Experience of real-time continuous glucose monitoring for the first time in elderly patients with diabetes: a qualitative study
10.3760/cma.j.cn115682-20230727-00221
- VernacularTitle:老年糖尿病患者初次使用实时动态血糖监测体验的质性研究
- Author:
Xiaoling QU
1
;
Xiaoying ZHANG
;
Yuanyuan LI
;
Lina WANG
;
Yan LIU
;
Xiaojiao LI
;
Wei ZHANG
Author Information
1. 首都医科大学附属北京友谊医院医保内科，北京 100050
- Keywords:
Diabetes mellitus;
Aged;
Blood glucose self-monitoring;
Dynamic glucose;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2024;30(2):211-215
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the experience of elderly patients with diabetes after the first use of real-time continuous glucose monitoring (rt-CGM) through qualitative research.Methods:From January to December 2022, 20 elderly patients with diabetes who received rt-CGM in Beijing Friendship Hospital Affiliated to Capital Medical University were selected as the research object with objective sampling. Semi-structured, personalized, one-to-one in-depth interviews were used to collect data. The qualitative research content analysis method was used to summarize interview data, extract and explain the theme.Results:In this interview, a total of five themes were obtained. There were two themes before continuous glucose monitoring, namely high recognition of rt-CGM by patients and the expectation of understanding blood glucose fluctuations, which was the main purpose for patients to receive rt-CGM. After continuous glucose monitoring, there were three themes, namely, the negative emotions caused by abnormal blood glucose alarms during rt-CGM, disagreements among patients regarding the calibration method of measuring finger blood glucose four times a day during rt-CGM, and patients questioning the accuracy of rt-CGM data.Conclusions:Elderly patients with diabetes are willing to receive rt-CGM, but there are still many misunderstandings. Medical and nursing staff should develop targeted nursing strategies from various aspects such as improving patients ' psychological state, enhancing patients ' correct understanding of treatment, and strengthening standardized training for nurses, so as to increase patients ' treatment compliance and effectively control blood glucose.
