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首页> 外文期刊>Diabetic medicine: A journal of the British Diabetic Association >Eating disorders in people with Type 1 diabetes: experiential perspectives of both clients and healthcare professionals
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Eating disorders in people with Type 1 diabetes: experiential perspectives of both clients and healthcare professionals

机译:患有1型糖尿病的人的疾病:客户和医疗专业人士的体验前景

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Aims: To explore the experiential perspective of people with Type 1 diabetes mellitus and eating disorders and that of the healthcare professionals treating them, and to understand the experience of both sides to inform future development of healthcare services. Methods: Participants were recruited from Diabetics with Eating Disorders (a national UK charity), and through professional networks. Nine partially/fully recovered individuals with Type 1 diabetes and eating disorders and eight healthcare professionals participated in semi-structured interviews carried out by medically trained researchers. Data were transcribed and coded using a six-stage framework of thematic analysis. Results: Four superordinate themes and several subordinate themes emerged from the Type 1 diabetes and eating disorders dataset: (1) perceptions surrounding service provision; (2) reflections on the recovery process; (3) the experiential perspective of living with Type 1 diabetes and an eating disorder; and (4) support mechanisms. Healthcare professional data elicited three superordinate themes and several subordinate themes: (1) service provision; (2) personal insight and reflection of professional role; and (3) challenges of working with dual diagnoses. Conclusion: People with Type 1 diabetes and eating disorders and their healthcare professionals provided insight into healthcare services from the patient and care delivery perspectives. There was general agreement from both groups that a multidisciplinary, collaborative (family inclusive), clinical approach to treatment is important, as well as adequate training opportunities for service providers. These findings may help to inform development strategies for multidisciplinary care approaches to Type 1 diabetes complicated by eating disorders. ? 2017 Diabetes UK
机译:目的:探索1型糖尿病和饮食障碍患者以及治疗他们的医护人员的经验视角,并了解双方的经验,为医疗服务的未来发展提供信息。方法:参与者从患有饮食障碍的糖尿病患者(英国国家慈善机构)和专业网络中招募。9名部分/完全康复的1型糖尿病和饮食障碍患者以及8名医护人员参加了由受过医学培训的研究人员进行的半结构式访谈。数据采用六阶段的主题分析框架进行转录和编码。结果:1型糖尿病和饮食障碍数据集中出现了四个上位主题和几个下位主题:(1)对服务提供的认知;(2) 对恢复过程的反思;(3) 1型糖尿病和饮食障碍患者的体验视角;(4)支持机制。医疗专业数据引出了三个上级主题和几个下级主题:(1)服务提供;(2) 对职业角色的个人见解和反思;(3)使用双重诊断的挑战。结论:1型糖尿病和饮食障碍患者及其医护人员从患者和护理提供的角度深入了解了医疗服务。两个小组普遍认为,多学科、协作(包括家庭在内)的临床治疗方法以及为服务提供者提供充分的培训机会都很重要。这些发现可能有助于为多学科治疗1型糖尿病合并饮食障碍的发展策略提供信息?2017年英国糖尿病

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