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首页> 美国卫生研究院文献>Diabetes Technology Therapeutics >Participants Experiences of and Views About Daytime Use of a Day-and-Night Hybrid Closed-Loop System in Real Life Settings: Longitudinal Qualitative Study
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Participants Experiences of and Views About Daytime Use of a Day-and-Night Hybrid Closed-Loop System in Real Life Settings: Longitudinal Qualitative Study

机译：参与者在现实生活中白天和夜晚混合闭环系统白天使用的经验和观点：纵向定性研究

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>Objective: To explore individuals' experiences of daytime use of a day-and-night hybrid closed-loop system, their information and support needs, and their views about how future systems could be improved.>Research Design and Methods: Twenty-four adults, adolescents, and parents were interviewed before using a hybrid day-and-night closed-loop system and 3 months later, data were analyzed thematically.>Results: Participants praised the closed loop's ability to respond to high and low blood glucose in ways which extended beyond their own capabilities and to act as a safety net and mop up errors, such as when a mealtime bolus was forgotten or unplanned activity was undertaken. Participants also described feeling less burdened by diabetes as a consequence and more able to lead flexible, spontaneous lives. Contrary to their initial expectations, and after trust in the system had been established, most individuals wanted opportunities to collaborate with the closed loop to optimize its effectiveness. Such individuals expressed a need to communicate information, such as when routines changed or to indicate different intensities of physical activity. While individuals valued frequent contact with staff in the initial month of use, most felt that their long-term support needs would be no greater than when using an insulin pump.>Conclusions: While participants reported substantial benefits to using the closed loop during the day, they also identified ways in which the technology could be refined and education and training tailored to optimize effective use. Our findings suggest that mainstreaming this technology will not necessarily lead to increased demands on clinical staff.
机译：>目标：探讨个人在白天使用昼夜混合式闭环系统的经验，他们的信息和支持需求以及对如何改进未来系统的看法。>研究设计和方法：在使用混合昼夜混合闭环系统之前，对二十四名成人，青少年和父母进行了采访，三个月后，对数据进行了主题分析。>结果：与会者称赞闭环以超出自身能力的方式应对高血糖和低血糖的能力，并充当安全网并清除错误，例如，忘记进餐时或进行了计划外的活动。参加者还描述了减轻因糖尿病而负担的负担，并更有能力过上灵活，自发的生活。与最初的期望相反，在建立对系统的信任之后，大多数人都希望有机会与闭环合作以优化其有效性。这些人表达了交流信息的需求，例如改变常规或表明不同程度的体育锻炼。尽管人们重视在使用的最初一个月与工作人员经常接触，但大多数人认为他们的长期支持需求不会超过使用胰岛素泵时的需求。>结论：虽然参与者报告了使用胰岛素的好处在白天的闭环中，他们还确定了可以改进技术，量身定制的教育和培训以优化有效使用的方式。我们的研究结果表明，将该技术主流化并不一定会导致对临床人员的需求增加。

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