Marigliano Marco, Mozzillo Enza, Mancioppi Valentina, Di Candia Francesca, Rosanio Francesco Maria, Antonelli Annalisa, Nichelatti Ilaria, Maffeis Claudio, Tumini Stefano, Franceschi Roberto
Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University and Azienda Ospedaliera Universitaria Integrata of Verona, 37126 Verona, Italy.
Department of Translational Medical Science, Section of Pediatrics, Regional Center of Pediatric Diabetes, Federico II University of Naples, 80138 Naples, Italy.
J Pers Med. 2023 Jun 22;13(7):1031. doi: 10.3390/jpm13071031.
In people with type 1 diabetes, Automated Insulin Delivery (AID) systems adjust insulin delivery in response to sensor glucose data and consist of three components: an insulin pump, a continuous glucose sensor, and an algorithm that determines insulin delivery. To date, all the available AID systems require users to announce carbohydrate intake and deliver meal boluses, as well as respond to system alarms. The use of AID devices both initially and over time may be influenced by a variety of psychological factors. Analysis of patient-related outcomes should be taken into account, while recruiting applicants for the systems who are motivated and have realistic expectations in order to prevent AID dropout. We report an up-to-date summary of the available measures and semi-structured interview content to assess AID expectations, acceptance, and satisfaction using the AID systems. In conclusion, we suggest, before and after starting using AID systems, performing a specific evaluation of the related psychological implications, using validated measures and semi-structured interviews, that allows diabetes care providers to tailor their education approach to the factors that concern the patient at that time; they can teach problem-solving skills and other behavioral strategies to support sustained use of the AID system.
在1型糖尿病患者中，自动胰岛素输送（AID）系统根据传感器测得的血糖数据调整胰岛素输送量，该系统由三个部分组成：胰岛素泵、连续血糖传感器以及决定胰岛素输送量的算法。迄今为止，所有可用的AID系统都要求用户告知碳水化合物摄入量并输送餐时大剂量胰岛素，以及对系统警报做出响应。AID设备在最初使用时以及长期使用过程中，其使用情况可能会受到多种心理因素的影响。在招募对该系统有积极性且期望现实的申请人时，应考虑对患者相关结果的分析，以防止停用AID。我们报告了一份最新的可用测量方法和半结构化访谈内容总结，用于评估使用AID系统时的期望、接受度和满意度。总之，我们建议在开始使用AID系统之前和之后，使用经过验证的测量方法和半结构化访谈，对相关心理影响进行具体评估，这使得糖尿病护理人员能够根据当时患者关心的因素调整其教育方法；他们可以教授解决问题的技能和其他行为策略，以支持持续使用AID系统。
