关键词: 低血糖感知受损, 低血糖, 影响因素分析, 糖尿病，1型, 糖尿病，2型, 护理

Abstract:

Objective To investigate the hypoglycemic awareness status of insulin-treated people with diabetes and to analyze its influencing factors. Methods A total of 251 individuals with insulin-treated diabetes in the endocrine wards and diabetic physical examination centres of 2 comprehensive hospitals in Anhui Province were recruited as respondents from June to September 2022. General information questionnaire，Gold score and Clarke questionnaire，Edinburgh symptom scale，attitudes to awareness of hypoglycemia questionnaire，hypoglycemia confidence questionnaire and ways of coping questionnaire were used for assessment. Multivariate regression analysis was used to investigate the independent influences on hypoglycemia awareness，based on the results of univariate and correlation analyses. Results The prevalence of impaired awareness of hypoglycemia（IAH） ranged from 28.7% to 31.5%. Regression analysis showed that hypoglycemic symptom experience，hypoglycemic confidence and attitudes to awareness of hypoglycemia contributed independently to IAH（P<0.001），in total accounting for 44.3% of the variation in hypoglycemia awareness. Conclusion The hypoglycemic awareness state in diabetes is influenced by a combination of factors and deserves further attention and research. Healthcare providers should focus on identifying and quantifying hypoglycemic awareness states and assessing hypoglycemic symptoms，guiding or modifying individuals to form correct hypoglycemic cognitive beliefs，and helping patients improve their hypoglycemic coping skills and ultimately to reverse IAH outcomes.

Key words: Impaired Awareness of Hypoglycemia, Hypoglycemia, Root Cause Analysis, Diabetes Mellitus，Type 1, Diabetes Mellitus，Type 2, Nursing Care