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

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...

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Main Authors: Shuang Li, Li Fang, Amanda Lee, Mark Hayter, Lu Zhang, Yaxin Bi, Xiaxin Wu, Lin Liu, Hong Zhang, Yuan Yuan, Weijuan Gong, Yu Zhang
Format: Article
Language:English
Published: Wiley 2021-07-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.800
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author Shuang Li
Li Fang
Amanda Lee
Mark Hayter
Lu Zhang
Yaxin Bi
Xiaxin Wu
Lin Liu
Hong Zhang
Yuan Yuan
Weijuan Gong
Yu Zhang
author_facet Shuang Li
Li Fang
Amanda Lee
Mark Hayter
Lu Zhang
Yaxin Bi
Xiaxin Wu
Lin Liu
Hong Zhang
Yuan Yuan
Weijuan Gong
Yu Zhang
author_sort Shuang Li
collection DOAJ
description 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.
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spelling doaj.art-a18cd5c5ad7c48c585013541eb33d6462022-12-22T03:50:36ZengWileyNursing Open2054-10582021-07-01841668167710.1002/nop2.800The association between diabetes‐related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross‐sectional descriptive studyShuang Li0Li Fang1Amanda Lee2Mark Hayter3Lu Zhang4Yaxin Bi5Xiaxin Wu6Lin Liu7Hong Zhang8Yuan Yuan9Weijuan Gong10Yu Zhang11Department of Nursing Taicang First People's Hospital Suzhou ChinaDepartment of Endocrinology Affiliated Hospital of Yangzhou University Yangzhou ChinaFaculty of Health Sciences University of Hull Hull UKFaculty of Health Sciences University of Hull Hull UKSchool of Nursing Yangzhou University Yangzhou ChinaSchool of Nursing Yangzhou University Yangzhou ChinaSchool of Nursing Yangzhou University Yangzhou ChinaSchool of Nursing Yangzhou University Yangzhou ChinaDepartment of Nursing Taicang First People's Hospital Suzhou ChinaSchool of Nursing Yangzhou University Yangzhou ChinaSchool of Nursing Yangzhou University Yangzhou ChinaSchool of Nursing Yangzhou University Yangzhou ChinaAbstract 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.https://doi.org/10.1002/nop2.800distressfear of hypoglycaemiahypoglycaemianursingtype 2 diabetes
spellingShingle Shuang Li
Li Fang
Amanda Lee
Mark Hayter
Lu Zhang
Yaxin Bi
Xiaxin Wu
Lin Liu
Hong Zhang
Yuan Yuan
Weijuan Gong
Yu Zhang
The association between diabetes‐related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross‐sectional descriptive study
Nursing Open
distress
fear of hypoglycaemia
hypoglycaemia
nursing
type 2 diabetes
title The association between diabetes‐related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross‐sectional descriptive study
title_full The association between diabetes‐related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross‐sectional descriptive study
title_fullStr The association between diabetes‐related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross‐sectional descriptive study
title_full_unstemmed The association between diabetes‐related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross‐sectional descriptive study
title_short The association between diabetes‐related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross‐sectional descriptive study
title_sort association between diabetes related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus a cross sectional descriptive study
topic distress
fear of hypoglycaemia
hypoglycaemia
nursing
type 2 diabetes
url https://doi.org/10.1002/nop2.800
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