关于慢性四肢威胁性缺血症患者的营养摄入量的认知,经验,障碍和促进者:一种定性研究
Aniek M Kolen1, Harriët Jager-Wittenaar2, Jean-Paul P M de Vries3
1Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Annals of vascular surgery
|November 4, 2023
概括
患有慢性四肢威胁性缺血症 (CLTI) 的患者通常缺乏对营养风险的认识,并且不打算改变饮食. 这强调了需要以患者为中心的营养支持,以改善结果.
科学领域:
- 医疗营养治疗 治疗 治疗
- 质量健康研究 质量健康研究
- 血管疾病管理管理
背景情况:
- 慢性肢体威胁性缺血 (CLTI) 患者面临截肢和心血管事件的高风险.
- 营养不良和与营养相关的症状在CLTI患者中很普遍,恶化了临床结果.
- 了解影响营养摄入量的因素对于开发有效干预措施至关重要.
研究的目的:
- 探索CLTI患者对营养的看法和经验.
- 确定影响该人口营养摄入量的障碍和促进因素.
主要方法:
- 现象学定性研究设计.
- 与12名独立的CLTI患者进行单独的半结构化面对面采访.
- 采访数据的字面转录和反射主题分析.
主要成果:
- 五个主要主题出现了:有限的营养风险感知,营养在生存/功能中的作用,对摄入量的多因素影响,营养建议不足,没有改变饮食习惯的意图.
- 患者认为营养主要是为了生存和功能,而不是疾病管理.
- 摄入量是由习惯和品味驱动的,有许多障碍和有限的专业指导.
结论:
- 患有CLTI的患者低估营养风险和营养不良,在饮食选择中优先考虑非健康因素.
- 患者对营养知识和动机存在重大差距.
- 迫切需要以患者为中心的营养支持,以解决营养不良问题,并可能改善CLTI的结果.
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