title: Opinions and Satisfaction Regarding Continuous Subcutaneous Insulin Infusion Therapy in Adult Patients with Type 1 Diabetes.
abstract: BACKGROUND
  This study examined the treatment satisfaction of type 1 diabetic patients undergoing continuous subcutaneous insulin infusion (CSII) therapy, and patients' thoughts regarding CSII.
  
  
  METHODS
  We provided a self-administered questionnaire survey over the internet. Participants were 106 individuals with type-one diabetes aged 20 years or older, undergoing CSII. The survey examined patients' treatment satisfaction, and their thoughts regarding CSII. Descriptive statistics were calculated. We compared relationships between treatment satisfaction and other variables using the Kruskal-Wallis rank sum test, and performed content analysis on participants' thoughts regarding CSII.
  
  
  RESULTS
  Regarding treatment satisfaction, the response, "neither of them" was the most frequent. Comparing relationships between treatment satisfaction and other variables, significant differences were found for the variables "age," "presence of dissatisfaction regarding doctors' response," and "presence of a significant medical expense burden." Participants' thoughts regarding CSII were classified into 10 categories.
  
  
  CONCLUSIONS
  Participants expressed positive evaluations, such as that their blood sugar control had improved due to CSII, and that they perceived improvement in their health. Participants also expressed negative evaluations, however, such as that medical expenses resulting from CSII were high, and that these expenses may cause distress and future economic insecurity. In future, patients may benefit from nursing support that allows patients to confidently continue with CSII.
authors.affiliation: Department of Adult and Elderly Nursing, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
authors.forename: Ikuko
authors.initials: I
authors.lastname: Nishio
authors.affiliation: Department of Adult and Elderly Nursing, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
authors.forename: Masami
authors.initials: M
authors.lastname: Chujo
authors.affiliation: †Division of Molecular Medicine and Therapeutics, Department of Multidisciplinary Internal Medicine, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Ohkura
authors.affiliation: Department of Adult and Elderly Nursing, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Kataoka
keywords: continuous subcutaneous insulin infusion; treatment satisfaction; type 1 diabetes