定制 1 型糖尿病患者用于糖尿病治疗的技术类型：患者体验案例系列。
Customizing the Types of Technologies Used by Patients With Type 1 Diabetes Mellitus for Diabetes Treatment: Case Series on Patient Experience.
机构信息
Spin-off Company and Research Results Commercialization Center, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Department of Information and Communication Technologies in Medicine, Faculty of Biomedical Engineering, Czech Technical University in Prague, Kladno, Czech Republic.
出版信息
JMIR Mhealth Uhealth. 2019 Jul 9;7(7):e11527. doi: 10.2196/11527.
BACKGROUND
Despite the fact there are many wearable and mobile medical devices that enable patients to better self-manage their diabetes, not many patients are aware of all the options they have. In addition, there are those who are not fully satisfied with the devices they use, and those who often do not use them effectively.
OBJECTIVE
The study aimed to propose possible changes to the combination of devices used by 6 specific patients for diabetes self-management. We assessed the suitability of selected technical devices for diabetes control.
METHODS
Data of 6 patients (3 men and 3 women) with type 1 diabetes mellitus, who had been using the Diani telemedicine system for at least 3 months, were analyzed. The suitability of selected technical devices for diabetes control was ascertained using the data obtained via the Diani telemedicine system, as well as the patients' subjective feelings and statements, their everyday life habits, and self-management of diabetes. Informed consent was signed and obtained from each of the patients included.
RESULTS
Each of the presented case studies describes how a given patient handled the system and its specific components based on his or her lifestyle, level of education, habits related to diabetes management, personality type, and other factors. At the conclusion of each case study, the best composition of devices for patients with similar personal descriptions was suggested.
CONCLUSIONS
We believe this study can provide relevant guidance on how to help particular patients choose the technology that is best suited for their needs, based on the specific patient information we are able to obtain from them. Furthermore, clinicians or educators should be aware of available technologies a given patient can choose from. In addition, there is a substantial need for proper patient education in order for them to effectively use devices for diabetes self-management.
背景
尽管有许多可穿戴和移动医疗设备可以使患者更好地自我管理糖尿病，但很多患者并不了解他们所有的选择。此外，有些人对他们使用的设备并不完全满意，有些人则经常无法有效地使用它们。
目的
本研究旨在针对 6 名特定糖尿病患者自我管理所使用的设备组合提出可能的改进方案。我们评估了选定的技术设备对糖尿病控制的适用性。
方法
分析了 6 名患有 1 型糖尿病的患者（3 名男性和 3 名女性）的数据，这些患者使用 Diani 远程医疗系统至少 3 个月。通过 Diani 远程医疗系统获得的数据，以及患者的主观感受和陈述、日常生活习惯以及糖尿病自我管理，确定了选定的技术设备对糖尿病控制的适用性。每位纳入的患者均签署并获得了知情同意书。
结果
每个案例研究都描述了特定患者如何根据其生活方式、教育水平、与糖尿病管理相关的习惯、性格类型和其他因素来处理系统及其特定组件。在每个案例研究结束时，根据类似个人描述的患者，建议了最佳的设备组合。
结论
我们相信，本研究可以为帮助特定患者根据我们能够从他们那里获得的特定患者信息选择最适合其需求的技术提供相关指导。此外，临床医生或教育者应该了解患者可以选择的可用技术。此外，需要对患者进行适当的教育，以使他们能够有效地使用糖尿病自我管理设备。
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