Attitudes towards insulin pump therapy among adolescents and young people.
Attitudes towards insulin pump therapy among adolescents and young people.
复制标题
青少年和年轻人对胰岛素泵治疗的态度。
DOI：
10.1089/dia.2009.0080
复制
发表时间：
2010
影响因子：
5.4
通讯作者：
T. Pieber
中科院分区：
文献类型：
--
作者：
S. Seereiner;K. Neeser;C. Weber;K. Schreiber;W. Habacher;I. Rakovac;P. Beck;L. Schmidt;T. Pieber
目的
本研究调查了拒绝和停止胰岛素泵治疗的原因，并探讨了年轻1型糖尿病患者对这种治疗模式的普遍态度。
方法
一份问卷是使用一个焦点小组的年轻人糖尿病。然后，它被用来调查一个随机样本的青少年和年轻人确定的医生专门从事糖尿病护理和参与自愿质量改进倡议在德国。医生也接受了调查。
结果
88例患者参与了调查（22例从未使用过胰岛素泵，20例以前使用过胰岛素泵，46例当时正在使用胰岛素泵，平均年龄在20 - 22岁之间，具体取决于组）。那些从未使用过胰岛素泵的人患糖尿病的时间明显较短，并且最近接受了第一次糖尿病教育。当前胰岛素泵使用者在首次接受糖尿病教育时明显更年轻。患者之间在获得有关病情和治疗方案的信息方面没有显着差异。尽管提到了临床因素，但社会和心理因素是不愿尝试泵治疗和停止治疗的主要原因。作为泵的缺点（导管除外）的技术问题不太可能被提及。医生的回复证实，纪律和依从性是这种治疗的基本前提，并支持以下发现：患者自行要求停止泵治疗往往是出于非临床原因。
结论
尽管胰岛素泵的技术可靠性被所有患者普遍接受，无论当前治疗如何，但与胰岛素泵使用相关的临床缺点，但更常见的社会/心理因素，导致患者不愿意尝试这种治疗或停止使用。
PURPOSE
This study investigated reasons for the rejection and discontinuation of insulin pump therapy and explored general attitudes towards this mode of therapy among young patients with type 1 diabetes.
METHODS
A questionnaire was developed using a focus group of young people with diabetes. It was then used to survey a random sample of adolescents and young people identified by physicians specializing in diabetes care and participating in a voluntary quality improvement initiative in Germany. The physicians were also surveyed.
RESULTS
Eighty-eight patients participated in the survey (22 had never used the pump, 20 had formerly used the pump, and 46 were using the pump at that time, with an average age of between 20 and 22 years, depending on the group). Those who had never used the pump had had diabetes for a significantly shorter length of time and had undergone their first diabetes education more recently. Current pump users were significantly younger at the time of the first diabetes education. There were no significant differences between patients concerning where they obtained their information about the condition and treatment options. Although clinical factors were named, social and psychological factors were prominent as reasons both in reluctance to try the pump therapy and in discontinuing therapy. Technical problems as a disadvantage of the pump (aside from the catheter) were less likely to be named. Responses among physicians confirmed discipline and compliance were essential prerequisites for this therapy and supported findings that patients discontinuing pump therapy at their own request tend to do so for nonclinical reasons.
CONCLUSIONS
Although the technical reliability of the insulin pump was generally accepted by all patients regardless of current treatment, clinical disadvantages relating to the use of the pump but more commonly social/psychological factors were named, which resulted in patients being reluctant to try this therapy or discontinuing use of it.