Delamater A M, Davis S G, Bubb J, Santiago J V, Smith J A, White N H
Diabetes Educ. 1989 Jan-Feb;15(1):56-61. doi: 10.1177/014572178901500115.
Two studies of adolescent patients were conducted to determine their technical skills and utilization of data obtained by self-monitoring of blood glucose (SMBG). In Study 1, direct observations of 58 adolescents revealed an overall SMBG technical accuracy score of 82%. Most frequent errors were not cleaning fingers (45%), not placing blood on strips correctly (21%), and wiping strip at wrong time (14%). Technical performance was inversely correlated with blood glucose concentration, but was unrelated to other variables. In Study 2, a questionnaire was used to determine SMBG practices among 64 adolescents. Although the majority of patients reported doing daily SMBG, most did not record results in logbooks every time or utilize such data for self-management. No significant relationships were found between SMBG behaviors and other variables. We conclude that periodic evaluation and retraining are required for maintenance of SMBG skills and that methods to enhance utilization of SMBG data be developed for this patient population.
开展了两项针对青少年患者的研究，以确定他们自我血糖监测（SMBG）的技术技能以及对所获数据的利用情况。在研究1中，对58名青少年进行直接观察，结果显示SMBG技术准确率总体为82%。最常见的错误是未清洁手指（45%）、未正确将血样置于试纸上（21%）以及在错误时间擦拭试纸（14%）。技术操作与血糖浓度呈负相关，但与其他变量无关。在研究2中，通过问卷调查64名青少年的SMBG操作情况。尽管大多数患者报告每天进行SMBG，但大多数患者并非每次都将结果记录在日志中，也未将此类数据用于自我管理。未发现SMBG行为与其他变量之间存在显著关联。我们得出结论，需要定期评估和再培训以维持SMBG技能，并且应为该患者群体开发提高SMBG数据利用率的方法。
