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实时连续血糖监测数据与照护者共享的定性分析:共享还是不共享?

A Qualitative Analysis of Real-Time Continuous Glucose Monitoring Data Sharing with Care Partners: To Share or Not to Share?

机构信息

1 University of Utah College of Nursing , Salt Lake City, Utah.

2 Utah Diabetes and Endocrinology Center , Salt Lake City, Utah.

出版信息

Diabetes Technol Ther. 2018 Jan;20(1):25-31. doi: 10.1089/dia.2017.0285. Epub 2017 Nov 20.

Abstract

BACKGROUND

Little research exists regarding how real-time continuous glucose monitoring (RT-CGM) data sharing plays a role in the relationship between patients and their care partners.

OBJECTIVE

To (1) identify the benefits and challenges related to RT-CGM data sharing from the patient and care partner perspective and (2) to explore the number and type of individuals who share and follow RT-CGM data.

METHODS

This qualitative content analysis was conducted by examining publicly available blogs focused on RT-CGM and data sharing. A thematic analysis of blogs and associated comments was conducted.

RESULTS

A systematic appraisal of personal blogs examined 39 blogs with 206 corresponding comments. The results of the study provided insight about the benefits and challenges related to individuals with diabetes sharing their RT-CGM data with a care partner(s). The analysis resulted in three themes: (1) RT-CGM data sharing enhances feelings of safety, (2) the need to communicate boundaries to avoid judgment, and (3) choice about sharing and following RT-CGM data. RT-CGM data sharing occurred within dyads (n = 46), triads (n = 15), and tetrads (n = 2).

CONCLUSIONS

Adults and children with type 1 diabetes and their care partners are empowered by the ability to share and follow RT-CGM data. Our findings suggest that RT-CGM data sharing between an individual with diabetes and their care partner can complicate relationships. Healthcare providers need to engage patients and care partners in discussions about best practices related to RT-CGM sharing and following to avoid frustrations within the relationship.

摘要

背景

关于实时连续血糖监测 (RT-CGM) 数据共享如何影响患者及其护理伙伴之间的关系,相关研究甚少。

目的

(1) 从患者和护理伙伴的角度确定 RT-CGM 数据共享的益处和挑战,(2) 探索共享和跟踪 RT-CGM 数据的个体数量和类型。

方法

本定性内容分析通过检查专注于 RT-CGM 和数据共享的公开博客来进行。对博客和相关评论进行主题分析。

结果

对个人博客进行系统评估,共检查了 39 篇博客,其中包含 206 条相应评论。该研究的结果提供了有关与护理伙伴共享实时连续血糖监测数据的个体的益处和挑战的见解。分析得出三个主题:(1) RT-CGM 数据共享增强了安全感,(2) 需要沟通界限以避免评判,(3) 关于共享和跟踪 RT-CGM 数据的选择。RT-CGM 数据共享发生在二人组 (n = 46)、三人组 (n = 15) 和四人组 (n = 2) 中。

结论

1 型糖尿病患者及其护理伙伴可以通过共享和跟踪 RT-CGM 数据而获得赋权。我们的研究结果表明,1 型糖尿病患者与其护理伙伴之间的 RT-CGM 数据共享可能会使关系变得复杂。医疗保健提供者需要与患者和护理伙伴进行讨论,以确定 RT-CGM 共享和跟踪的最佳实践,避免关系中的挫败感。

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