Couples Managing Type 1 Diabetes Using Diabetes Technology.
Couples Managing Type 1 Diabetes Using Diabetes Technology.
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DOI：
10.2337/ds20-0045
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发表时间：
2021-11-01
期刊：
影响因子：
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通讯作者：
Berg, Cynthia A
中科院分区：
文献类型：
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作者：
Allen, Nancy A;Litchman, Michelle L;Berg, Cynthia A
目的：糖尿病技术改善了糖尿病患者（PWD）的生活，但关于胰岛素泵和连续血糖监测（CGM）如何影响夫妻关系的研究很少。本研究的目的是研究糖尿病技术的使用如何影响夫妻互动。方法：在二次数据分析中，我们使用了多方法定性分析，包括恒定比较方法，来检查与糖尿病技术相关的夫妻相互作用的异同。残疾人士及其配偶分别接受半结构化访谈指引的访谈；访谈主要集中在夫妻如何应对1型糖尿病。结果：参与者（n = 134对夫妇）使用胰岛素泵或CGM系统。患者平均年龄44±12.05岁，配偶平均年龄44±12.62岁。夫妻平均恋爱时间为18±12.50年。在PWD中，54个只使用泵，12个只使用CGM， 68个两者都使用。出现了四个主要主题：1)糖尿病技术促进夫妻共享糖尿病管理，2)糖尿病技术促进配偶参与糖尿病护理，3)糖尿病技术是关系紧张的根源，4)糖尿病技术导致对睡眠和警报的积极/消极反应。结论：总的来说，夫妻认为糖尿病技术对他们的关系有积极的影响，增加了合作，促进了沟通，减少了糖尿病的负担和警惕性。科技也被认为会增加人际关系的紧张，生活方式的不便，以及对睡眠和闹钟的积极/消极反应。应考虑配偶参与糖尿病技术教育。
OBJECTIVE: Diabetes technology has improved the lives of people with diabetes (PWD), but there is little research on how insulin pumps and continuous glucose monitoring (CGM) affect couples' relationships. The purpose of this study was to examine how the use of diabetes technology affects couple interactions.METHODS: In a secondary data analysis, we used a multiple-method qualitative analysis, including a constant-comparison approach, to examine similarities and differences in couple interactions related to diabetes technology. PWD and their spouses were interviewed separately, using a semi-structured interview guide; the interviews primarily focused on how couples coped with type 1 diabetes.RESULTS: Participants (n = 134 couples) were using an insulin pump or CGM system. Average age was 44 ± 12.05 years for PWD and 44 ± 12.62 years for spouses. Couples' average length of relationship was 18 ± 12.50 years. Among the PWD, 54 used a pump only, 12 used CGM only, and 68 used both. Four main themes emerged: 1) diabetes technology facilitates shared diabetes management for couples, 2) diabetes technology facilitates spousal involvement in diabetes care, 3) diabetes technology is a source of relationship tension, and 4) diabetes technology causes positive/negative responses to sleep and alarms.CONCLUSION: Overall, couples perceived diabetes technology as having a positive effect on their relationship by increasing collaboration, promoting communication, and reducing diabetes burden and vigilance. Technology also was perceived to increase relationship tension, lifestyle inconveniences, and positive/negative responses regarding sleep and alarms. Involvement of spouses in diabetes technology education should be considered.