School of Psychology, The University of Adelaide, Adelaide, South Australia 5000, Australia.
Diabetes Res Clin Pract. 2022 Mar;185:109783. doi: 10.1016/j.diabres.2022.109783. Epub 2022 Feb 17.
Evidence-based guidance is needed to inform care for individuals with Type 1 Diabetes Mellitus who deliberately restrict and omit insulin for weight control. Consensus on the best treatment approach for these individuals is currently lacking, and standard eating disorder treatment protocols are ineffective. This article focuses on how healthcare professionals can provide meaningful care to this population.
Qualitative research studies were synthesised in a meta-aggregative meta-synthesis. We identified key themes related to individuals' understanding and experience, physical and psychological impacts, support and treatment-related needs and experiences. These themes guided the development of implications for practice.
Individuals engaging in insulin misuse wanted healthcare professionals to demonstrate more empathy, validate their experiences, have increased knowledge about their illness and develop more specialist pathways.
The findings have widespread interdisciplinary implications for health professionals working with individuals with Type 1 Diabetes Mellitus. Evidence-informed implications for practice are provided and may provide useful guidance concerning the prevention and treatment of this unique behaviour.
需要循证指导来为故意限制和省略胰岛素以控制体重的 1 型糖尿病患者提供护理。目前，对于这些患者的最佳治疗方法尚未达成共识，且标准的饮食失调治疗方案无效。本文重点关注医疗保健专业人员如何为这一人群提供有意义的护理。
在元聚合元综合分析中综合了定性研究。我们确定了与个人的理解和经验、身体和心理影响、支持以及与治疗相关的需求和体验相关的关键主题。这些主题指导了实践意义的发展。
故意误用胰岛素的个体希望医疗保健专业人员表现出更多的同理心，验证他们的经历，增加对他们疾病的了解并开发更多的专业途径。
这些发现对与 1 型糖尿病患者合作的跨学科卫生专业人员具有广泛的影响。为实践提供了循证建议，可能为预防和治疗这种独特行为提供有用的指导。
