瞬感扫描式葡萄糖监测系统在2型糖尿病患者中应用影响的质性研究

A qualitative study on the application impact of flash glucose monitoring system in patients with type 2 diabetes

目的探讨瞬感扫描式葡萄糖监测(FGM)系统在2型糖尿病患者中的应用及对患者的影响,为改善2型糖尿病患者血糖管理提供参考。方法采用质性研究方法,目的抽样法选取2023年12月至2024年2月于南京医科大学附属南京医院南京市第一医院接受FGM的2型糖尿病患者为访谈对象,采用半结构式访谈法一对一深入访谈,采用主题分析法对资料整理分析,识别和提炼主题。结果共纳入访谈对象15例,其中男7例,女8例,年龄(61.27±14.07)岁。访谈结果共提炼5个主题:佩戴FGM系统后患者的行为改变(包括患者的血糖监测、饮食、运动及服药行为的改变);FGM系统提高了血糖监测的便捷性和舒适性;FGM系统有效提升患者的安全感;医务人员的建议影响患者佩戴FGM系统的意愿;价格因素影响患者定期佩戴FGM系统的意愿。结论FGM系统在2型糖尿病患者管理中扮演着重要角色,改善了患者自我管理行为和血糖监测体验,提高了患者安全感;医务人员在患者疾病管理决策中发挥重要作用;但价格是制约患者定期佩戴的重要因素,应通过多方面努力提高FGM系统的普及性。

ObjectiveTo explore the application of flash glucose monitoring(FGM)system in patients with type 2 diabetes and its impact on patients,and to provide reference for improving blood glucose management in patients with type 2 diabetes.MethodsQualitative research method was adopted.Purposive sampling was used to select patients with type 2 diabetes who received FGM in Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing First Hospital from December 2023 to February 2024 as interview subjects.Semi-structured interview method was conducted for one-to-one in-depth interview,and thematic analysis was used to sort out and analyze data,identify and refine themes.ResultsA total of 15 interviewees were included,including 7 males and 8 females,aged(61.27±14.07)years.The interview results were summarized into five themes:behavioral changes of wearing FGM system(including changes of patients′blood glucose monitoring,diet,exercise and medication behaviors);FGM system improves the convenience and comfort of blood glucose monitoring;FGM system can effectively improve patients′sense of security;the advice of medical staff affects the willingness of patients to wear FGM system;price factors affect patients′willingness to wear FGM systems on a regular basis.ConclusionsThe FGM system plays an important role in the management of patients with type 2 diabetes,improving patients′self-management behavior and blood glucose monitoring experience,and improving patients′sense of security.Medical personnel play an important role in the decision-making of patient disease management.However,price is an important factor restricting patients to wear regularly,and efforts should be made to improve the popularity of FGM system.