Experiences of Patients Adopting and Adapting to Closed-Loop Insulin Delivery Systems (CLIDS).

The science of diabetes self-management and care Pub Date : 2023-02-01 DOI:10.1177/26350106221144957

Chrystina Manero

{"title":"Experiences of Patients Adopting and Adapting to Closed-Loop Insulin Delivery Systems (CLIDS).","authors":"Chrystina Manero","doi":"10.1177/26350106221144957","DOIUrl":null,"url":null,"abstract":"Purpose: The purpose of the study was to explore the perspectives and experiences of adults with type 1 diabetes (T1DM) who are currently using the closed-loop insulin delivery system (CLIDS).Methods: Eleven adults with T1DM who used closed-loop insulin pumps for at least 6 months participated in this qualitative descriptive study.Results: Four themes emerged from the rich descriptions: (1) striving for improvement, (2) missing a magic wand effect, (3) seeking support, and (4) barriers to adaptation. These themes represent both process-based and psychosocial implications for nursing practice and patient education.Conclusions: To optimize CLIDS use and outcome, the antecedent conditions that contribute to patients' decision to adopt it must be understood. Then, interventions that focus on setting realistic expectations must be created. Patients need support as they incorporate CLIDS into their T1DM self-management. Training health care providers on the idiosyncrasies of adapting to CLIDS is critical. Patients must learn to relinquish control and trust the machine and manage the anxiety the system's intrusive alarms cause them so they can be better supported cognitively and psychosocially.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":"49 1","pages":"46-54"},"PeriodicalIF":0.0000,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The science of diabetes self-management and care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/26350106221144957","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: The purpose of the study was to explore the perspectives and experiences of adults with type 1 diabetes (T1DM) who are currently using the closed-loop insulin delivery system (CLIDS).

Methods: Eleven adults with T1DM who used closed-loop insulin pumps for at least 6 months participated in this qualitative descriptive study.

Results: Four themes emerged from the rich descriptions: (1) striving for improvement, (2) missing a magic wand effect, (3) seeking support, and (4) barriers to adaptation. These themes represent both process-based and psychosocial implications for nursing practice and patient education.

Conclusions: To optimize CLIDS use and outcome, the antecedent conditions that contribute to patients' decision to adopt it must be understood. Then, interventions that focus on setting realistic expectations must be created. Patients need support as they incorporate CLIDS into their T1DM self-management. Training health care providers on the idiosyncrasies of adapting to CLIDS is critical. Patients must learn to relinquish control and trust the machine and manage the anxiety the system's intrusive alarms cause them so they can be better supported cognitively and psychosocially.

查看原文本刊更多论文

患者采用和适应闭环胰岛素输送系统(CLIDS)的经验

目的:本研究的目的是探讨目前正在使用闭环胰岛素输送系统(CLIDS)的成人1型糖尿病(T1DM)的观点和经验。方法:11名使用闭环胰岛素泵至少6个月的成年T1DM患者参与了这项定性描述性研究。结果:从丰富的描述中出现了四个主题:(1)努力改进，(2)缺少魔杖效应，(3)寻求支持，(4)适应障碍。这些主题代表了护理实践和患者教育的过程基础和心理社会影响。结论:为了优化CLIDS的使用和效果，必须了解导致患者决定采用CLIDS的先决条件。然后，必须创建专注于设定现实期望的干预措施。当患者将CLIDS纳入T1DM自我管理时，他们需要支持。就适应CLIDS的特点对卫生保健提供者进行培训至关重要。病人必须学会放弃对机器的控制，信任机器，控制系统的侵入式警报给他们带来的焦虑，这样他们才能在认知和心理上得到更好的支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

The science of diabetes self-management and care

自引率

0.00%

发文量