Hypoglycemia, a prevalent acute complication among individuals with type 2 diabetes (T2D), manifests with varied symptoms. Those with diabetes who have previously encountered hypoglycemic episodes commonly develop a Fear of Hyperglycemia (FOH). Illness perception (IP) significantly affects self-care behaviors and health outcomes in individuals diagnosed with T2D. This study examined the correlation between IP and FOH among T2D patients and predictors of FOH. The present study employed a descriptive-analytical design. The target population for this investigation comprised patients diagnosed T2D who sought medical care at the clinic and endocrinology departments of a hospital affiliated with Alborz University of Medical Sciences. The data collection period spanned from August 2019 to March 2021. A total of 300 individuals were included in the sample. Questionnaires were administered to measure both IP and FOH. Statistical analysis was conducted to examine the association between IP and FOH, as well as to identify the predictors of FOH. The results of the study indicated a statistically significant relationship between FOH and the mean score of IP among patients with diabetes (p = 0.001, r = 0.393), suggesting a moderate positive correlation between these variables. Additionally, the duration of illness, IP, and level of education were identified as variables that predicted FOH (p < 0.05). The numerous factors that influence FOH in individuals diagnosed with T2D highlight the necessity for strategic planning and training initiatives aimed at enhancing IP and reducing FOH within this specific population. Healthcare providers should prioritize interventions that not only address patients’ concerns but also contribute to the improvement of their overall well-being. By implementing such interventions, healthcare providers can optimize diabetes management strategies and ultimately enhance patient outcomes.

中文翻译：

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II型糖尿病患者对低血糖的恐惧与疾病认知

低血糖是 2 型糖尿病 (T2D) 患者常见的急性并发症，表现为多种症状。那些以前经历过低血糖事件的糖尿病患者通常会产生对高血糖的恐惧（FOH）。疾病感知 (IP) 显着影响诊断为 T2D 患者的自我保健行为和健康结果。本研究探讨了 T2D 患者中 IP 和 FOH 之间的相关性以及 FOH 的预测因子。本研究采用描述性分析设计。本次调查的目标人群包括在厄尔布尔士医科大学附属医院门诊和内分泌科就诊的诊断为 T2D 的患者。数据收集时间跨度为2019年8月至2021年3月。样本总数为300人。进行问卷调查以衡量 IP 和 FOH。进行统计分析以检查 IP 和 FOH 之间的关联，并确定 FOH 的预测因子。研究结果表明，糖尿病患者的 FOH 与 IP 平均评分之间存在统计显着关系（p = 0.001，r = 0.393），表明这些变量之间存在中度正相关。此外，病程、IP 和教育水平被确定为预测 FOH 的变量 (p < 0.05)。影响 T2D 患者 FOH 的众多因素凸显了旨在增强这一特定人群中的 IP 和减少 FOH 的战略规划和培训举措的必要性。医疗保健提供者应优先采取干预措施，不仅要解决患者的担忧，还要有助于改善患者的整体福祉。通过实施此类干预措施，医疗保健提供者可以优化糖尿病管理策略并最终改善患者的治疗效果。