成人低血糖恐惧评估工具的质量评价

doi:10.3761/j.issn.0254-1769.2024.09.007

摘要/Abstract

摘要：

目的对成人低血糖恐惧的评估工具进行质量评价，为医护人员选择高质量的评估工具提供循证证据。方法检索PubMed、Embase、Web of Science、中国知网、维普数据库、万方数据库、中国生物医学文献数据库，纳入与成人低血糖恐惧评估工具测量学属性评价相关的研究，检索时限为建库至2023年6月2日。2名研究者独立筛选文献及提取数据，利用健康测量工具遴选标准指南，在评价研究工具测量特性及方法学质量的基础上，形成推荐意见。结果该研究共纳入17篇文献，涉及6种成人低血糖恐惧评估工具，均未报告跨文化效度、测量误差及反应度，所有评估工具均予B级推荐。结论 15条目低血糖恐惧量表测量特性评价最为均衡，可暂时被推荐使用，但其测量学特性仍有待进一步验证。

关键词: 低血糖, 恐惧, 评估工具, 质量评价, 循证护理学

Abstract:

Objective To evaluate the quality of hypoglycemia fear assessment tools for adults，so as to provide references for the selection of high-quality research tools. Methods PubMed，Embase，Web of Science，CNKI，VIP，Wanfang，CBM were retrieved to collect the literature on the measurement properties of hypoglycemic fear. There were 2 researchers who screened the literature and extracted data，independently. Based on the consensus-based standards for the selection of health measurement instruments（COSMIN） guideline，the methodological and measure-ment properties quality of the included assessment tools were evaluated by the COSMIN risk of bias checklist and quality criteria. Results A total of 17 studies involving 6 hypoglycemia fear assessment tools for adults were included，none of which reported cross-cultural validity，measurement error，and responsiveness. All assessment tools were recommended by grade B. Conclusion The 15-item Fear of Hypoglycemia Scale（FH-15） has the most comprehensive measurement properties in its evaluation，and can be provisionally recommended for use，but it needs further testing.

Key words: Hypoglycemia, Fear, Assessment Tools, Quality Appraisal, Evidence-Based Nursing

陈丽霞, 施慧, 朱德政, 曾莹. 成人低血糖恐惧评估工具的质量评价[J]. 中华护理杂志, 2024, 59(9): 1072-1079.

CHEN Lixia, SHI Hui, ZHU Dezheng, ZENG Ying. Quality appraisal of hypoglycemia fear assessment tools for adults[J]. Chinese Journal of Nursing, 2024, 59(9): 1072-1079.

图/表 4

图1 PubMed数据库检索策略

Figure 1 Search strategies of PubMed database

表1 纳入评估工具的基本特征（n=17）

Table 1 The basic characteristics of the included assessment tools（n=17）

表2 纳入评估工具的质量评价（方法学/测量属性质量，n=17）

Table 2 Quality evaluation of the included assessment tools（methodological/psychometric properties quality，n=17）

表3 纳入评估工具的证据等级评价及推荐意见（总体评价/证据质量）

Table 3 Evaluation of evidence level of the included assessment tools and the formation of recommendations（overall ratin/evidence quality）

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