Evidence map›Paper›PMID 42410781›Full record

ArticleMedicine2026

Psychological feelings and behavioral changes in patients with fear of insulin injection and blood glucose monitoring: A qualitative study in China.

Juan Zhang, Xueyu Zhang, Jie Zhou, Jing Yang, Adan Fu

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Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Juan ZhangDepartment of Endocrinology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.ORCID 0009-0001-6251-0802
Xueyu ZhangDepartment of Endocrinology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Jie ZhouDepartment of Endocrinology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Jing YangDepartment of Endocrinology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Adan FuDepartment of Nursing, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.ORCID 0009-0001-5355-9292

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The fear associated with insulin injections and blood glucose monitoring is often overlooked in clinical practice. Although patients are fully aware of the importance of insulin injections and blood glucose monitoring, fear can significantly reduce their treatment compliance, and the resulting psychological and behavioral changes may further exacerbate this negative impact. Therefore, it is imperative to employ qualitative research to thoroughly explore the patterns of patients' psychological feelings and behavioral changes. This study aimed to investigate the characteristics of psychological feelings and behavioral changes in patients with a fear of insulin injections and blood glucose monitoring, thereby providing a scientific basis for improving their self-management abilities. This study adopted a phenomenological approach within the framework of qualitative research. The participants were patients with a fear of insulin injections and blood glucose monitoring. Data were collected through semi-structured, face-to-face, in-depth interviews and analyzed using Colaizzi's 7-step analysis method combined with microanalysis. Four themes emerged that reflected the psychological feelings and behavioral manifestations of patients with a fear of insulin injections and blood glucose monitoring: "worry-fear and behavioral imbalance," "denial-resistance and activation of defense mechanisms," "anxiety-irritability and depletion of self-efficacy," and "compromise-acceptance and establishment of adaptive behaviors." The emotional states of patients with a fear of insulin injections and blood glucose monitoring exhibited regular phase changes, each accompanied by corresponding behavioral characteristics. Therefore, in clinical practice, medical educators should develop differentiated intervention and correction strategies based on the emotional and behavioral characteristics of patients in different phases.

Indexed as

Blood Glucose Self-MonitoringFearInsulinAdultAnxietyBlood GlucoseChinaFemaleHumansInjectionsMaleMiddle AgedQualitative ResearchBlood GlucoseInsulinbehavioral characteristicsblood glucose monitoringdiabetesfearinsulin therapypsychological feelingsqualitative study

Identifiers

PMID42410781
PMCPMC13336929

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