中国成年炎症性肠道疾病患者饮食决策的挑战:一种定性研究
Yiting Li1, Wenjing Tu1, Murong Wang1
1School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
BMJ open
|October 22, 2025
概括
患有炎症性肠病 (IBD) 的中国成年人在识别问题,整合信息和实施饮食决策方面面临重大挑战. 了解这些障碍是制定有效的饮食支持策略以改善健康结果的关键.
科学领域:
- 胃肠病学 胃肠病学
- 健康心理学 心理健康心理学
- 行为科学 行为科学
背景情况:
- 炎症性肠病 (IBD) 显著影响患者的生活质量,需要谨慎的饮食管理.
- 对于IBD患者来说,饮食决策是复杂的,受疾病活动,信息过载和社会文化因素的影响.
研究的目的:
- 探索在饮食决策过程中,中国成年IBD患者在饮食决策过程中遇到的多方面的挑战.
- 建立一个理论基础,创造有针对性的干预措施,以提高患者的饮食决策能力.
主要方法:
- 一个描述性的定性面试研究设计.
- 在中国南京的四家医院对24名IBD患者进行了半结构面试.
- 有目的的抽样确保了患者体验的多样化表现.
主要成果:
- 确定了五个主要的挑战主题:问题识别,信息整合,决策实施,决策后反思和其他影响因素.
- 关键的挑战包括缺乏疾病威胁感知,恐惧爆发,缺乏个性化指导,信息过载,偏好和管理之间的冲突,社会压力,选择有限,失望,自我调节疲劳,社会支持不足,情感影响和文化因素.
- 具体的子主题强调了在社会和文化背景下导航饮食选择的复杂性.
结论:
- IBD患者在做出健康的饮食决策时面临着许多障碍,这会影响他们的福祉.
- 研究结果为制定定制的饮食决策支持策略和辅助工具提供了基础.
- 这项研究提供了一个指导干预措施的框架,以促进IBD患者更健康的饮食行为.
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