Kvinders oplevelser med telemonitorering ved prægestationel diabetes: Evaluering af vurdering af gravides kvinders oplevelse med telemonitoreringspakken: Evaluering af vurdering af gravides oplevelse med telemonitorering

Abstract

Baggrund og formål: I takt med den stigende prævalens for type 1- og type 2 diabetes (T1DM og T2DM), forventes det at prævalensen af præ- gestationel diabetes vil stige. Prægestationel diabetes kræver tæt monito- rering for at reducere risikoen for komplikationer, hvilket belaster sund- hedsvæsnet. Derfor er digitale løsninger som telemonitorering blevet mere udbredt og kan øge fleksibiliteten for gravide samt reducere beho- vet for fysiske konsultationer. Formålet med dette speciale er at lave en vurdering af en evaluering af gravide med prægestationel diabetes’ ople- velse med telemonitorering. Metode: Specialet er et sekventielt mixed-method studie der inkluderer Telehealth Usability Questionarie (TUQ) (n=17) samt opfølgende inter- views af de gravides oplevelse (n=5). Kvantitative data fra TUQ blev analyseret gennem deskriptiv statistik med gennemsnit, median, stan- dardafvigelser og frekvensfordelingerne blev visualiseret på stacked bar charts samt boxplots. Kvalitative data fra interviewene blev analyseret gennem en tematisk analyse. Resultater: Informanterne har overordnet været tilfredse for telemonito- reringspakken, men få har også oplevet udfordringer, særligt ifm. cardi- otocografi (CTG). Telemonitorering har særligt sparet de gravide trans- porttid samt bidraget med fleksibilitet i hverdagen. Derudover beskrives brugervenligheden af telemonitoreringspakken som værende nem at an- vende og de har samtidig været trygge i at anvende den. Dertil kom flere dog også med forbedringsforslag som kunne optimere telemonitorerings- pakken. Konklusion: Det kan konkluderes, at størstedelen af kvinderne var til- fredse med telemonitorering, hvortil det der særligt har givet værdi for dem, er at telemonitorering har bidraget til mindre transporttid. Dog kan det også konkluderes, at der stadig er et ønske om forbedring, herunder mere fleksibilitet ift. indberetning af data.

Background and aim: With the increasing prevalence of type 1 and type 2 diabetes (T1DM and T2DM), the prevalence of pregestational diabetes is also expected to rise. Pregestational diabetes requires close monitoring to reduce the risk of complications, placing a strain on healthcare systems. Consequently, digital solutions such as telemonitoring have become more widespread and may enhance flexibility for pregnant women while re- ducing the need for in-person consultations. The aim of this thesis is to assess pregnant women with pregestational diabetes’ experiences with telemonitoring. Methods: This thesis is a sequential mixed-method study, including the Telehealth Usability Questionnaire (TUQ) (n=17) and follow-up inter- views exploring the participants’ experiences (n=5). Quantitative data from the TUQ were analyzed using descriptive statistics, including means, medians, standard deviations, and frequency distributions, which were visualized with stacked bar charts and boxplots. Qualitative data from the interviews were analyzed using thematic analysis. Results: Overall, participants were satisfied with the telemonitoring package, although a few reported challenges, particularly related to car- diotocography (CTG). Telemonitoring notably reduced travel time and provided greater daily flexibility. The system was described as user- friendly, and participants felt confident using it. Nevertheless, several participants suggested improvements to enhance the telemonitoring pack- age. Conclusion: The majority of women were satisfied with telemonitoring, particularly appreciating the reduced need for travel. However, there re- mains a desire for improvements, including greater flexibility in data re- porting.

A master thesis from Aalborg University

Kvinders oplevelser med telemonitorering ved prægestationel diabetes: Evaluering af vurdering af gravides kvinders oplevelse med telemonitoreringspakken: Evaluering af vurdering af gravides oplevelse med telemonitorering

[Women's experiences with telemonitoring in pregestational diabetes: Evaluation of the assessment of pregnant women's experience with the telemonitoring package: Evaluation of an assessment of pregnant women's experiences with telemonitoring]