患者满意度专业连续血糖监测在不同的家庭医学诊所:试点研究。

James E Hougas, Heidi R Nichol, Katherine Montag Schafer
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引用次数: 0

摘要

初级保健提供者(pcp)管理很大一部分糖尿病患者。连续血糖监测(CGM)可以提供详细的血糖趋势信息,以改善治疗和安全性。我们进行了一项前瞻性队列试验研究,以了解在大量不同的非英语人士的初级保健实践中使用专业CGM的患者体验。符合条件的患者接受胰岛素治疗,要么A1c高于目标,要么pcp有低血糖的担忧。在干预之前收集调查以评估患者自我监测血糖的可接受性,在干预之后收集调查以评估他们使用CGM的体验。基线时,参与者的平均糖化血红蛋白为10.6%,根据糖尿病问题区域(PAID)量表测量,他们的情绪困扰程度很高。干预后,患者报告他们的专业CGM经历是积极的,总的来说,与他们以前的自我监测血糖实践一样,干预是可接受的。专业的CGM可以作为pcp的一个额外的、可接受的工具来更好地了解如何帮助患者实现糖尿病血糖目标。门诊药剂师很好地定位于领导这一努力在诊所。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient Satisfaction with Professional Continuous Glucose Monitoring in a Diverse Family Medicine Clinic: A Pilot Study.

Primary care providers (PCPs) manage a large portion of patients with diabetes. Continuous glucose monitoring (CGM) can give detailed information about glucose trends to improve treatment and safety. We conducted a prospective cohort pilot study to understand patient experience with the use of professional CGM in a primary care practice with a high volume of diverse, non-English speakers. Eligible patients were on an insulin regimen and either had an A1c above goal or whose PCPs had concerns for hypoglycemia. Surveys were collected prior to the intervention to assess the acceptability of the patient's self-monitoring blood glucose efforts and after the intervention to assess their experience of using the CGM. Participants at baseline had a mean A1c of 10.6% and a high amount of emotional distress as measured on the Problem Areas in Diabetes (PAID) scale. Post-intervention, patients reported their experience with professional CGM was positive and, overall, as acceptable of an intervention as their previous self-monitoring blood glucose practice. Professional CGM can serve as an additional, acceptable tool for PCPs to better understand how to help patients achieve diabetes blood glucose goals. Ambulatory care pharmacists are well positioned to lead this effort in clinics.

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