Benioudakis Emmanouil S, Georgiou Evangelos D, Barouxi Eirini D, Armagos Athanasios M, Koutsoumani Vaia, Anastasiou-Veneti Faidra, Koutsoumani Eleni, Brokalaki Maria
Department of Psychology, University of Crete, Rethimno, Greece.
Psychiatric Clinic, General Hospital of Chania, Chania, Greece.
Diabetol Int. 2020 Nov 16;12(2):217-228. doi: 10.1007/s13340-020-00477-z. eCollection 2021 Apr.
The aims of this study are to evaluate any differences in the Quality of life among Continuous Subcutaneous Insulin Infusion (CSII) and Multiple Dose Injection (MDI) insulin delivery, applying the Diabetes Quality of life Brief Clinical Inventory (DQoL-BCI) questionnaire, and assess the diabetes management strategies between the two groups.
One hundred and ten adult participants (male/female ratio 1:2.7) with type 1 diabetes were recruited in this online survey. Forty-eight of them were using CSII and the rest 62 (were using) MDI insulin delivery. A 23-item socio-demographic/diabetes management strategies questionnaire and the 15-item DQoL-BCI were administered.
CSII users scored statistically, significantly better at the satisfaction treatment subscale ( = 0.032) of the DQoL-BCI and emerged that they were implemented more management strategies such as dietician guidance services ( = 0.002), carbohydrate education seminars ( = 0.03). Predictive factors were also detected regarding the HbA < 7% (53 mmol/mol) and β-coefficients in relation to DQoL-BCI questionnaire with the subscales of a negative impact and satisfaction treatment.
Diabetes self-management education plays a key role to a better compliance with the treatment. Client-centered multidisciplinary centers in T1DM education are essential so that they be applicable for all T1DM patients irrespective of the type of insulin delivery they used.
本研究旨在应用糖尿病生活质量简明临床问卷(DQoL-BCI)评估持续皮下胰岛素输注(CSII)和多次皮下注射(MDI)胰岛素给药方式在生活质量上的差异,并评估两组之间的糖尿病管理策略。
本在线调查招募了110名1型糖尿病成年参与者(男女比例为1:2.7)。其中48人使用CSII,其余62人使用MDI胰岛素给药方式。发放了一份包含23个项目的社会人口统计学/糖尿病管理策略问卷和15个项目的DQoL-BCI问卷。
CSII使用者在DQoL-BCI的治疗满意度子量表上得分在统计学上显著更高(P = 0.032),且发现他们实施了更多的管理策略,如营养师指导服务(P = 0.002)、碳水化合物教育研讨会(P = 0.03)。还检测到与糖化血红蛋白<7%(53 mmol/mol)以及与DQoL-BCI问卷中具有负面影响和治疗满意度子量表相关的β系数的预测因素。
糖尿病自我管理教育对更好地依从治疗起着关键作用。1型糖尿病教育中以患者为中心的多学科中心至关重要,以便适用于所有1型糖尿病患者,无论他们使用何种胰岛素给药方式。