Status of continuous glucose monitoring use and management in tertiary hospitals of China: a cross-sectional study
Objective This study aims to reveal the use and management status of continuous glucose monitoring (CGM) in tertiary hospitals in China and to determine the potential factors affecting the application of CGM, based on which more effective solutions would be produced and implemented.Design An online,...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-02-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e066801.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823857005835583488 |
|---|---|
| author | Xiaoqin Liu Hongmei Dai Liping Wu Yong Zhao Zumin Shi Qin Lin Liping Chen |
| author_facet | Xiaoqin Liu Hongmei Dai Liping Wu Yong Zhao Zumin Shi Qin Lin Liping Chen |
| author_sort | Xiaoqin Liu |
| collection | DOAJ |
| description | Objective This study aims to reveal the use and management status of continuous glucose monitoring (CGM) in tertiary hospitals in China and to determine the potential factors affecting the application of CGM, based on which more effective solutions would be produced and implemented.Design An online, cross-sectional study was conducted from October 2021 to December 2021.Setting Eighty-three tertiary hospitals in China were involved.Participants Eighty-three head nurses and 281 clinical nurses were obtained.Outcome Current condition of CGM use and management, the factors that hinder the use and management of CGM, scores of current CGM use and management, as well as their influencing factors, were collected.Results Among the 83 hospitals surveyed, 57 (68.7%) hospitals used CGM for no more than 10 patients per month. Seventy-three (88.0%) hospitals had developed CGM standard operating procedures, but only 29 (34.9%) hospitals devised emergency plans to deal with adverse effects related to CGM. Comparably, maternal and children’s hospitals were more likely to have a dedicated person to assign install CGM than general hospitals (52.2% vs 26.7%). As for the potential causes that hinder the use and management of CGM, head nurses’ and nurses’ perceptions differed. Head nurses perceived patients’ limited knowledge about CGM (60.2%), the high costs of CGM and inaccessibility to medical insurance (59.0%), and imperfect CGM management systems (44.6%) as the top three factors. Different from head nurses, CGM operation nurses considered the age of CGM operators, the type of hospital nurses worked in, the number of patients using CGM per month and the number of CGM training sessions as potential factors (p<0.05).Conclusions The study provides a broad view of the development status of CGM in China. Generally speaking, the use and management of CGM in China are not yet satisfactory, and more efforts are wanted for improvement. |
| format | Article |
| id | doaj-art-ae07baaaa1ce4043bce5857efc0d881f |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-ae07baaaa1ce4043bce5857efc0d881f2025-02-12T02:25:09ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-066801Status of continuous glucose monitoring use and management in tertiary hospitals of China: a cross-sectional studyXiaoqin Liu0Hongmei Dai1Liping Wu2Yong Zhao3Zumin Shi4Qin Lin5Liping Chen6CIRRAU, Centre for Integrated Register-based Research, Aarhus University, Aarhus, DenmarkDepartment of Endocrinology, Chongqing Medical University Affiliated Children`s Hospital, Chongqing, ChinaDepartment of Nursing, Chongqing Medical University Affiliated Children`s Hospital, Chongqing, ChinaCollaborative Innovation Centerof Social Risks Governance in Health, Chongqing Medical University, Chongqing, ChinaHuman Nutrition Department, Qatar University, Doha, Ad Dawhah, QatarDepartment of Endocrinology, Chongqing Medical University Affiliated Children`s Hospital, Chongqing, China2Shanghai Mengchao Cancer Hospital, Shanghai, ChinaObjective This study aims to reveal the use and management status of continuous glucose monitoring (CGM) in tertiary hospitals in China and to determine the potential factors affecting the application of CGM, based on which more effective solutions would be produced and implemented.Design An online, cross-sectional study was conducted from October 2021 to December 2021.Setting Eighty-three tertiary hospitals in China were involved.Participants Eighty-three head nurses and 281 clinical nurses were obtained.Outcome Current condition of CGM use and management, the factors that hinder the use and management of CGM, scores of current CGM use and management, as well as their influencing factors, were collected.Results Among the 83 hospitals surveyed, 57 (68.7%) hospitals used CGM for no more than 10 patients per month. Seventy-three (88.0%) hospitals had developed CGM standard operating procedures, but only 29 (34.9%) hospitals devised emergency plans to deal with adverse effects related to CGM. Comparably, maternal and children’s hospitals were more likely to have a dedicated person to assign install CGM than general hospitals (52.2% vs 26.7%). As for the potential causes that hinder the use and management of CGM, head nurses’ and nurses’ perceptions differed. Head nurses perceived patients’ limited knowledge about CGM (60.2%), the high costs of CGM and inaccessibility to medical insurance (59.0%), and imperfect CGM management systems (44.6%) as the top three factors. Different from head nurses, CGM operation nurses considered the age of CGM operators, the type of hospital nurses worked in, the number of patients using CGM per month and the number of CGM training sessions as potential factors (p<0.05).Conclusions The study provides a broad view of the development status of CGM in China. Generally speaking, the use and management of CGM in China are not yet satisfactory, and more efforts are wanted for improvement.https://bmjopen.bmj.com/content/13/2/e066801.full |
| spellingShingle | Xiaoqin Liu Hongmei Dai Liping Wu Yong Zhao Zumin Shi Qin Lin Liping Chen Status of continuous glucose monitoring use and management in tertiary hospitals of China: a cross-sectional study BMJ Open |
| title | Status of continuous glucose monitoring use and management in tertiary hospitals of China: a cross-sectional study |
| title_full | Status of continuous glucose monitoring use and management in tertiary hospitals of China: a cross-sectional study |
| title_fullStr | Status of continuous glucose monitoring use and management in tertiary hospitals of China: a cross-sectional study |
| title_full_unstemmed | Status of continuous glucose monitoring use and management in tertiary hospitals of China: a cross-sectional study |
| title_short | Status of continuous glucose monitoring use and management in tertiary hospitals of China: a cross-sectional study |
| title_sort | status of continuous glucose monitoring use and management in tertiary hospitals of china a cross sectional study |
| url | https://bmjopen.bmj.com/content/13/2/e066801.full |
| work_keys_str_mv | AT xiaoqinliu statusofcontinuousglucosemonitoringuseandmanagementintertiaryhospitalsofchinaacrosssectionalstudy AT hongmeidai statusofcontinuousglucosemonitoringuseandmanagementintertiaryhospitalsofchinaacrosssectionalstudy AT lipingwu statusofcontinuousglucosemonitoringuseandmanagementintertiaryhospitalsofchinaacrosssectionalstudy AT yongzhao statusofcontinuousglucosemonitoringuseandmanagementintertiaryhospitalsofchinaacrosssectionalstudy AT zuminshi statusofcontinuousglucosemonitoringuseandmanagementintertiaryhospitalsofchinaacrosssectionalstudy AT qinlin statusofcontinuousglucosemonitoringuseandmanagementintertiaryhospitalsofchinaacrosssectionalstudy AT lipingchen statusofcontinuousglucosemonitoringuseandmanagementintertiaryhospitalsofchinaacrosssectionalstudy |