关键词:

Abstract: Objective: To design of the fear-behavior scale of hypoglycemia suitable for domestic patients wity type 2 diabetes, and test its reliability and validity. Methods: Based on the theory of knowledge-attitude-belief-practice and social cognitive theory, this article constructed an item pool according to the qualitative interviews with type 2 diabetes patients, the review of foreign scales, literatures and expert opinions. After group discussion, patients’ opinions collection and expert consultation, the test version of the scale was obtained. The scale was tested in 351 type 2 diabetes patients who had hypoglycemia within 6 months by multi-centers purposive sampling method for measuring the scale’s reliability and validity. Results: The validity index of item-level content was 0.84~1.00, the validity index of scale-level content was 0.97. Through the exploratory factor analysis, 3 factors were extracted, named avoidance, caution, and maintain high blood glucose, respectively, which accounted for 46% of the total variance. The test-retested reliability of the scale was 0.924, Cronbach’s α coefficient was 0.845. Conclusion: The self-made fear-behavior scale of hypoglycemia has good reliability and validity, and can be used to evaluate the fear behavior in type 2 diabetes patients, so as to provide the evidence to stuff for the clinical education.

Key words:  Type 2 diabetes mellitus, Hypoglycemia, Fear of hypoglycemia, Reliability, Validity