2 型糖尿病成人使用连续血糖监测系统管理糖尿病的障碍和促进因素：定性系统评价方案。

Barriers and facilitators of diabetes management by continuous glucose monitoring systems among adults with type 2 diabetes: a protocol of qualitative systematic review.

机构信息

Adelaide Medical School, The University of Adelaide Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia

School of Health and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

出版信息

BMJ Open. 2021 Oct 29;11(10):e046050. doi: 10.1136/bmjopen-2020-046050.

DOI:10.1136/bmjopen-2020-046050

PMID:34716153

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8559096/

Abstract

INTRODUCTION

Studies suggest that continuous glucose monitors (CGMs) play an important role in the management of diabetes. Although general acceptance has been reported by patients with type 2 diabetes towards the use of CGMs, potential barriers exist like pain due to sensor insertion, accidental removal of the device or adhesive strip, impacts of daily activities, skin reactions to sensor adhesive, etc. This systematic review of qualitative studies aims to explore the perspectives, experiences and narratives of patients and caregivers about CGM use, and its barriers and facilitators.

METHODS AND ANALYSIS

This review will include qualitative studies and cross-sectional and longitudinal cohort studies using open-ended questions, published in English by 30 October 2021. The following electronic databases will be searched: Cochrane Library, PubMed, EMBASE, CINAHL, PsycINFO and Scopus. A search of grey literature will be conducted via an online search of Google Scholar, WorldCat, ClinicalTrials.gov and OpenGrey A combined search strategy using medical subject headings (MeSH), controlled vocabulary and 'free-text' terms will be appropriately revised to suit each database. Primary outcomes will include patient and caregiver perspectives on diabetes management regarding glucose control; living with CGM (quality of life, experience of wearing a CGM); psychological aspects (anxiety, depression, emotional burden); barriers (technical issues, financial issues) to use of CGM and thoughts (interpretation, understanding) on the CGM report. A qualitative meta-synthesis will be conducted employing a systematic literature search of existing literature, quality assessment using study-specific tools and an aggregative thematic synthesis by a multidisciplinary team.

ETHICS AND DISSEMINATION

Ethical approval is not required since this is a systematic review. The results will help improve clinical implementation of CGMs on part of both patients and caregivers.

PROSPERO REGISTRATION NUMBER

CRD42020152211.

摘要

简介

研究表明，连续血糖监测仪（CGM）在糖尿病管理中起着重要作用。尽管 2 型糖尿病患者普遍接受 CGM 的使用，但仍存在一些潜在障碍，如传感器插入引起的疼痛、设备或粘贴带意外脱落、日常活动的影响、传感器粘贴的皮肤反应等。本系统评价旨在探讨患者和护理人员对 CGM 使用的看法、其障碍和促进因素。

方法和分析

本综述将纳入定性研究和使用开放式问题的横断面和纵向队列研究，发表日期截至 2021 年 10 月 30 日，发表语言为英语。将检索以下电子数据库：Cochrane 图书馆、PubMed、EMBASE、CINAHL、PsycINFO 和 Scopus。将通过在线搜索 Google Scholar、WorldCat、ClinicalTrials.gov 和 OpenGrey 进行灰色文献搜索。将使用医学主题词（MeSH）、受控词汇和“自由文本”术语进行组合搜索策略，并适当修改以适应每个数据库。主要结局指标将包括患者和护理人员对血糖控制方面的糖尿病管理的看法；CGM 的使用体验（生活质量、佩戴 CGM 的体验）；心理方面（焦虑、抑郁、情绪负担）；CGM 使用障碍（技术问题、经济问题）；对 CGM 报告的看法。将采用系统文献检索、使用特定研究工具进行质量评估和多学科团队进行综合主题合成的方法进行定性元综合分析。