老年糖尿病患者初次使用实时动态血糖监测体验的质性研究  

Experience of real-time continuous glucose monitoring for the first time in elderly patients with diabetes:a qualitative study

作　　者：屈小伶 张晓颖[1] 李媛媛 王丽娜 刘岩[1] 李小娇 张炜[1] Qu Xiaoling;Zhang Xiaoying;Li Yuanyuan;Wang Lina;Liu Yan;Li Xiaojiao;Zhang Wei(Department of Medical Insurance,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院医保内科,北京100050

出　　处：《中华现代护理杂志》2024年第2期211-215,共5页Chinese Journal of Modern Nursing

摘　　要：目的通过质性研究探讨老年糖尿病患者初次使用实时动态血糖监测(rt-CGM)的体验。方法采用目的抽样法,选取2022年1—12月于首都医科大学附属北京友谊医院接受rt-CGM的20例老年糖尿病患者为研究对象,采用半结构式、个性化、一对一深入访谈收集资料,以质性研究内容分析法总结访谈资料,提炼并对主题进行解释。结果在本次访谈中,共获得5个主题,其中,动态血糖监测前有2个主题,分别为患者对rt-CGM的认可度高、期望了解血糖波动情况是患者接受rt-CGM的主要目的;动态血糖监测后有3个主题,分别为rt-CGM异常血糖报警会给患者带来消极情绪、患者对使用rt-CGM时仍需每天测4次指尖血血糖的校准方法存在分歧、患者质疑rt-CGM测量数据的准确性。结论老年糖尿病患者愿意接受rt-CGM,但仍存在较多误解。医护人员应从改善心理状态、提高治疗的正确认知、加强护士规范化操作培训等多方面,有针对性地制定护理对策,从而提高患者的治疗依从性,使患者更好地控制血糖。Objective To explore the experience of elderly patients with diabetes after the first use of real-time continuous glucose monitoring(rt-CGM)through qualitative research.Methods From January to December 2022,20 elderly patients with diabetes who received rt-CGM in Beijing Friendship Hospital Affiliated to Capital Medical University were selected as the research object with objective sampling.Semi-structured,personalized,one-to-one in-depth interviews were used to collect data.The qualitative research content analysis method was used to summarize interview data,extract and explain the theme.Results In this interview,a total of five themes were obtained.There were two themes before continuous glucose monitoring,namely high recognition of rt-CGM by patients and the expectation of understanding blood glucose fluctuations,which was the main purpose for patients to receive rt-CGM.After continuous glucose monitoring,there were three themes,namely,the negative emotions caused by abnormal blood glucose alarms during rt-CGM,disagreements among patients regarding the calibration method of measuring finger blood glucose four times a day during rt-CGM,and patients questioning the accuracy of rt-CGM data.Conclusions Elderly patients with diabetes are willing to receive rt-CGM,but there are still many misunderstandings.Medical and nursing staff should develop targeted nursing strategies from various aspects such as improving patients'psychological state,enhancing patients'correct understanding of treatment,and strengthening standardized training for nurses,so as to increase patients'treatment compliance and effectively control blood glucose.

关 键 词：糖尿病 老年人 血糖自我监测 动态血糖 质性研究 

分 类 号：R473.5[医药卫生—护理学]