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“从一开始我就已经做好了准备”:父母在孩子被诊断为 1 型糖尿病后早期引入连续血糖监测的经历。

'I was ready for it at the beginning': Parent experiences with early introduction of continuous glucose monitoring following their child's Type 1 diabetes diagnosis.

机构信息

Division of Endocrinology, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA, USA.

Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, CA, USA.

出版信息

Diabet Med. 2021 Aug;38(8):e14567. doi: 10.1111/dme.14567. Epub 2021 Apr 21.

Abstract

AIM

This study aimed to capture the experience of parents of youth with recent onset Type 1 diabetes who initiated use of continuous glucose monitoring (CGM) technology soon after diagnosis, which is a new practice.

METHODS

Focus groups and individual interviews were conducted with parents of youth with Type 1 diabetes who had early initiation of CGM as part of a new clinical protocol. Interviewers used a semi-structured interview guide to elicit feedback and experiences with starting CGM within 30 days of diagnosis, and the benefits and barriers they experienced when adjusting to this technology. Groups and interviews were audio recorded, transcribed and analysed using content analysis.

RESULTS

Participants were 16 parents (age 44.13 ± 8.43 years; 75% female; 56.25% non-Hispanic White) of youth (age 12.38 ± 4.15 years; 50% female; 50% non-Hispanic White; diabetes duration 10.35 ± 3.89 months) who initiated CGM 11.31 ± 7.33 days after diabetes diagnosis. Overall, parents reported high levels of satisfaction with starting CGM within a month of diagnosis and described a high level of reliance on the technology to help manage their child's diabetes. All participants recommended early CGM initiation for future families and were committed to continue using the technology for the foreseeable future, provided that insurance covered it.

CONCLUSION

Parents experienced CGM initiation shortly after their child's Type 1 diabetes diagnosis as a highly beneficial and essential part of adjusting to living with diabetes.

摘要

目的

本研究旨在了解近期被诊断为 1 型糖尿病的青少年的父母在诊断后不久开始使用连续血糖监测(CGM)技术的体验,这是一种新的实践。

方法

对根据新的临床方案在诊断后 30 天内早期开始使用 CGM 的 1 型糖尿病青少年的父母进行了焦点小组和个人访谈。访谈者使用半结构化访谈指南,从开始 CGM 并在诊断后 30 天内获得反馈和经验,以及他们在适应这项技术时遇到的益处和障碍。对小组和访谈进行了录音、转录和内容分析。

结果

参与者是 16 名父母(年龄 44.13±8.43 岁;75%女性;56.25%非西班牙裔白人),他们的孩子(年龄 12.38±4.15 岁;50%女性;50%非西班牙裔白人;糖尿病病程 10.35±3.89 个月)在诊断后 11.31±7.33 天开始使用 CGM。总体而言,父母对在诊断后一个月内开始使用 CGM 表示非常满意,并描述了对该技术的高度依赖,以帮助管理孩子的糖尿病。所有参与者都建议未来的家庭尽早开始 CGM,并承诺在可预见的未来继续使用该技术,只要保险涵盖它。

结论

父母在孩子被诊断为 1 型糖尿病后不久就开始使用 CGM,他们认为这是适应糖尿病生活的一个非常有益和必要的部分。

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