Impact of continuous glucose monitoring on diabetes management and marital relationships of adults with Type 1 diabetes and their spouses: a qualitative study
Impact of continuous glucose monitoring on diabetes management and marital relationships of adults with Type 1 diabetes and their spouses: a qualitative study
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DOI：
10.1111/dme.12276
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发表时间：
2014-01-01
影响因子：
3.5
通讯作者：
Wolpert, H. A.
中科院分区：
文献类型：
--
作者：
Ritholz, M. D.;Beste, M.;Wolpert, H. A.
目的探讨持续血糖监测对1型糖尿病患者及其配偶的糖尿病管理和婚姻关系的影响。方法9例年轻（30-49岁）和11例老年（50-70岁）1型糖尿病患者及14名配偶，按年龄和角色（患者或配偶）分为8个焦点组。音频记录数据转录，编码和分析使用专题分析和辅助的NVivo软件。结果定性分析显示，参与者认为持续血糖监测对低血糖管理有积极影响，可以减少配偶的焦虑、警惕和负面经历。参与者还表示，持续血糖监测有助于促进合作糖尿病管理，增加配偶对糖尿病的了解，尤其是在计划和管理怀孕时。夫妻冲突发生在(1)患者独自承担持续血糖监测的责任和/或对夜间血糖警报没有反应；(2)配偶不理解警报，感到沮丧和无助，无法帮助患者。结论持续血糖监测对1型糖尿病患者及其配偶的合作糖尿病管理和婚姻关系有积极影响。然而，不愿合作和缺乏理解可能会导致夫妻在持续血糖监测方面发生冲突。我们的研究结果对临床护理具有重要意义，并指出需要干预，包括配偶持续血糖监测培训，以增加他们对持续血糖监测的理解，最大限度地减少配偶冲突的风险，加强合作糖尿病管理。需要进一步的研究，在更大、更多样化的人群中更详细、更深入地探讨这些问题。
AimsTo examine the impact of continuous glucose monitoring on diabetes management and marital relationships of adults with Type1 diabetes and their spouses.MethodsNine younger (30-49years) and 11 older (50-70years) patients with Type1 diabetes and 14 spouses participated in eight focus groups specific to age and role (patient or spouse). Audio-recorded data were transcribed, coded and analysed using thematic analysis and aided by NVivo software.ResultsQualitative analysis revealed participants perceived continuous glucose monitoring as positively influencing hypoglycaemia management by decreasing spouses' anxiety, vigilance and negative experiences. Participants also described continuous glucose monitoring as promoting collaborative diabetes management and increasing spousal understanding of diabetes, especially when planning and managing pregnancy. Couples' conflicts occurred when (1) patients assumed sole responsibility for continuous glucose monitoring and/or did not respond to night-time glucose alarms and (2) spouses did not understand alarms and felt frustrated and helpless to assist patients.ConclusionsOur findings suggest that continuous glucose monitoring may positively impact collaborative diabetes management and marital relationships of patients with Type1 diabetes and their spouses. However, reluctance to collaborate and lack of understanding may contribute to couples' conflicts around continuous glucose monitoring. Our findings have important implications for clinical care and point to the need for interventions that include spouses in continuous glucose monitoring training to increase their understanding of continuous glucose monitoring, minimize risk for spousal conflict and enhance collaborative diabetes management. Further studies are needed to explore these issues in more detail and depth with larger and more diverse populations.