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在2型糖尿病透析期间持续监测葡萄糖的患者经验:一种定性研究
Miguel Angel Cuevas-Budhart1, Dante Atzin Juncos Ríos2, Maricruz Ponce Villavicencio3
1Unidad de Investigación Médica en Enfermedades Nefrológicas, Instituto Mexicano del Seguro Social, Mexico City 06720, Mexico.
Journal of clinical medicine
|October 16, 2025
概括
持续血糖监测 (CGM) 为透析的2型糖尿病 (T2DM) 患者提供了宝贵的见解,改善了自我管理. 然而,透析类型显著影响每日血糖控制和患者的福祉,需要量身定制的护理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 内分泌学 在内分泌学.
- 糖尿病管理 糖尿病管理
背景情况:
- 2型糖尿病 (T2DM) 是需要置换治疗的患者常见的并发症.
- 腹腔透析 (PD) 和血液透析 (HD) 为血糖控制带来了独特的生理挑战.
- 持续血糖监测 (CGM) 提供了改善透析患者糖尿病管理的潜力.
研究的目的:
- 为了探索T2DM患者在PD与HD使用CGM的经验.
- 了解透析方式对葡萄糖管理和患者福祉的影响.
- 确定与胰岛素管理,CGM使用和心理社会维度相关的主题.
主要方法:
- 定性现象学研究. 定性现象学研究.
- 50名成人T2DM患者在PD或HD使用CGM≥14天.
- 通过专题分析分析的半结构面试.
主要成果:
- 患有PD的患者报告说,由于透析葡萄糖的吸收,他们获得了更大的自主性和频繁的胰岛素调整.
- 患有HD的患者经历了严重的疲劳,情绪困扰和低血糖症,限制了社会参与.
- 85%的受访者评价了CGM的代谢意识;15%的受访者面临成本/技术障碍.
结论:
- 透析方式显著影响每日血糖控制和患者的幸福感.
- 以患者为中心的护理,包括CGM接入和量身定制的胰岛素治疗方案至关重要.
- 公平的CGM实施可以提高透析患者的血糖控制,弹性和生活质量.
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