What Are the Quality of Life-Related Benefits and Losses Associated with Real-Time Continuous Glucose Monitoring? A Survey of Current Users
What Are the Quality of Life-Related Benefits and Losses Associated with Real-Time Continuous Glucose Monitoring? A Survey of Current Users
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DOI：
10.1089/dia.2012.0298
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发表时间：
2013-04-01
影响因子：
5.4
通讯作者：
Hessler, Danielle
中科院分区：
文献类型：
--
作者：
Polonsky, William H.;Hessler, Danielle
背景：实时（RT）动态血糖监测（CGM）如何影响生活质量（QOL）？我们探讨的类型和频率的糖尿病特定的生活质量变化导致RT-CGM报告的当前用户和调查患者报告的因素预测这些changes.Subjects和方法：当前RT-CGM用户（n = 877）完成了一个在线问卷调查感知生活质量的好处/损失，因为RT-CGM启动和RT-CGM的态度和行为。探索性因素分析（EFA）检查了16个生活质量的好处/损失项目，以确定潜在的因素。回归分析研究人口统计学和RT-CGM的态度和行为与生活质量的因素出现从EFA.Results：三个主要的生活质量因素：感知控制糖尿病，低血糖的安全性，和人际支持之间的关联。QOL改善在感知糖尿病控制和低血糖安全性方面很常见（分别为86%和85%的受访者），尽管人际支持不太常见（37%）。感知益处的一致独立预测因素是使用RT-CGM数据的信心更高（P < 0.001），对设备准确性的满意度（P < 0.001），
Background: How does real-time (RT) continuous glucose monitoring (CGM) affect quality of life (QOL)? We explored the types and frequencies of diabetes-specific QOL changes resulting from RT-CGM as reported by current users and investigated what patient-reported factors predict these changes.Subjects and Methods: Current RT-CGM users (n = 877) completed an online questionnaire investigating perceived QOL benefits/losses since RT-CGM initiation and RT-CGM attitudes and behavior. Exploratory factor analysis (EFA) examined the 16 QOL benefit/loss items to identify underlying factors. Regression analyses examined associations between demographics and RT-CGM attitudes and behavior with the QOL factors emerging from the EFA.Results: Three major QOL factors emerged: Perceived Control over Diabetes, Hypoglycemic Safety, and Interpersonal Support. QOL improvement was common for Perceived Control over Diabetes and Hypoglycemic Safety (86% and 85% of respondents, respectively), although less common for Interpersonal Support (37%). Consistent independent predictors of perceived benefits were greater confidence in using RT-CGM data (P < 0.001), satisfaction with device accuracy (P