2형 당뇨병 환자의 연속혈당측정기 첫 사용 경험 = Type 2 diabetes patients’ first experience of using a continuous glucose monitoring system

다국어 초록 (Multilingual Abstract)

Purpose: This study investigates type 2 diabetic patients’ experience of using a continuous glucose monitoring system (hereafter, CGM) for the first time. It also determines the degree of change in diabetes empowerment, diabetes self-care behavior, and diabetes self-efficacy before and after using the CGM. This study provides foundational data for the future development of CGM education booklets. Additionally, it intends to help develop diabetes management programs for type 2 diabetic patients using a CGM.

Methods: This is the first qualitative study directed toward the aforementioned purpose using a CGM. It used a mixed method to compare diabetes empowerment, diabetes self-care behavior, and diabetes self-efficacy before and after using the CGM. Thirty one type 2 diabetic patients were recruited from a National University hospital and provided with a CGM for a two-week use. Individual interviews with 28 participants were conducted between August 1 and October 17, 2022 after using the CGM. Thematic analysis was used to examine the dates. The levels of diabetes empowerment, self-care behavior, and self-efficacy were measured twice before and after using the CGM. The paired t-test and Wilcoxon signed rank test were used.

Results: The following three themes were identified: (1) “changes in life after a diabetes diagnosis,” (2) “a two-week trip with CGM,” and (3) “a new plan.” The following seven categories were identified: “first encounter with diabetes,” “changes in daily life,” “discovery of the new world of CGM,” “unavoidable discomfort,” “conditions for the convenience of using CGM,” “demand for CGM education,” and “more active plans for diabetes.” Diabetes self-care (p=0.34) and self-efficacy (p=0.024) were statistically improved significantly after using the CGM. The participants could control their diet and physical activity and could better manage their blood glucose owing to the CGM.

Conclusion: This study found that CGM was feasible and effective in type 2 diabetes self-management. However, the issue of discomfort in using the CGM should be addressed in the future. A CGM training manual should be developed that reflects the educational needs highlighted by this study. Continuous systematic training should be conducted before, during, and after the use of a CGM. The CGM insurance coverage should be expanded to type 2 diabetes patients.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구 목적 4
• Ⅱ. 문헌 고찰 5
• 1. 연속혈당측정기 사용 경험 5
• 1) 당뇨병 환자의 혈당 측정과 한계 5
• 2) 연속혈당 측정기 소개 및 효과 6
• 3) 2형 당뇨병 환자의 연속혈당측정기 사용 경험 8
• 2. 연속혈당측정기 효과 9
• 1) 임파워먼트 9
• 2) 당뇨병 자가 간호행위 10
• 3) 당뇨병 자기 효능감 11
• Ⅲ. 연구 방법 13
• 1. 연구 설계 13
• 2. 연구 참여자 선정 및 제외기준 13
• 3. 연구 참여자 모집 13
• 4. 연구 진행 절차 14
• 5. 자료 수집 방법 17
• 1) 면담 17
• 2) 설문 자료 수집 17
• 6. 자료 분석 방법 18
• 1) 면담 자료 분석 18
• 2) 설문 자료 분석 18
• 7. 연구 결과의 엄밀성 확보 19
• 8. 윤리적 고려 19
• Ⅳ. 연구 결과 21
• 1. 연구 참여자별 진행 상황 21
• 2. 연구 참여자 일반적 특징 23
• 3. 설문 자료 분석 결과 25
• 4. 면담 자료 분석 결과 27
• 1) 당뇨병이 만든 삶의 변화 29
• 2) CGM과 함께한 2주간의 여행 36
• 3) 새로운 계획을 세우다! 47
• Ⅴ. 논의 51
• Ⅵ. 결론 및 제언 57
• 1. 결론 57
• 2. 제언 59
• 참고문헌 60