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首页> 外文期刊>Diabetic medicine: A journal of the British Diabetic Association >Multidisciplinary healthcare teams' challenges and strategies in supporting people with type 1 diabetes to recover from disordered eating
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Multidisciplinary healthcare teams' challenges and strategies in supporting people with type 1 diabetes to recover from disordered eating

机译：多学科医疗团队对支持1型糖尿病患者的挑战和策略，以从无序的饮食中恢复

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摘要

Aim To examine the challenges healthcare teams face when treating people with type 1 diabetes and disordered eating and the strategies these teams have developed to facilitate effective treatment. Methods Four semi-structured focus groups were conducted including two tertiary diabetes specialist teams and three tertiary eating disorders specialist teams between July and December 2018. Thematic analysis of the transcripts followed a six-phase process. Results Twenty-nine experienced healthcare professionals (16 diabetes and 13 eating disorder specialists, 16 +/- 12 years' professional experience) were interviewed. The challenges identified in treating people with type 1 diabetes and disordered eating included subthemes the 'challenges specific to the healthcare professional' (feeling not competent enough and perceived emotional burden), 'challenges pertaining to patient factors' (e.g. difficulties with engaging in therapy) and 'challenges created by the healthcare system' (time pressure and staff shortage). Healthcare professionals expressed the need for a consensus on diagnosis and the definition of disordered eating in type 1 diabetes, as well as the need for training and educational resources specific to type 1 diabetes and disordered eating. Healthcare professionals gave practical examples of strategies of communication for better patient engagement and felt that multidisciplinary working in joint clinics with the other specialty were facilitators for recovery from disordered eating. Conclusions Healthcare professionals require multidisciplinary team support when treating people with type 1 diabetes and to improve their own competencies. The development of effective screening and assessment tools, educational resources and training for healthcare professionals, and developing multidisciplinary treatment pathways will be key to improving outcomes for their service users with type 1 diabetes and disordered eating.
机译：目的探讨医疗团队在治疗1型糖尿病和饮食紊乱患者时面临的挑战，以及这些团队为促进有效治疗而制定的策略。方法在2018年7月至12月期间，开展了四个半结构化焦点小组，包括两个三级糖尿病专家小组和三个三级饮食障碍专家小组。对成绩单的主题分析遵循了六个阶段的过程。结果29名经验丰富的医护人员（16名糖尿病专家和13名饮食障碍专家，16+/-12年的专业经验）接受了采访。在治疗1型糖尿病和饮食紊乱患者时发现的挑战包括“医疗专业人员特有的挑战”（感觉能力不足和感知到的情绪负担），“与患者因素有关的挑战”（例如参与治疗的困难）和“医疗系统带来的挑战”（时间压力和人员短缺）。医疗专业人士表示，需要就1型糖尿病的诊断和饮食紊乱的定义达成共识，以及需要针对1型糖尿病和饮食紊乱提供培训和教育资源。医疗专业人员给出了沟通策略的实际例子，以提高患者参与度，并认为与其他专业在联合诊所开展多学科工作有助于从饮食紊乱中恢复。结论医护人员在治疗1型糖尿病患者时需要多学科团队支持，以提高自身能力。为医疗保健专业人员开发有效的筛查和评估工具、教育资源和培训，以及开发多学科治疗途径，将是改善其1型糖尿病和饮食紊乱服务使用者结果的关键。

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    Zaremba N.; Watson A.; Kan C.; Broadley M.; Partridge H.; Figuereido C.; Hopkins D.; Treasure J.; Ismail K.; Harrison A.; Stadler M.;

  • 作者单位

    Kings Coll London Diabet Res Grp Weston Educ Ctr London England;

    UCL Div Med London England;

    Kings Coll London Inst Psychiat Psychol &

    Neurosci Dept Psychol Med London England;

    Univ Southern Denmark Dept Psychol Odense Denmark;

    Royal Bournemouth &

    Christchurch Hosp Ctr Diabet Bournemouth Dorset England;

    Royal Bournemouth &

    Christchurch Hosp Dorset Eating Disorders Serv Bournemouth Dorset England;

    Kings Hlth Partners Inst Diabet Endocrinol &

    Obes London England;

    Kings Coll London Inst Psychiat Psychol &

    Neurosci Dept Psychol Med London England;

    Kings Hlth Partners Inst Diabet Endocrinol &

    Obes London England;

    Kings Coll London Diabet Res Grp Weston Educ Ctr London England;

    Kings Coll London Diabet Res Grp Weston Educ Ctr London England;

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  • 正文语种 eng
  • 中图分类 内分泌腺疾病及代谢病;
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