1. Hunan University of Chinese Medicine, Changsha 410208, China; 2. Hunan Provincial People's Hospital/ The First Affiliated Hospital of Hunan Normal University, Changsha 410005, China
Abstract:Objective To analyze the relationship between hypoglycemic fear, emotional intelligence and resilience in patients with type 2 diabetes (T2DM). Methods 186 patients with T2DM who experienced hypoglycemia were randomly selected from the Endocrinology Department of Hunan Provincial People's Hospital from April 2021 to April 2022. Questionnaires for general information, hypoglycemia fear scale II (CHFS II), emotional intelligence scale (WLEIS) and psychological resilience scale (CD-RISC) were distributed to the research subjects to investigate the general information, hypoglycemia fear, emotional intelligence of the patients, psychological resilience. To analyze the correlation of hypoglycemia fear with emotional intelligence and psychological resilience in T2DM patients. Results The total scores of CHFSⅡ, WLEIS and CD-RISC of 186 T2DM patients were (45.05±7.49), (60.68±7.15), and (53.38±6.73), respectively. The scores of CHFS Ⅱ, WLEIS and CD-RISC scales of T2DM patients with different age, education, work status and course of disease were significantly different (P<0.05). Pearson correlation analysis showed that T2DM patients' emotional control score (r=-0.534), self-emotional perception score (r=-0.581), emotional use score (r=-0.521), others' emotional perception score (r=-0.489), WLEIS total score (r=-0.545), tenacity score (r=-0.583), optimism score (r=-0.562), strength score (r=-0.541) The total score of CD-RISC (r=- 0.568) was negatively correlated with the total score of CHFS II (P<0.05). The results of multiple linear regression analysis showed that age, education level, course of disease, WLEIS total score and CD-RISC total score were the influencing factors of hypoglycemic fear in T2DM patients (P<0.05). Conclusion The T2DM patients admitted to our hospital have different degrees of fear of hypoglycemia, and both emotional intelligence and psychological resilience are related to it. By improving the level of emotional intelligence and psychological resilience, the fear of hypoglycemia in T2DM patients can be improved.
[1] Khosla S, Samakkarnthai P, Monroe DG, et al.Update on the pathogenesis and treatment of skeletal fragility in type 2 diabetes mellitus[J]. Nat Rev Endocrinol, 2021, 17(11): 685-697. [2] Li S, Fang L, Lee A, et al.The association between diabetes-related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross-sectional descriptive study[J]. Nurs Open, 2021, 8(4): 1668-1677. [3] Dehghankar L, Namdar P, Yekefallah L, et al.The Effect of Peers Support on Fear of Hypoglycemia in Iranian Patients with Type 1 Diabetes: A Clinical Trial Study[J]. Iran J Nurs Midwifery Res, 2021, 26(2): 162-167. [4] Moradi F, Tourani S, Ziapour A, et al.Emotional Intelligence and Quality of Life in Elderly Diabetic Patients[J]. Int Q Community Health Educ, 2021, 42(1): 15-20. [5] Yao X, Zhang L, Du J, et al.Effect of Information-Motivation-Behavioral Model Based on Protection Motivation Theory on the Psychological Resilience and Quality of Life of Patients with Type 2 DM[J]. Psychiatr Q, 2021, 92(1): 49-62. [6] Bao H.Relationship among Family Support, Mental Resilience and Diabetic Distress in Patients with Type 2 Diabetic Mellitus during COVID-19[J]. Iran J Public Health, 2021, 50(8): 1648-1657. [7] Aschner PM, Muñoz OM, Girón D, et al.Clinical practice guideline for the prevention, early detection, diagnosis, management and follow up of type 2 diabetes mellitus in adults[J]. Colomb Med (Cali), 2016, 47(2): 109-31. [8] 晏曼, 赵莹, 牛瑞, 等. 中青年2型糖尿病患者家庭亲密度和适应性与低血糖恐惧感相关性分析[J]. 广西医学, 2021, 43(10): 1274-1277. [9] 王叶飞. 情绪智力量表中文版的信效度研究[D].长沙: 中南大学,2010. [10] Connor KM, Davidson JR.Development of a new resilience scale the Connor-Davidson Resilience Scale (CD-RISC)[J]. Depress Anxiety, 2003, 18(2): 76-82. [11] 雷阳, 张静平. 中文版Connor-Davidson心理弹性量表在糖尿病患者中的信效度研究[J]. 中国全科医学, 2016, 19(10): 1188-1193. [12] 李双, 胡旭, 陈雨晴, 等.2型糖尿病病人低血糖恐惧感, 心理痛苦及自我管理的相关性[J]. 护理研究, 2021, 35(7): 1140-1144. [13] Yuksel M, Bektas H.Compliance with treatment and fear of hypoglycaemia in patients with type 2 diabetes[J]. J Clin Nurs, 2021, 30(12): 1773-1786. [14] Sun H, Wang S, Wang W, et al.Correlation between emotional intelligence and negative emotions of front-line nurses during the COVID-19 epidemic: A cross-sectional study[J]. J Clin Nurs, 2021, 30(3-4): 385-396. [15] Lee HA, Jang KS.Do depression, anxiety, emotional intelligence, and sleep quality affect diabetes management self-efficacy in Korean women with gestational diabetes in pregnancy?: a descriptive correlational study[J]. Korean J Women Health Nurs, 2021, 27(4): 358-367. [16] 黄子津, 王新宇, 韩侨, 等. 心理弹性在中老年2型糖尿病患者社会支持与述情障碍间的中介效应[J]. 中国慢性病预防与控制, 2020, 28(10): 774-777.