Zadovoljstvo djece i adolescenata oboljelih od dijabetes melitusa tip 1 s korištenjem uređaja za intermitentno skeniranje glukoze u intersticijskoj tekućini

master's thesis

• Title (english): Satisfaction of intermittent-scanned continuous glucose monitoring in children and adolescents with type 1 diabetes
• Author: Emina Cerić
• Mentor: Nevena Krnić (mentor)
• Committee member: Katja Dumić Kubat (predsjednik povjerenstva)
• Committee member: Marija Jelušić (član povjerenstva)
• Committee member: Nevena Krnić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2023-01-23, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract

Uređaji za intermitentno skeniranje glikemije u intersticijskoj tekućini (isCGM) značajno olakšavaju svakodnevnu skrb o šećernoj bolesti tip 1. U radu su prikazani rezultati istraživanja subjektivne procjene prednosti i nedostataka uređaja za isCGM u djece i adolescenata koji boluju od dijabetes melitusa tip 1 (DM1), koja se liječe u Klinici za pedijatriju Kliničkog bolničkog centra Zagreb. Ispitivanje je provedeno u 108 ispitanika u dobi od 10 do 18 godina.
Subjektivno zadovoljstvo korištenjem uređaja navelo je 93,52% ispitanika. Kao najveću prednost korištenja isCGMS ispitanici su naveli više podataka o mjerenju (57,41%), manju bolnost (41,67%), rano prepoznavanje hipoglikemije (32,41%) i lakše prepoznavanje hiperglikemije (26,85%). Kao najvažnije funkcionalnosti uređaja ispitanici su naveli mogućnost neograničenog mjerenja glikemija (33,33%), krivulje kretanja šećera i analiza trendova (23,15%) i informacije o šećerima tijekom noći (18,52%). Poboljšanje regulacije DM1 uz korištenje isCGM uočilo je 72,22% ispitanika, i to kao bolji glikirani hemoglobin, manje oscilacija glikemije i manje hipoglikemija i hiperglikemija. Kao najveće nedostatke uređaja ispitanici su naveli netočno mjerenje, transparentnost u pogreškama u samokontroli dijabetesa i veliku količinu podataka koji čine dodatno opterećenje. Većina ispitanika (97,22%) bi preporučila korištenje uređaja za isCGM vršnjacima oboljelim od dijabetesa.

Abstract (english)

Devices for intermittent glycemia scanning in interstitial fluid (isCGM) significantly facilitate the daily care of type 1 diabetes in children and adolescents. The paper presents the results of a subjective assessment of the advantages and disadvantages of isCGM devices in children and adolescents suffering from diabetes mellitus type 1 (DM1), who are treated in the Pediatric Clinic of the Zagreb Clinical Hospital Center. The study was conducted in 108 participants aged 10 to 18 years.
Subjective satisfaction with the use of the device was found in 93.52% study subjects. As the biggest advantages of isCGMS use, the participants stated more measurement data (57.41%), less pain (41.67%), early recognition of hypoglycemia (32.41%) and easier recognition of hyperglycemia (26.85%). As the most important functionalities of the device, respondents indicated the possibility of unlimited measurement of glycemia (33.33%), glucose curves and trend analysis (23.15%) and information about glucose levels during the night (18.52%). Improvement in the metabolic control with the use of isCGM was observed by 72.22% of respondents, namely better glycated hemoglobin, less glycemic oscillations and less number of hypoglycemic and hyperglycemic events. Participants emphasizes incorrect measurement, transparency of errors in diabetes self-management, and a large amount of data that constitute an additional burden as the biggest disadvantages of the device. The majority of respondents (97.22%) would recommend using the FreeStyle Libre device to their peers with diabetes.

• Keywords: dijabetes melitus tip 1; metabolička kontrola; uređaji za intermitentno skeniranje glukoze; zadovoljstvo djece i adolescenata
• Keywords (english): diabetes type 1; metabolic control; devices for intermittent scanning; satisfaction of children and adolescents
• Language: croatian
• URN:NBN: urn:nbn:hr:105:907644
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-01-15 09:22:03