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慢性疾病中的营养自我管理:一个概念分析
Lingzhu Zhang1, Hongyan Li1, Tingting Huang1
1School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Frontiers in public health
|December 12, 2025
概括
这项研究定义了慢性疾病的营养自我管理,确定了改善患者护理的六个关键属性. 它建立了一个框架,以改善营养管理和慢性病患者的治疗结果.
科学领域:
- 营养科学 营养科学
- 慢性疾病管理 慢性疾病管理
- 健康 行为 健康行为
背景情况:
- 全球慢性疾病负担不断增加,需要优化营养自我管理.
- 目前营养自主管理的概念缺乏明确性和操作标准.
- 有效的营养管理对于缓解慢性疾病进展和改善患者生活质量至关重要.
研究的目的:
- 通过概念分析,澄清慢性疾病中营养自我管理的核心定义.
- 为营养自我管理建立一个科学临床评估框架.
- 为慢性疾病营养管理提供基于证据的干预策略.
主要方法:
- 采用了沃克和阿凡特的概念分析方法.
- 在主要数据库 (PubMed,科学网,CINAHL,Embase) 进行了全面的文献搜索,直至2024年.
- 在严格选后包括52篇文章.
主要成果:
- 通过六个属性来定义营养自我管理:饮食坚持,患者提供者伙伴关系,资源利用,决策,角色感知和情绪调节.
- 确定先例,包括社会人口统计学因素,能力,机会和动机.
- 突出影响个人,家庭和社会层面的后果,促进积极的循环.
结论:
- 开发了一种系统的概念模型,用于慢性疾病患者的营养自我管理.
- 提出了一个理论基础的框架,用于开发评估工具和指导临床研究.
- 强调需要进行上下文适应和未来的多中心验证研究.
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