.1007/s00592-023-02132-w. Epub 
      2023 Jun 29.