Chaudhary Kalpana, Nepal Jyoti, Thapaliya Shraddha, Banjara Sangam, Shrestha Abha, Shakya Prabin Raj, Shrestha Archana, Rawal Shristi
Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Institute for Implementation Science and Health, Bhaktapur, Nepal.
J Diabetes Metab Disord. 2024 Dec 16;24(1):10. doi: 10.1007/s40200-024-01540-1. eCollection 2025 Jun.
To assess the usability and acceptability of nurse-led telemonitoring in managing gestational diabetes among Nepalese women.
We conducted a convergent mixed-method study among 91 pregnant women diagnosed with gestational diabetes at Dhulikhel Hospital, Nepal. Participants received glucometers and blood pressure monitors, along with training and instructions to measure and record their blood pressure and glucose levels at home once a week. Starting from the 28th gestational week, the study nurse reviewed measurements obtained at home during the biweekly telemonitoring follow ups, alternating with hospital visits. We used the System Usability Scale (SUS) to assess perceived usability and conducted in-depth interviews to understand participants' experiences with telemonitoring and related technologies, including feasibility, acceptability, satisfaction with treatment, usability, as well as any difficulties or unmet needs. The quantitative analysis included descriptive statistics to summarize participant characteristics and System Usability Scale (SUS) responses, while a framework analysis was applied to examine the qualitative data.
The mean SUS score for telemonitoring services was 72.1 ± 7.6, indicating good usability (a score ≥ 68 indicates good usability). 93% of participants wanted to use the service frequently; 88% found it easy to use; 81% considered it well-integrated with their typical prenatal care. Participants acknowledged the benefits of virtual health visits, such as frequent health monitoring, facilitation of communication with healthcare providers, appointment reminders, added motivation for home monitoring, increased access to health information, and prevention of unnecessary anxiety. Overall, participants expressed satisfaction with the quality and features of the nurse-led telemonitoring for managing gestational diabetes, emphasizing its role in ensuring uninterrupted prenatal care.
Telemonitoring is a feasible and acceptable tool to facilitate close monitoring of pregnant women with gestational diabetes in peri-urban hospital settings in Nepal.
评估由护士主导的远程监测在管理尼泊尔妇女妊娠期糖尿病中的可用性和可接受性。
我们在尼泊尔杜利凯尔医院对91名被诊断为妊娠期糖尿病的孕妇进行了一项收敛性混合方法研究。参与者收到了血糖仪和血压计，并接受了培训和指导，以便每周在家测量和记录一次血压和血糖水平。从妊娠第28周开始，研究护士在每两周一次的远程监测随访期间审查在家中获得的测量数据，并与医院就诊交替进行。我们使用系统可用性量表（SUS）来评估感知可用性，并进行深入访谈以了解参与者对远程监测及相关技术的体验，包括可行性、可接受性、对治疗的满意度、可用性以及任何困难或未满足的需求。定量分析包括描述性统计，以总结参与者特征和系统可用性量表（SUS）的回答，同时应用框架分析来检查定性数据。
远程监测服务的平均SUS评分为72.1±7.6，表明可用性良好（分数≥68表明可用性良好）。93%的参与者希望经常使用该服务；88%的人认为它易于使用；81%的人认为它与他们的典型产前护理很好地整合在一起。参与者认可虚拟健康访视的好处，如频繁的健康监测、便于与医疗保健提供者沟通、预约提醒、增加家庭监测的动力、增加获取健康信息的机会以及预防不必要的焦虑。总体而言，参与者对由护士主导的管理妊娠期糖尿病的远程监测的质量和功能表示满意，强调其在确保不间断产前护理方面的作用。
远程监测是一种可行且可接受的工具，有助于在尼泊尔城市周边医院环境中密切监测妊娠期糖尿病孕妇。
