Advanced Hybrid Closed Loop users’ satisfaction of telemedicine and telenursing in pediatric and young adult type 1 diabetes

Frontiers in Public Health

Public Health

Prisca Sburlati¹  Giordano Spacco¹  Barbara Lionetti¹  Francesca Dufour¹  Marta Scalas¹  Emilio Casalini¹  Marina Francesca Strati¹  Daniele Franzone¹  Stefano Parodi²  Nicola Minuto³  Francesca Rizza³  Giuseppe d’Annunzio³  Marta Bassi⁴ 

[1] Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), University of Genoa, Genoa, Italy;Epidemiology and Biostatistics Unit, Scientific Directorate, IRCCS Istituto Giannina Gaslini, Genoa, Italy;Pediatric Clinic, IRCCS Istituto Giannina Gaslini, Genoa, Italy;Pediatric Clinic, IRCCS Istituto Giannina Gaslini, Genoa, Italy;Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), University of Genoa, Genoa, Italy;

关键词: type 1 diabetes mellitus;    telemedicine;    telenursing;    Advanced Hybrid Closed Loop;    insulin infusion set;    continuous glucose monitoring;   

DOI  :  10.3389/fpubh.2023.1249299

 received in 2023-06-28, accepted in 2023-08-14,  发布年份 2023

来源: Frontiers

【 摘 要 】

Background and aimsThe aim of the study was to evaluate the satisfaction of the use of telemedicine and telenursing in children and young adults with Type 1 Diabetes (T1D) using Advanced Hybrid Closed Loop systems (AHCL) with a focus on the role of connectivity, data download and the ease of technical steps in the set and sensor change procedures.MethodsAn online anonymous survey was administered to AHCL users. The questionnaire consisted of five Clusters: Cluster A-B-C included questions related to the general satisfaction in the use of telemedicine, Cluster D was focused on the role of data download and connectivity, Cluster E was related to satisfaction in telenursing and Cluster F to the perception of ease of execution of the technical steps like changing the infusion set and the sensor.ResultsWe collected 136 completed questionnaires. 83.8% of AHCL users were overall satisfied with the quality of the telemedicine service. 88.2% of patients downloaded AHCL data before visits and the overall quality of televisits (data sharing, connectivity, ease of use) was satisfactory for 85.3% of users. Telenursing support during set and sensor change procedures was considered effective by 98% of AHCL users. The sensor and insulin infusion set change procedure is perceived as different for the two systems: set change simpler for Medtronic (p = 0.011) users, while sensor change was simpler for Tandem users (p = 0.009).ConclusionTelemedicine and telenursing have an essential role in diabetology and are highly appreciated in AHCL users. The nurse support in the education of the use of AHCL systems is effective and must be implemented. Unfortunately, not all patients have the technological tools needed for downloading data at home and using telemedicine services; this represents an important challenge for the future of diabetology and for the equity in accessibility to care.

【 授权许可】

Unknown   
Copyright © 2023 Bassi, Dufour, Strati, Franzone, Scalas, Lionetti, Spacco, Rizza, Sburlati, Casalini, Parodi, d’Annunzio and Minuto.