美国退伍军人对饮食障碍查,诊断和治疗的看法:一种定性研究
Robin M Masheb1,2, Jennifer L Snow1, Sarah E Siegel3
1VA Connecticut Healthcare System, West Haven, Connecticut, USA.
The International journal of eating disorders
|July 11, 2024
概括
美国退伍军人经常自我诊断饮食障碍,并被误导到体重管理而不是适当的护理. 他们希望在退伍军人卫生管理局 (VHA) 中进行非耻辱性查和可访问的资源.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 饮食障碍很普遍,但在老兵群体中经常被忽视.
- 退伍军人卫生管理局 (VHA) 在有效查,诊断和治疗受益者中饮食障碍方面面临挑战.
研究的目的:
- 调查美国退伍军人对饮食障碍 (ED) 查,诊断,患者提供者沟通和VHA内护理的观点.
- 确定障碍物和促进者,以改善VHA系统中的ED护理.
主要方法:
- 定性研究涉及与16名被诊断患有饮食障碍的退伍军人进行半结构化的电话采访.
- 使用快速定性分析来检查退伍军人与ED症状,诊断,治疗转诊和查工具的经验.
主要成果:
- 退伍军人经常自我诊断ED,并努力向提供者表达他们的问题.
- 转诊治疗主要是为了减肥,这导致了边缘化的感觉.
- 退伍军人更喜欢由初级保健提供者进行非污名化查,并表示需要集中,可访问的ED资源.
结论:
- 饮食障碍和饮食失调在VHA中经常被误认或忽视,经常与超重问题混为一谈.
- 退伍军人希望改善ED查和治疗途径,强调目前VHA服务的差距.
- 退伍军人之间存在共识,需要加强VHA的努力,包括小组治疗和可访问的资源,以有效地解决饮食障碍.
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