Barriers and solutions for the management of severe hypoglycaemia in people with diabetes in Spain: A Delphi survey

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2024-02-01 DOI:10.1016/j.pcd.2023.11.007

Domingo Orozco-Beltrán , Adriana López Pineda , José Antonio Quesada , Esther Artime , Silvia Díaz-Cerezo , Jennifer Redondo-Antón , Miriam Rubio-de Santos , Erik Spaepen , María Concepción Carratala Munuera

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引用次数: 0

Abstract

Background and objective

Severe hypoglycaemia (SH) imposes a significant burden for people with diabetes (PwD), their caregivers (CGs), and the healthcare system. The study aimed to identify barriers and solutions in the management of SH in PwD in Spain, gathering consensus from physicians and nurses.

Material and methods

Expert opinion from physicians and nurses who manage PwD was collected via a 2-round online Delphi method. Consensus was predefined as ≥ 70% of the panellists agreeing or disagreeing with the statement.

Results

Physicians (n = 25) and nurses (n = 17) reached ≥ 90% consensus on the following barriers for the management of SH: absence of symptoms, cost to the health system, lack of implementation of glucose monitoring devices, lack of patient training to identify and manage SH, and the fear of SH in children and CGs. Main solutions, identified with ≥ 70% consensus, included training, education, and psychological support using diabetes nurse educators and the use of new glucose monitoring technologies and applications.

Conclusions

This study provides valuable insights on the barriers and solutions in the management of SH in Spain. Structured self-management training, the support of diabetes educators, and the use of insulin delivery devices and glucose monitoring technologies is required for the management of SH.

查看原文本刊更多论文

西班牙糖尿病患者严重低血糖管理的障碍和解决方案:德尔菲调查。

背景和目的:严重低血糖(SH)给糖尿病患者(PwD)、他们的护理者(CGs)和医疗保健系统带来了巨大的负担。该研究旨在确定西班牙PwD中SH管理的障碍和解决方案，收集医生和护士的共识。材料和方法:通过2轮在线德尔菲法收集处理PwD的医生和护士的专家意见。共识被预先定义为≥70%的小组成员同意或不同意该陈述。结果:医生(n = 25)和护士(n = 17)对SH管理的以下障碍达成了≥90%的共识:无症状，卫生系统的成本，缺乏血糖监测设备的实施，缺乏患者识别和管理SH的培训，以及儿童和cg对SH的恐惧。主要解决方案，确认≥70%的共识，包括培训，教育和心理支持使用糖尿病护士教育和使用新的血糖监测技术和应用。结论:本研究提供了有价值的见解的障碍和解决方案，在西班牙的SH管理。糖尿病管理需要结构化的自我管理培训、糖尿病教育者的支持、胰岛素输送装置和血糖监测技术的使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.