1 Department of Internal Medicine, University Hospital Motol , Prague, Czech Republic .
2 Faculty of Transportation Sciences, Czech Technical University , Prague, Czech Republic .
Diabetes Technol Ther. 2018 Aug;20(8):524-530. doi: 10.1089/dia.2018.0095. Epub 2018 Jun 8.
To improve insulin pump therapy results, a special test for patients was devised. The model successfully used to achieve a license to operate different machines was followed.
The test (a practice and a full run, with a time limit) contained 42 questions, each with four optional choices, and could be answered online. Patients could familiarize themselves with the whole question pool first. Patients could repeat a full run attempt if they failed and were offered focused remedial education. The study group composed of adults, 46 females, and 54 males, all treated for type 1 diabetes, 38/100 newly introduced to insulin pump therapy.
Eighty-five of 100 patients successfully completed their first full run attempt (80% or higher correct answers) and 3 of 100 on their second full run attempt; 12 of 100 patients were not able to succeed. The median of the test score was 2 mistakes (range 0-17 mistakes). The most problematic topics were diet and insulin regimens and their application. The crucial factor influencing the test score was the willingness to try practice run(s). Those who practiced had a significantly higher total test score with better results in 5 of 8 tested knowledge domains. Age and diabetes existing >15 years had an impact on the result, too. Both patients' and caregivers' opinions on the test were predominantly positive (or neutral).
The type of test introduced is a good tool for checking a patient's theoretical knowledge and indirectly revealing a patient's level of motivation.
为了提高胰岛素泵治疗的效果，为患者设计了一项特殊的测试。遵循该模型成功获得不同机器操作许可。
测试（练习和完整运行，限时）包含 42 个问题，每个问题有四个可选答案，可在线回答。患者可以先熟悉所有问题。如果患者第一次完整运行尝试失败，可以重复尝试，并提供有针对性的补救性教育。研究组由 100 名成年患者组成，其中 46 名女性，54 名男性，均患有 1 型糖尿病，38/100 为新引入胰岛素泵治疗。
100 名患者中有 85 名成功完成了第一次完整运行尝试（答对 80%或以上），100 名中有 3 名完成了第二次完整运行尝试；100 名中有 12 名未能成功。测试分数的中位数为 2 个错误（范围 0-17 个错误）。最成问题的主题是饮食和胰岛素方案及其应用。影响测试成绩的关键因素是尝试练习运行的意愿。那些练习过的人，总测试分数显著更高，在 8 个测试知识领域中有 5 个领域的成绩更好。年龄和糖尿病存在>15 年也对结果有影响。患者和护理人员对测试的评价主要是积极的（或中立的）。
所介绍的测试类型是检查患者理论知识的良好工具，并间接地揭示患者的动机水平。
