在儿科受访者中,鼻内和注射型葡萄糖的比较
Yue-Pei Wang1, Francesca Bernatchez2, Sarah Chouinard-Castonguay1
1CHU de Québec-Université Laval Research Centre, Centre Hospitalier de l'Université Laval, Quebec, Canada.
Diabetes technology & therapeutics
|September 26, 2023
概括
鼻腔葡萄糖比注射型葡萄糖更快,更容易用于管理1型糖尿病紧急情况的家长和学校工作人员. 使用视频进行培训可以改善鼻腔葡萄糖在严重低血糖管理中的使用.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 糖尿病管理 糖尿病管理
- 紧急医疗 紧急医疗
背景情况:
- 在1型糖尿病 (T1D) 中严重的低血糖需要立即给予葡萄糖.
- 不同葡萄糖配方的易用性和可接受性对于有效的紧急响应至关重要.
- 在未经反应者中,关于鼻腔与注射型葡萄糖素 (IG) 的比较性能存在有限的数据.
研究的目的:
- 在T1D的青少年的父母和学校工作人员中,比较鼻腔与IG的管理性能.
- 评估与每个葡萄糖类型相关的促进因素和障碍因素,以及管理培训的首选学习方式.
主要方法:
- 30名家长和30名学校工作人员在观看教学视频后进行了模拟的鼻腔和IG注射.
- 绩效通过完成时间和成功执行关键步骤来评估.
- 采访探讨了每个葡萄糖类型的首选学习方法,障碍物和促进因素.
主要成果:
- 在这两组中,鼻服葡萄糖的使用速度明显快于IG (P < 0.001).
- 与IG (53%;P = 0.007) 相比,学校工作人员使用鼻葡萄糖的成功率更高 (90%).
- 鼻血糖显示出更容易使用和更容易接受;仅视频就足以进行培训.
结论:
- 鼻腔葡萄糖是一种更实用,更快速,更可接受的IG替代品,用于管理T1D中严重的低血糖症.
- 基于视频的鼻葡萄糖培训可以增强学校工作人员的使用,改善应急准备.
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