Canary Islands Health Research Institute Foundation, Fundacion Canaria Instituto de Investigacion Sanitaria de Canarias, Santa Cruz de Tenerife, Spain.
Network for Research on Chronicity, Primary Care, and Health Promotion, Red de Investigacion en Cronicidad Atencion Primaria y Prevencion y Promocion de la Salud, Barcelona, Spain.
Nurs Health Sci. 2024 Dec;26(4):e13177. doi: 10.1111/nhs.13177.
This work provides a synthesis of the perceptions of people with type 1 diabetes mellitus (T1DM) and healthcare professionals about the acceptability, implementation, and equity of continuous subcutaneous insulin infusion (CSII). A qualitative evidence synthesis was carried out. Three online databases (Medline, Embase, and Web of Science) were searched. Qualitative articles which were available in Spanish or English were included. A descriptive thematic synthesis was conducted according to PRISMA and ENTREQ guidelines. Thirty-two references met the inclusion criteria of the study and were included out of an initial 345 identified references. Seven main themes were identified: (a) acceptability, (b) adaptation to the insulin pump, (c) facilitators for the adequate use of insulin pump, (d) variability of acceptability, (e) barriers for the use of insulin pump, (f) feasibility and implementation considerations, and (g) equity. CSII is well accepted by most people with T1DM, with some exceptions. CSII can relieve management burden, increase autonomy and flexibility and improve family relationships. There were multiple perceived barriers to its continued use. Future studies should continue to analyze inequalities in access and use of the CSII.
本研究综合了 1 型糖尿病患者（T1DM）和医疗保健专业人员对连续皮下胰岛素输注（CSII）的可接受性、实施和公平性的看法。进行了定性证据综合。在三个在线数据库（Medline、Embase 和 Web of Science）中进行了检索。纳入了可提供西班牙语或英语版本的定性文章。根据 PRISMA 和 ENTREQ 指南进行了描述性主题综合。从最初确定的 345 篇参考文献中，有 32 篇参考文献符合研究的纳入标准。确定了七个主要主题：（a）可接受性，（b）对胰岛素泵的适应，（c）促进胰岛素泵的合理使用，（d）可接受性的可变性，（e）使用胰岛素泵的障碍，（f）可行性和实施注意事项，（g）公平性。CSII 被大多数 T1DM 患者所接受，但也有一些例外。CSII 可以减轻管理负担，提高自主性和灵活性，并改善家庭关系。但也存在一些持续使用的感知障碍。未来的研究应继续分析 CSII 获得和使用方面的不平等问题。
