Davasgaium Allan, Robbins Timothy, Leca Bianca, Epure Andreea, Sankar Sailesh, Randeva Harpal
Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom.
Warwick Medical School, University of Warwick, Coventry, United Kingdom.
Front Clin Diabetes Healthc. 2025 Jun 3;6:1517161. doi: 10.3389/fcdhc.2025.1517161. eCollection 2025.
While the advantages of flash glucose monitoring, also known as dynamic interstitial glucose monitoring (DIGM), are established in outpatient diabetes care, evidence of its impact within hospital settings remains limited. This study compared the efficiency of use and healthcare staff perception of DIGM monitoring versus traditional finger-prick testing in a simulated hospital environment. Twenty-five healthcare professionals (52% nurses, 48% allied healthcare professionals [AHCPs]) participated in simulated clinical scenarios involving glucose monitoring tasks using a high-fidelity mannequin. Participants performed three tasks: (A) applying a flash sensor, (B) scanning the sensor to obtain a glucose reading, and (C) performing a finger-prick test. Task durations and staff perceptions were assessed, with statistical analyses conducted using Python (version 3). DIGM was significantly faster than finger-prick testing. Sensor application took 75.4 ± 22.4 seconds, flash scanning took 26.4 ± 11.5 seconds, and finger-prick testing required 132.8 ± 37 seconds (p < 0.05 for all comparisons). DIGM saved approximately 106 seconds per glucose check based on these timings. Furthermore, a scenario of 20 readings per hospitalized patient translates to an average of 34.2 minutes saved per patient. While staff with greater experience performed tasks slightly faster, the overall time-saving benefit of DIGM remained substantial across all levels of experience. In addition, survey responses revealed a strong staff preference for DIGM, highlighting perceived benefits in workflow efficiency, patient comfort, and infection control. In conclusion, DIGM was significantly more efficient than finger-prick testing and strongly preferred by clinical staff. These technologies offer time-saving benefits that could improve patient experience, streamline clinical workflows, and potentially enhance diabetes management outcomes.
虽然实时动态葡萄糖监测(也称为动态组织间液葡萄糖监测,DIGM)在门诊糖尿病护理中的优势已得到确立,但其在医院环境中的影响证据仍然有限。本研究在模拟医院环境中比较了DIGM监测与传统指尖采血检测的使用效率和医护人员的看法。25名医护专业人员(52%为护士,48%为专职医护人员[AHCPs])参与了使用高仿真人体模型进行葡萄糖监测任务的模拟临床场景。参与者执行了三项任务:(A)应用实时动态传感器,(B)扫描传感器以获取葡萄糖读数,以及(C)进行指尖采血检测。评估了任务持续时间和工作人员的看法,并使用Python(版本3)进行统计分析。DIGM比指尖采血检测明显更快。传感器应用耗时75.4±22.4秒,实时动态扫描耗时26.4±11.5秒,而指尖采血检测需要132.8±37秒(所有比较的p<0.05)。根据这些时间计算,每次葡萄糖检查DIGM节省约106秒。此外,每位住院患者进行20次读数的情况转化为每位患者平均节省34.2分钟。虽然经验更丰富的工作人员执行任务的速度稍快,但DIGM在所有经验水平上的总体省时效益仍然显著。此外,调查反馈显示工作人员对DIGM有强烈偏好,突出了在工作流程效率、患者舒适度和感染控制方面的感知益处。总之,DIGM比指尖采血检测效率显著更高,且受到临床工作人员的强烈青睐。这些技术具有省时效益,可改善患者体验、简化临床工作流程,并可能提高糖尿病管理效果。