ObjectiveThis 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.DesignAn online, cross-sectional study was conducted from October 2021 to December 2021.SettingEighty-three tertiary hospitals in China were involved.ParticipantsEighty-three head nurses and 281 clinical nurses were obtained.OutcomeCurrent 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.ResultsAmong 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).ConclusionsThe 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.
Introduction The aim of this study is to assess the knowledge, attitude, and practice of nurses in China regarding chemotherapy-induced nausea and vomiting (CINV). The findings will provide valuable insights for developing national standardized guidelines for CINV prevention and management, as well as targeted training programs for nurses. Methods From March 5 to April 30, 2023, we recruited nurses working in chemotherapy-related roles in secondary and tertiary hospitals in Shanghai. A questionnaire assessing nurses' knowledge, attitude, and practice related to CINV was used to evaluate their proficiency in these areas. Results A total of 362 nurses participated in our study. 6.1% of nurses having a poor knowledge score and 1.9% had a general attitude score. Pearson correlation analysis revealed significant associations between attitude score and practice score (r = 0.759; P < 0.001). Multivariate analysis indicated that Knowledge, attitude and practice scores influence each other. Regression analysis showed that hospital level, age, sex, years of service, education, specialty department and training manager were statistically significant predictors. Conclusion Our findings indicate that nurses exhibit positive attitudes and behaviors towards CINV; however, there is a lack of sufficient knowledge regarding CINV-related issues. Moreover, we observed that CINV-related knowledge can directly or indirectly influence CINV-related behaviors through attitude, underscoring the importance of implementing unified CINV guidelines in hospitals. Regular training and evaluation programs should be organized to enhance nurses' knowledge, attitude, and behaviors related to CINV.
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