使用参与式系统科学方法开发的糖尿病老年人持续血糖监测整合过程的概念模型
Cambray Smith1, Angelica Cristello Sarteau2, Xiaorui Qu2
1University of North Carolina at Chapel Hill, Department of Health Policy and Management, United States.
Diabetes research and clinical practice
|December 14, 2023
概括
这项研究开发了一种六阶段模型,用于在糖尿病的老年人中整合持续血糖监测 (CGM),确定关键因素和支持有效采用技术的战略.
科学领域:
- 老年学是指老年学的学科.
- 糖尿病管理 糖尿病管理
- 医疗信息学 医疗信息学
背景情况:
- 在老年人中,持续血糖监测 (CGM) 的采用率很低.
- 了解整合过程对于改善这种人口群体的糖尿病护理至关重要.
研究的目的:
- 开发一个概念模型,说明CGM在1型和2型糖尿病的老年人中的整合.
- 确定影响CGM采用和持续使用在这个人群中的因素.
主要方法:
- 利用参与式系统科学方法和与老年人和护理人员进行半结构面试.
- 采用小幅图片来探索CGM整合不同阶段的结果和支持策略.
- 使用基于团队的因果循环图分析数据.
主要成果:
- 开发了CGM整合的六个阶段模型,包括吸收,设置,自我有效性,感知偏好,未来的好处和依赖.
- 因果循环图可视化了每个整合阶段的影响因素和反循环.
- 参与者建议临床,教育和行为干预措施来支持CGM使用.
结论:
- 该概念模型强调了老年人在采用CGM等新技术时所面临的复杂性.
- 这些发现为开发定制的支持干预提供了机会,以加强CGM整合和糖尿病老年人的好处.
相关概念视频
Concepts of Health and Illness
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
Models of Health Promotion and Illness Prevention II
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
The agent-host-environment model states that disease results from...
Glucose Homeostasis: Regulation of Blood Glucose
Carbohydrates consumed through foods are converted into glucose, a crucial energy source for the body. In the prandial state, high blood glucose levels stimulate the secretion of insulin from the pancreas. Insulin inhibits hepatic glucose production and stimulates glucose uptake and metabolism by muscle and adipose tissue. The excess glucose is converted into glycogen and stored in the liver and muscles.
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
Diabetes Mellitus: Introduction
Diabetes mellitus consists of chronic metabolic disorders characterized by persistent hyperglycemia. This elevated blood glucose results from defects in insulin secretion, impaired insulin action, or both. Insulin, produced by pancreatic β-cells, is essential for maintaining glucose homeostasis by facilitating cellular glucose uptake for energy or storage. Disruptions in insulin production or function lead to glucose accumulation in the bloodstream, causing the clinical features and long-term...
Type I Diabetes I: Introduction
Type 1 diabetes mellitus is a chronic metabolic disorder characterized by an absolute deficiency of insulin resulting from the autoimmune destruction of pancreatic β-cells. Although it can occur at any age, it is most commonly diagnosed in childhood, adolescence, or early adulthood. The loss of insulin production impairs cellular glucose uptake, resulting in persistent hyperglycemia and necessitating lifelong insulin therapy.Autoimmune Destruction of β-CellsThe hallmark of type 1 diabetes is an...
Type II Diabetes I: Introduction
Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...


