自主管理的饮食变化和子宫内膜异位症中的功能性肠道症状:一种定性面试研究
Komal Kumar1,2, Nitish N Narvekar3,4, Kate Maslin2
1Epsom and St Helier University Hospitals NHS Trust, Dorking Rd, Epsom KT18 7EG, UK.
患有子宫内膜异位症的人经常限制必需的食物来控制肠道症状,影响营养和幸福感. 他们希望获得专业的饮食支持,以有效地应对这些挑战.
科学领域:
- 胃肠病学 胃肠病学
- 妇科 妇科医生 妇科
- 营养科学 营养科学
背景情况:
- 子宫内膜异位症是一种慢性妇科疾病,经常出现胃肠道问题,常常被误诊为刺激性肠综合征 (IBS).
- 目前的子宫内膜异位症指南缺乏对饮食干预措施的正式认可,患者自我管理策略仍然不明朗.
- 了解患者主导的饮食实践对于改善子宫内膜异位症的护理和症状管理至关重要.
研究的目的:
- 调查子宫内膜异位症患者用于减轻胃肠道症状的营养做法和自我管理策略.
- 探索这些饮食变化对参与者的整体健康和福祉的感知影响.
- 确定在管理与饮食有关的子宫内膜异位症症状方面,对专业支持的未满足需求.
主要方法:
- 一项定性研究涉及对10名被诊断患有子宫内膜异位症的英国人进行半结构面试.
- 参与者通过社交媒体子宫内膜异位症支持小组招募.
- 采访是通过虚拟方式进行的,并根据主题进行分析,以确定关键主题.
主要成果:
- 所有接受采访的参与者都报告说,他们做出了显著的饮食改变,经常排除了乳制品,质,蔬菜,水果和动物产品等主要食物组.
- 这些饮食改变对体重,营养状况和参与者与食物的关系产生了不利影响.
- 关键主题包括疼痛的影响,严重的肠道症状,饮食改变的后果,以及寻求饮食支持,所有这些都是由解雇和缺乏及时护理的感觉所支的.
结论:
- 患有子宫内膜异位症的人经常采取限制性饮食模式,试图控制肠道症状.
- 对于专业人士,特别是营养学家的支持有明显的需求,以指导饮食管理,确保营养充足,并在子宫内膜异位症护理中解决体重问题.
- 将营养学家纳入子宫内膜异位症护理途径对于缓解胃肠道症状和支持患者整体健康至关重要.
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