低血糖感知受损病人心理行为适应过程的 质性研究.
Objective: To explore the psychological and behavioral adaptation process of patients with impaired awareness of hypoglycemia(IAH) regarding their lack of symptom perception,identify key stage characteristics,and to construct an adaptation model to provide a theoretical basis for formulating interve...
| Publicado en: | Chinese Nursing Research Vol. 40; no. 15; pp. 2695 - 2702 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Chinese Nursing Research Editorial Office
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | Objective: To explore the psychological and behavioral adaptation process of patients with impaired awareness of hypoglycemia(IAH) regarding their lack of symptom perception,identify key stage characteristics,and to construct an adaptation model to provide a theoretical basis for formulating intervention strategies. Methods:Using purposive sampling method,semi-structured interviews were conducted with 18 hospitalized patients with impaired awareness of hypoglycemia in a tertiary grade A hospital in Tianjin from May to June 2025.NVivo 15.0 software was employed for coding and analyzing the interview data. Grounded theory was used to construct a relational model of psychological and behavioral adaptation in patients with impaired awareness of hypoglycemia. Results:The symptom perception characteristics of patients with impaired awareness of hypoglycemia manifested in three types: complete loss of perception, highered perception threshold, and static situational perception loss. The psychological and behavioral adaptation process exhibited dynamic changes through different stages(confusion, conflict, negativity, and reconstruction), encompassing five psychological patterns (ignorance and indifference, confusion and helplessness, fear and anxiety, passive acceptance, and regular adaptation) and six behavioral patterns(lack of strategy, contradictory compensation, inert avoidance, strict monitoring, technology-driven, and experience-driven), with phenomena of leapfrogging and regression between stages. Conclusions: Patients with impaired awareness of hypoglycemia exhibit staged psychological adaptation and behavioral compensation patterns under the state of symptom perception loss. This finding provides a theoretical basis for the development of clinical intervention strategies. 目的:探究低血糖感知受损病人对症状感知缺失心理行为的适应过程，识别关键阶段特征并构建适应模型，为制定干预策略 提供理论依据。方法:采用目的抽样法，于2025 年5 月--6 月选取天津某三级甲等医院18 例低血糖感知受损住院病人进行半结构式 访谈，运用NVivo 15. 0 软件对访谈资料进行编码分析，采用扎根理论方法构建低血糖感知受损病人心理行为适应的关系模型。结 果:低血糖感知受损病人症状感知特征表现为完全性感知丧失、感知阈值升高、静态情境感知缺失3 种类型，其心理行为适应呈现动 态变化过程（困惑期、冲突期、消极期、重构期），涵盖5 种心理模式（无知漠视、困惑无助、恐惧焦虑、被动接纳、规律适应）和6 种行为 模式（策略缺乏、矛盾代偿、惰性回避、严格监控、技术主导、经验驱动），各阶段间存在跨越与回退现象。结论:低血糖感知受损病人 在症状感知缺失状态下呈现阶段性心理适应与行为代偿模式，可为临床干预策略的制定提供理论基础. |
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