Self-monitoring of blood glucose experiences of adults with type 2 diabetes
Self-monitoring of blood glucose experiences of adults with type 2 diabetes
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DOI：
10.1002/2327-6924.12042
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发表时间：
2014-06-01
影响因子：
1.2
通讯作者：
Ugarriza, Doris N.
中科院分区：
文献类型：
--
作者：
Dlugasch, Lucie B.;Ugarriza, Doris N.
目的：本研究的目的是分析未使用胰岛素的2型糖尿病（T2DM）成人自我血糖监测（SMBG）的使用经验。数据分析采用扎根理论方法。结论：“SMBG作为T2DM自我护理的线索”的理论从数据中出现，并由四个类别组成：（a）参与，（B）检查，（c）响应，和（d）建立一个模式。参与标志着开始。这一阶段的特点是频繁监测。检查包括评估和验证血糖水平。最常见的评估或验证项目是食物的影响。回应包括采取行动或体验情绪。所采取的行动集中在饮食变化上。感受到的情绪取决于水平，从责备到快乐不等。参与者建立了一种模式，并定期或偶尔使用SMBG。频率是基于获得“正常”的模式，没有症状，供应商不感兴趣，和指尖pain.Implications的做法：参与者描述了许多好处和斗争时，将SMBG到他们的自我保健。本研究的信息可用于制定T2DM患者SMBG使用的有效指南。
Purpose: The purpose of this study was to analyze the experiences of self-monitoring of blood glucose (SMBG) usage of adults with type 2 diabetes mellitus (T2DM) who are not using insulin.Data sources: Nineteen adults were asked to describe their experiences with self-monitoring. Data were analyzed using the grounded theory method.Conclusions: The theory of "SMBG as a Cue in T2DM Self-Care" emerged from the data and is composed of four categories: (a) Engaging, (b) Checking, (c) Responding, and (d) Establishing a Pattern. Engaging marks the beginning. Frequent monitoring characterizes this stage. Checking involves evaluating and validating the blood glucose level. The most common item evaluated or validated was the effect of foods. Responding involves taking action or experiencing emotion. Actions taken centered on dietary changes. Emotions felt were dependent on the level and ranged from blame to happiness. Participants established a pattern and used SMBG regularly or sporadically. Frequency was based on obtaining "normal" patterns, the absence of symptoms, provider disinterest, and fingertip pain.Implications for practice: Participants described many benefits and struggles when incorporating SMBG into their self-care. Information from this study could be used to develop effective guidelines for the use of SMBG in T2DM.