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目前胰岛素治疗的负担和未来胰岛素治疗的预期:来自日本网络调查INBEING的结果
Yasuaki Hayashino1, Satoshi Tsuboi2, Yuiko Yamamoto2
1Department of Endocrinology, Tenri Hospital, Tenri, Japan. hayasino@tenriyorozu.jp.
日本的医生和糖尿病患者对胰岛素治疗的开始和负担有不同的看法. 两组人都希望在未来获得更简单的胰岛素治疗,并改善血糖控制.
科学领域:
- 内分泌学 在内分泌学.
- 糖尿病管理 糖尿病管理
- 患者报告的结果
背景情况:
- 胰岛素治疗对于治疗糖尿病至关重要,但启动障碍和治疗负担可能会影响患者的坚持和结果.
- 了解医疗保健提供者和患者的观点对于优化胰岛素治疗策略至关重要.
研究的目的:
- 评估日本医生,糖尿病患者和护理人员关于胰岛素治疗的观点.
- 为了确定胰岛素启动的障碍,治疗负担,以及对新型胰岛素治疗的期望.
主要方法:
- 一项在线调查于2023年5月至6月在日本进行.
- 参与者包括医生 (n=411),PWD (1型,n=108;2型胰岛素原始,n=114;2型胰岛素治疗,n=108) 和护理人员 (n=328).
- 调查评估了对障碍,感受和负担的陈述的同意;在胰岛素启动时,医生对理想与实际糖化血红蛋白 (HbA1c) 的看法也被捕获.
主要成果:
- 很大一部分PWD对注射表示不情愿,医生也承认这一问题.
- 在医生和PWD (胰岛素原始T2D) 之间观察到与胰岛素治疗相关的社会因素和家庭担忧的看法之间存在差异.
- 理想情况下,医生建议HbA1c<9.0%用于胰岛素启动,但只有~30%的PWD在这个水平上启动胰岛素. 与家庭成员或护理人员相比,护士报告说,协助注射的负担较低.
结论:
- 关于胰岛素治疗的日本医生和PWD之间的感知差距仍然存在,但可能正在缩小.
- 医生和PWD都强调在未来的治疗中需要简化胰岛素方案和加强血糖控制.
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