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

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