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The association between diabetes-related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross-sectional descriptive study

Li, Shuang; Fang, Li; Lee, Amanda; Hayter, Mark; Zhang, Lu; Bi, Yaxin; Wu, Xiaxin; Liu, Lin; Zhang, Hong; Yuan, Yuan; Gong, Weijuan; Zhang, Yu

Authors

Shuang Li

Li Fang

Lu Zhang

Yaxin Bi

Xiaxin Wu

Lin Liu

Hong Zhang

Yuan Yuan

Weijuan Gong

Yu Zhang



Abstract

Aim: The study aimed to explore the association between diabetes-related distress as a dependent variable and fear of hypoglycaemia as a independent variable in Chinese individuals with type 2 diabetes, which can provide a basis for the development of effective nursing interventions. Design: A cross-sectional descriptive study. Methods: Pre-piloted scales were used to determine whether they experienced fear of hypoglycaemia and whether this impacted upon their management of the disease. From June–October 2019, participants were asked to complete the “hypoglycaemia fear survey” and “diabetes distress scales” to assess levels of fear and distress. Stepwise multivariate regression analysis was applied to reveal relationship between distress as a dependent variable and fear as a independent variable. Covariates included demographic, clinical or lifestyle factors. Results: A total of 258 participants were recruited for the survey, and they were characterized by little or no distress (39.53%), moderate distress (45.35%) and high distress (15.12%). The prevalence of moderate to severe distress in patients was 60.47%. Increased diabetes-related distress was strongly correlated with increased fear of hypoglycaemia and closely associated with the scores of the worry and behaviour subscales. These results indicated that 62.3% of diabetes-related distress may be explained by fear of hypoglycaemia. Conclusion: Increased diabetes-related distress is associated with increased fear of hypoglycaemia in individuals with type 2 diabetes.

Citation

Li, S., Fang, L., Lee, A., Hayter, M., Zhang, L., Bi, Y., …Zhang, Y. (2021). The association between diabetes-related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross-sectional descriptive study. Nursing Open, https://doi.org/10.1002/nop2.800

Journal Article Type Article
Acceptance Date Jan 29, 2021
Online Publication Date Feb 19, 2021
Publication Date Feb 19, 2021
Deposit Date Mar 30, 2021
Publicly Available Date Mar 30, 2021
Journal Nursing Open
Electronic ISSN 2054-1058
Publisher Wiley
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1002/nop2.800
Keywords Distress; Fear of hypoglycaemia; Hypoglycaemia; Nursing; Type 2 diabetes
Public URL https://hull-repository.worktribe.com/output/3728235
Additional Information Received: 2020-08-04; Accepted: 2021-01-29; Published: 2021-02-19

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Publisher Licence URL
https://creativecommons.org/licenses/by-nc-nd/4.0/

Copyright Statement
© 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd.
This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.



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