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Volume 10, Issue 1 (Winter 2024)
JCCNC 2024, 10(1): 35-44 |
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Hakimi H, Afsaneh Abadi P, Momeni M. Association Between Fear of Hypoglycemia and Treatment Satisfaction Among Patients With Diabetes Mellitus. JCCNC 2024; 10 (1) :35-44
URL: http://jccnc.iums.ac.ir/article-1-489-en.html
URL: http://jccnc.iums.ac.ir/article-1-489-en.html
1- Metabolic Diseases Research Center, Research Institute for Prevention of Non-communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
2- School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
3- Metabolic Diseases Research Center, Research Institute for Prevention of Non-communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran. ,momeni65@gmail.com
2- School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
3- Metabolic Diseases Research Center, Research Institute for Prevention of Non-communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran. ,
Abstract: (829 Views)
Background: Treatment satisfaction is one of the main factors of assessing care quality in patients with chronic diseases. Some factors may influence treatment satisfaction and improve or impair clinical outcomes. This study aimed to determine the relationship between fear of hypoglycemia and satisfaction with treatment in patients with type 2 diabetes treated with oral antidiabetic drugs.
Methods: This cross-sectional study was carried out in one of the hospitals of Qazvin Province, Iran, in 2021. The research sample was 390 patients with type 2 diabetes who used oral antidiabetic drugs, selected through convenience sampling. The data were collected using the hypoglycemic fear survey (HFS) and the diabetes medication satisfaction (DiabMedSat) questionnaire. Then, the obtained data were analyzed using the independent t-test, one-way analysis of variance, and multiple linear regression in SPSS software, version 26. Statistical significance was set at P<0.05.
Results: Patients’ Mean±SD age was 53.4±11.49 years, and most (57.4%) were female. Treatment satisfaction score was lower in females (β=-0.12, P<0.007) and patients with diabetes complications (β=-0.138, P<0.005). Patients with college education had higher treatment satisfaction (β=0.173, P<0.001). Patients with very severe (β=-0.29, P<0.001) or severe hypoglycemia (β=-0.157, P<0.034) experienced lower treatment satisfaction than those with mild hypoglycemia. Low treatment satisfaction scores were associated with fear of hypoglycemia (β=-0.39, P<0.001).
Conclusion: In this study, fear of hypoglycemia was associated with a decreased level of satisfaction with treatment. As a consequence, patients with type 2 diabetes must be assessed for hypoglycemia fears and their adverse effects. Also, to prevent complications caused by not taking antihyperglycemic drugs, nursing managers and clinical nurses are recommended to prepare appropriate programs to implement psychological interventions to reduce the fear of hypoglycemia.
Methods: This cross-sectional study was carried out in one of the hospitals of Qazvin Province, Iran, in 2021. The research sample was 390 patients with type 2 diabetes who used oral antidiabetic drugs, selected through convenience sampling. The data were collected using the hypoglycemic fear survey (HFS) and the diabetes medication satisfaction (DiabMedSat) questionnaire. Then, the obtained data were analyzed using the independent t-test, one-way analysis of variance, and multiple linear regression in SPSS software, version 26. Statistical significance was set at P<0.05.
Results: Patients’ Mean±SD age was 53.4±11.49 years, and most (57.4%) were female. Treatment satisfaction score was lower in females (β=-0.12, P<0.007) and patients with diabetes complications (β=-0.138, P<0.005). Patients with college education had higher treatment satisfaction (β=0.173, P<0.001). Patients with very severe (β=-0.29, P<0.001) or severe hypoglycemia (β=-0.157, P<0.034) experienced lower treatment satisfaction than those with mild hypoglycemia. Low treatment satisfaction scores were associated with fear of hypoglycemia (β=-0.39, P<0.001).
Conclusion: In this study, fear of hypoglycemia was associated with a decreased level of satisfaction with treatment. As a consequence, patients with type 2 diabetes must be assessed for hypoglycemia fears and their adverse effects. Also, to prevent complications caused by not taking antihyperglycemic drugs, nursing managers and clinical nurses are recommended to prepare appropriate programs to implement psychological interventions to reduce the fear of hypoglycemia.
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• Treatment satisfaction is one of the critical factors of care quality in patients with diabetes mellitus.
• One of the main side effects of treatment with antidiabetic drugs in patients with type 2 diabetes is hypoglycemia, which may cause fear of hypoglycemia in these patients.
• Treatment satisfaction was significantly associated with fear of hypoglycemia in this study.
• Being female, diabetes complications, low education level, and severe or very severe hypoglycemia were associated with lower satisfaction with treatment in patients with type 2 diabetes taking oral antidiabetic drugs.
• One of the main side effects of treatment with antidiabetic drugs in patients with type 2 diabetes is hypoglycemia, which may cause fear of hypoglycemia in these patients.
• Treatment satisfaction was significantly associated with fear of hypoglycemia in this study.
• Being female, diabetes complications, low education level, and severe or very severe hypoglycemia were associated with lower satisfaction with treatment in patients with type 2 diabetes taking oral antidiabetic drugs.
Plain Language Summary
Treatment of diabetes mellitus is a complex process. One of the most important concerns in the treatment of diabetes is maintaining an appropriate level of blood sugar along with preventing hypoglycemic episodes. Following the experience of hypoglycemia, patients may develop a fear of hypoglycemia and, thus, non-adherence to treatment. The findings of the present study indicated that the fear of hypoglycemia is related to a decrease in patients’ satisfaction with treatment. Therefore, the determination of patients at risk of fear of hypoglycemia by health care workers can be effective in improving treatment satisfaction and quality of life of these patients.
Type of Study: Research |
Subject:
Special
Received: 2023/05/26 | Accepted: 2023/09/25 | Published: 2024/01/10
Received: 2023/05/26 | Accepted: 2023/09/25 | Published: 2024/01/10
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