探索营养师在急性护理中照顾肥胖患者的经验:一项定性研究
Andrea Elliott1,2, Judy Bauer1, Cassie McDonald3,4
1Department of Nutrition, Dietetics and Food, School of Clinical Sciences, Monash University, Notting Hill, VIC, Australia.
International journal of obesity (2005)
|December 5, 2024
概括
澳大利亚医院的营养学家可能会因为专业文化,偏见和系统问题而限制肥胖患者的营养护理. 解决这些因素对于改善患者治疗结果至关重要.
科学领域:
- 饮食学和临床营养学
- 质量健康研究 质量健康研究
- 肥胖医学 肥胖医学
背景情况:
- 肥胖是医院相关并发症的一个显著可修改的风险因素.
- 患有肥胖症的患者在医院的患病率很高,但在急性情况下,他们往往无法获得必要的饮食护理.
- 有证据支持营养学家向肥胖患者提供营养建议,这突显了当前医院实践中的差距.
研究的目的:
- 探索营养师在急性医院环境中为患有肥胖症的患者提供护理的经验.
- 了解影响医院对肥胖患者提供营养护理的因素.
主要方法:
- 一个多站点的定性研究,采用构造主义的基础理论方法.
- 在澳大利亚墨尔本的四家急症医院,与25名营养师进行了半结构面试.
- 数据分析涉及开放编码和持续比较,以Charmaz的框架为指导.
主要成果:
- 一个有根据的理论确定了一个"包容的决策过程",急性护理营养师限制了肥胖患者的营养干预措施.
- 确定了影响这种做法的五个相互依存的类别:专业文化,科学证据,体重偏见和耻辱,营养师主导的护理和医院系统.
- 调查结果揭示了影响提供综合营养护理的系统障碍.
结论:
- 这项研究为为什么营养学家可能无法为肥胖患者提供足够的急性营养护理提供了新的见解.
- 改变饮食实践的文化需要战略领导,教育和纳入患者的观点.
- 将肥胖患者的营养需求整合到急性护理中,对于改善医疗保健提供至关重要.
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