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。
Quality appraisal of hypoglycemia fear assessment tools for adults
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.