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视力障碍患者糖尿病治疗管理的可及性

Accessibility of Diabetes Therapy Management for Patients with Visual Impairment.

作者信息

Nguyen Cambrey, Lim Lisa, Conard Emily, Nkemdirim Okere Arinze

机构信息

University of Iowa College of Pharmacy.

Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey.

出版信息

Innov Pharm. 2024 Aug 21;15(3). doi: 10.24926/iip.v15i3.6233. eCollection 2024.

Abstract

: According to the Centers for Disease Control, 11.8% of adults diagnosed with diabetes have severe vision difficulty or blindness, a complication of uncontrolled diabetes. The study evaluated the accessibility features of the most commonly used injectable products for diabetes and blood glucose monitors and obtained recommendations from manufacturers regarding use of these products in patients with visual disabilities. Additionally, accessibility of the medication guides was assessed using a checklist and screen reader. : Selection of the most commonly prescribed insulin products, GLP-1 receptor agonist drugs, and blood glucose monitors were identified from the ClinCalc DrugStats database and ADA list. The accessibility features of these products were determined from the medication guides and verification of the information with the manufacturers were done in August 2022. All medication guides were then assessed using a checklist and tested with a screen reader for accessibility. Descriptive statistics were used to report the data. : No injectable products or glucose monitoring systems were fully accessible and manufacturers advised to use the product with caution and/or required assistance from a caregiver or family member. In evaluating the 14 medication guides for accessibility using the checklist, the most common issues were lack of structured headings to help with navigation, no descriptions for images, and tables did not have appropriate headers. : Due to the lack of accessible features on diabetes medical devices and glucose monitoring systems, healthcare professionals can seek alternatives to assist this patient population to effectively manage their therapy.

摘要

根据疾病控制中心的数据,在被诊断患有糖尿病的成年人中,11.8%的人有严重视力困难或失明,这是糖尿病控制不佳的一种并发症。该研究评估了糖尿病最常用注射产品和血糖仪的无障碍功能,并从制造商那里获得了关于这些产品在视力残疾患者中使用的建议。此外,使用清单和屏幕阅读器评估了用药指南的可访问性。:从ClinCalc DrugStats数据库和美国糖尿病协会(ADA)列表中确定了最常用的胰岛素产品、胰高血糖素样肽-1(GLP-1)受体激动剂药物和血糖仪。这些产品的无障碍功能从用药指南中确定,并于2022年8月与制造商核实了信息。然后使用清单评估所有用药指南,并使用屏幕阅读器测试其可访问性。使用描述性统计报告数据。:没有注射产品或血糖监测系统是完全无障碍的,制造商建议谨慎使用该产品和/或需要护理人员或家庭成员的帮助。在使用清单评估14份用药指南的可访问性时,最常见的问题是缺乏有助于导航的结构化标题、没有图像描述以及表格没有适当的标题。:由于糖尿病医疗设备和血糖监测系统缺乏无障碍功能,医疗保健专业人员可以寻求替代方案来帮助这一患者群体有效管理他们的治疗。

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