Experiences of Adults Using Continuous Subcutaneous Insulin Infusion: A Qualitative Study

Abstract

This is a qualitative case study on adult users of continuous subcutaneous insulin infusion. • Developing psychosocial evaluation prior to the initiation of insulin infusion would set expectations of therapy and help clinicians decide the eligibility of patients for insulin infusion. • Regular education should be provided by nurse educators to maintain the psychosocial wellbeing of patients who suffer from fear of pump malfunction. AbstractObjectives: We aimed to determine the quality of life (QoL) of Kuwaiti adults with type 1 diabetes mellitus (T1DM) who used continuous subcutaneous insulin infusions (CSIIs) and to understand their perception of this treatment. Background: CSII is an effective and safe alternative to multiple daily injections for T1DM, with the potential to improve both glycemic control and QoL. Although CSII has been widely used in Kuwait, its effectiveness and benefits have not been properly evaluated. Healthcare providers and patients need more information on CSII before its initiation. Methods: In this qualitative case study, semi-structured individual interviews were performed using a topic guide. Interviews were

Quantitative and qualitative analysis of the quality of life of Type 1 diabetes patients using insulin pumps and of those receiving multiple daily insulin injections

“…In addition, in the Spanish study a better QoL was associated with the female sex, but in our study, it was associated with the male sex. As mentioned by Mesbah et al, lack of flexibility in clothing options can reduce the QoL of female pump users [30], and this may be reflected in our results. In another study [32] women with diabetes were found to evaluate their health status Tzivian et al Health and Quality of Life Outcomes (2022) 20:120 and diabetes-related care worse than men; they also had more diabetes-related worries related to higher levels of Hb1Ac, although their level of metabolic control did not differ from that of men.…”

“…Nevertheless, in our study some participants had a negative attitude toward the pump. Mesbah et al likewise report the existence of negative feelings toward pumps, such as fear of being dependent on a machine or concern about sporadic mechanical problems [ 30 ].…”

Quantitative And Qualitative Analysis Of The Quality Of Life Of Type 1 Diabetes Patients Using Insulin Pumps And Of Those Receiving Multiple Daily Insulin Injections

“…In addition, in the Spanish study a better QoL was associated with the female sex, but in our study, it was associated with the male sex. As mentioned by Mesbah et al (2020), lack of exibility in clothing options can reduce the QoL of female pump users [30], and this may be re ected in our results. In another study [32] women with diabetes were found to evaluate their health status and diabetes-related care worse than men; they also had more diabetes-related worries related to higher levels of Hb1Ac, although their level of metabolic control did not differ from that of men.…”

“…The former had signi cantly higher satisfaction with their treatment and had a lower burden of disease (both with p < 0.01) [29]. These results are supported by the qualitative study by Mesbah et al (2020), which described higher satisfaction among pump users in many areas 22 . In our study, although we did not observe statistically signi cant differences in QoL between pump and injections users, QoL was the main reason given for using the pump.…”