Mibu Kiyo, Yatabe Tomoaki, Yamasaki Fumiyasu, Kitagawa Hiroyuki, Munekage Masaya, Namikawa Tsutomu, Hanazaki Kazuhiro
Nursing Department, Kochi Medical School Hospital, Kochi, Japan.
J Artif Organs. 2015 Jun;18(2):162-5. doi: 10.1007/s10047-015-0818-0. Epub 2015 Jan 23.
The introduction of a color liquid-crystal display (LCD) on a novel artificial pancreas (STG-55, Nikkiso Co. Ltd. Tokyo, Japan) allowed nurses to more easily monitor changes in patients' blood glucose levels, compared to the previous model (STG-22). This study was conducted to examine the hypothesis that the STG-55 provided nurses with a feeling of security due to the introduction of the LCD screen. A questionnaire survey was conducted 6 months after the STG-55 was introduced (Survey 2012), among intensive care unit (ICU) nurses who had used both the STG-22 and the STG-55 for patient glycemic control. The results were then compared with the results from a questionnaire survey that was conducted after the STG-22 was introduced (Survey 2006). All ICU nurses (n = 19) responded to Survey 2012, and 95% of these nurses had responded to Survey 2006 (n = 19). After the introduction of the STG-22, 11 nurses (58%) reported becoming conscious of anxiety regarding hypoglycemia when they performed conventional glucose control with the sliding scale method. This anxiety awareness increased significantly (19 nurses, 100%; p < 0.01) after the STG-55 was introduced. However, there were no significant differences in the proportion of respondents who requested improvements in the blood withdrawal process. In conclusion, the results of our survey indicate that all ICU nurses became conscious of anxiety regarding the risk of hypoglycemia when using the conventional sliding scale method after the introduction of the STG-55. However, the respondents were not satisfied with the STG-55, due to difficulties encountered during blood withdrawal.
与之前的型号（STG - 22）相比，新型人工胰腺（STG - 55，日本东京日机装株式会社）配备了彩色液晶显示器（LCD），这使得护士能够更轻松地监测患者血糖水平的变化。本研究旨在检验以下假设：由于引入了LCD屏幕，STG - 55为护士提供了一种安全感。在引入STG - 55六个月后（2012年调查），对在患者血糖控制中同时使用过STG - 22和STG - 55的重症监护病房（ICU）护士进行了问卷调查。然后将结果与在引入STG - 22后进行的问卷调查（2006年调查）结果进行比较。所有ICU护士（n = 19）对2012年调查做出了回应，其中95%的护士对2006年调查做出了回应（n = 19）。引入STG - 22后，11名护士（58%）报告在采用传统的血糖滑动控制法时会意识到低血糖焦虑。引入STG - 55后，这种焦虑意识显著增加（19名护士，100%；p < 0.01）。然而，在要求改进采血过程的受访者比例方面没有显著差异。总之，我们的调查结果表明，引入STG - 55后，所有ICU护士在使用传统滑动控制法时都意识到了低血糖风险带来的焦虑。然而，由于采血过程中遇到的困难，受访者对STG - 55并不满意。
