중·후기 노인 당뇨병 환자의 연속혈당측정기 수용성과 사용성 경험

다국어 초록 (Multilingual Abstract)

Purpose : The purpose of this study is to understand the challenges and experiences encountered by in the middle-old and oldest-old adults with diabetes in utilizing Continuous Glucose Monitoring (CGM) systems. This research aims to analyze these experiences through the lenses of acceptability and usability, providing a comprehensive understanding of the factors influencing the integration of CGM in their daily management of diabetes.

Method : Employing a qualitative research approach, data was collected from 14 middle-old and oldest-old adults with diabetes through semi-structured interviews. The interviews were structured around the Theoretical Framework of Acceptability (TFA) and included elements from the System Usability Scale (SUS) to evaluate acceptability and usability. Transcripts were analyzed using a thematic qualitative analysis method to identify key statements related to CGM experiences.

Result : The study identified four main themes: 'Technical Challenges and Acceptability,' 'Barriers to CGM Use in Older Adults', 'Duality of CGM Impact,' and 'Psychological and Emotional Responses,' along with 12 sub-themes. While CGM significantly enhanced glucose management awareness and promoted healthier lifestyle changes, it also induced psychological stress from constant monitoring. Participants noted several barriers such as the inconvenience of carrying and charging a mobile device, complex device operations, and difficulties using educational materials due to visual impairments. The high cost of CGM device was seen as a substantial economic barrier, underscoring the necessity for financial interventions like broader insurance coverage for type 2 diabetes.

Conclusion : This study emphasizes the need for comprehensive technical, educational, and financial support to facilitate effective CGM usage in the middle-old and oldest-old adults with diabetes. Recommendations to improve usage include the adoption of wearable devices or dedicated receivers, extended battery life, user-friendly interfaces with larger fonts and clearer visual presentations, and enhanced insurance coverage for type 2 diabetes care. Implementing these measures could markedly improve diabetes management and the quality of life for this demographic.

목차 (Table of Contents)

• I. 서론 1
• 1. 연구의 필요성 1
• 2. 연구 목적 3
• II. 문헌고찰 5
• 1. 노인 당뇨병 5
• 2. 연속혈당측정기 7
• 3. 수용성 9
• 4. 사용성 12
• III. 연구 방법 14
• 1. 연구 설계 14
• 2. 연구 대상 14
• 3. 연구 참여자 모집 15
• 4. 연구 진행 절차 15
• 5. 자료 수집 방법 16
• 6. 자료 분석 방법 17
• 7. 연구 결과의 엄밀성 확보 18
• 8. 윤리적 고려 19
• IV. 연구 결과 20
• 1. 연구 참여자별 진행 내용 20
• 2. 참여자의 일반적 특성 20
• 3. 면담 분석 결과 24
• V. 논의 37
• VI. 결론 및 제언 43
• 참고문헌 46
• 부록 62