比较血糖监测方法:在模拟医院环境中的效率见解。

Frontiers in clinical diabetes and healthcare Pub Date : 2025-06-03 eCollection Date: 2025-01-01 DOI:10.3389/fcdhc.2025.1517161
Allan Davasgaium, Timothy Robbins, Bianca Leca, Andreea Epure, Sailesh Sankar, Harpal Randeva
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引用次数: 0

摘要

虽然快速血糖监测(也称为动态间质血糖监测(DIGM))的优势已在门诊糖尿病护理中确立,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监测与传统手指点刺检测的使用效率和医护人员的感知。25名医疗保健专业人员(52%的护士,48%的联合医疗保健专业人员[AHCPs])参与了使用高保真假人模型的模拟临床场景,包括血糖监测任务。参与者执行三个任务:(A)应用闪光灯传感器,(B)扫描传感器以获得葡萄糖读数,(C)进行手指刺破测试。评估了任务持续时间和工作人员的看法,并使用Python(版本3)进行了统计分析。DIGM明显快于手指点刺试验。传感器应用用时75.4±22.4秒,闪光扫描用时26.4±11.5秒,手指点刺检测用时132.8±37秒(p < 0.05)。基于这些时间,DIGM每次葡萄糖检查节省了大约106秒。此外,在每个住院病人有20个读数的情况下,每个病人平均节省34.2分钟。虽然经验丰富的工作人员执行任务的速度略快,但在所有经验级别中,DIGM总的节省时间的好处仍然很大。此外,调查结果显示,员工对DIGM有强烈的偏好,强调了在工作流程效率、患者舒适度和感染控制方面的好处。综上所述,DIGM的检测效率明显高于手指点刺检测,受到临床工作人员的青睐。这些技术提供了节省时间的好处,可以改善患者体验,简化临床工作流程,并有可能提高糖尿病管理的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparing glucose monitoring methods: efficiency insights in a simulated hospital setting.

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.

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