Conceptual Analysis of Fear of Hypoglycemia in Diabetic Patients

This study aims to clarify the definition and connotation of hypoglycemia fear in diabetic patients. A systematic search of Chinese and English databases was performed, and Walker and Avant's classic concept analysis method was employed to analyze the concept of hypoglycemia fear. A total of 43 articles were included. Hypoglycemia fear consists of three attributes: excessive coping behaviors, concern about adverse consequences, and negative emotions. The antecedent factors include general demographic factors, disease-related factors, and a history of hypoglycemia. Include self-management ability, quality of life, self-efficacy, and treatment adherence. The concept analysis method clarified the attributes, antecedent factors, and outcomes of hypoglycemia fear, providing a valuable reference for the development of future hypoglycemia fear assessment tools and intervention studies.