患有胃肠道疾病的成年患者的避免/限制性食物摄入障碍:使用进化方法的概念分析
Yunqiu Che1, Shuhua Li2, Xiaju Hu1
1School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, People's Republic of China.
Risk management and healthcare policy
|June 26, 2025
概括
患有胃肠道疾病的成年人的避免/限制性食物摄入障碍涉及选择性饮食和对食物的负面反应,影响健康和生活质量. 这项研究阐明了更好的临床意识和干预的概念.
科学领域:
- 胃肠病学和精神病学 胃肠学和精神病学
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
- 概念分析 概念分析
背景情况:
- 避免性/限制性食物摄入障碍 (ARFID) 是一个新的概念,最初针对非成年人,具有生理和心理方面的维度.
- 症状重叠经常导致胃肠道 (GI) 疾病患者的ARFID被忽视.
- 不清楚的定义阻碍了在GI群体中对ARFID的研究.
研究的目的:
- 为了澄清ARFID在患有胃肠道疾病的成年人中的概念.
- 提高临床医生对ARFID在这个患者群体中的认识.
主要方法:
- 在七个数据库 (PubMed,科学网等) 进行系统的文献搜索. 在2024年9月之前.
- 使用了罗杰斯的进化概念分析框架.
- 识别了概念的属性,先例和后果.
主要成果:
- 分析了22篇关于ARFID在成年胃肠道患者中的文章.
- 确定了四个关键属性:排斥性饮食,与身体形象无关的,负面的反应,混合的动机.
- 提取了先例 (胃肠道疾病,创伤,饮食史) 和后果 (营养,心理,生活质量影响).
结论:
- 胃肠道疾病中的ARFID是饮食失调,食物选择性影响身体/心理功能.
- 澄清了开发评估工具和有针对性的干预措施的概念.
- 为改善胃肠道患者的饮食管理和临床实践提供了基础.
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