PDF(Pubmed)
Abstract：
The incidence of type 1 diabetes (T1D) has increased by about 3% per year over the last two decades. Continuous Insulin Subcutaneous Therapy (CSII) is widely used in the pediatric population with diabetes; however, it requires more preparation by the treating team and a careful selection of its potential users. Prescriptive provisions vary from region to region, and the perspective of health workers in this regard remains an unexplored area. The aim of this research project is to explore the representations of a group of diabetologists and psychologists working in pediatric diabetology throughout the country, regarding their roles, functions, and activities as part of a multidisciplinary team; it also aims to investigate their views on the potential benefits of CSII and the types of individuals who apply for the use of this technology. A socio-anagraphic data sheet was administered, and two homogeneous focus groups were conducted, one for each profession, which were then audio recorded. The transcripts produced were analyzed using the Emotional Text Mining (ETM) methodology. Each of the two corpora generated three clusters and two factors. For diabetologists, a focus on patient care emerged at different levels, involving collaboration with other health professionals and engagement with the community, often incorporating technology in medical interventions. Similarly, psychologists\' representations highlighted interdisciplinary networking with a stronger emphasis on the psychological processes involved in managing the disease, from acceptance to the elaboration and integration of diabetes into the family narrative. Understanding the representations of health professionals working in pediatric diabetes with new technologies can contribute to the consolidation of a network of professionals through targeted work on possible critical issues that may arise.
摘要：
在过去的二十年中，1型糖尿病（T1D）的发病率每年增加约3％。持续胰岛素皮下治疗(CSII)广泛应用于患有糖尿病的儿科人群;然而,它需要治疗团队的更多准备，并仔细选择其潜在用户。规定因地区而异，卫生工作者在这方面的观点仍然是一个尚未探索的领域。这个研究项目的目的是探索一组糖尿病专家和心理学家在全国范围内从事儿科糖尿病研究的代表，关于他们的角色，功能,以及作为多学科团队一部分的活动；它还旨在调查他们对CSII的潜在好处以及申请使用该技术的个人类型的看法。管理了一份社会分析数据表，进行了两个同质的焦点小组，每个职业都有一个，然后录音。使用情感文本挖掘(ETM)方法学分析产生的转录本。两个语料库中的每一个都生成了三个聚类和两个因子。对于糖尿病学家来说，对病人护理的关注出现在不同的层面，涉及与其他卫生专业人员的合作和与社区的参与，经常将技术纳入医疗干预。同样，心理学家的陈述强调了跨学科网络，更加强调管理疾病所涉及的心理过程，从接受到糖尿病的阐述和融入家庭叙事。了解使用新技术从事儿科糖尿病工作的卫生专业人员的代表，可以通过针对可能出现的关键问题的针对性工作，为巩固专业人员网络做出贡献。
