糖尿病胰岛素治疗病人低血糖恐惧的调查及护理对策

[目的]了解糖尿病胰岛素治疗病人对低血糖的恐惧感现状,提出护理对策。[方法]采用方便抽样方法,抽取186例需要进行胰岛素治疗的糖尿病病人作为研究对象,采用中文版低血糖恐惧调查表(HFSⅡ-WS)对病人进行问卷调查。[结果]186例病人HFSⅡ-WS总分最低分为19分,最高分为73分,中位数为31分(四分位间距,22分~48分);病人担忧程度得分最高前4位单项指标依次为感觉头晕、在公共场合晕倒、有低血糖但感觉不到、睡眠时发生低血糖;病人因为担心低血糖的发生最常采取的措施前4位依次为避免性生活、进食大量零食、身边有人才觉得放心、出门时需要陪同。[结论]糖尿病胰岛素治疗病人存在低血糖恐惧,应采取相应的护理对策,以降低病人的低血糖恐惧感,促进病人积极配合治疗,将血糖控制在合理范围。

Investigation and nursing countermeasures of hypoglycemia fear in patients with insulin therapy

Objective:To investigate the current situation of the hypoglycemia fear in patients with insulin thera-py and to put forward the nursing strategies.Methods:A total of 186 patients with diabetes mellitus who needed insulin therapy were selected by the convenience sampling method and investigated by Chinese Version Hypo-glycemia Fear Survey Ⅱ(HFSⅡ WS).Results:The lowest score of HFSⅡ WS in 186 patients was 19,the highest score was 73 and the median was 31 (interquartile range:22 to 48).The highest four indicators of pa-tients were feel dizzy,faint in public places,low blood sugar but do not feel,hypoglycemia during sleep.The four most frequent countermeasures of patient were avoid sex,eat a large number of snacks,feel ease with accompa-ny,go out with accompany.Conclusion:There is fear of hypoglycemia in diabetic insulin therapy patients.The nursing measures should be taken to reduce the fear of hypoglycemia and promote the patients to cooperate with the treatment actively.The blood glucose should be controlled within a reasonable range.